Top 17 Claims consultant Jobs in Maine

Medical Consultant
Unum Group —Portland, ME
- $133,500 - $274,100 a year
- Full-time
- Medicine
- Customer service
- 5 years
- Loan repayment program
- Disability insurance
Jewelry Service Consultant
Day's Jewelers —South Portland, ME
- $41,600 - $58,325 a year
- Weekends as needed
- OSHA
- High school diploma or GED
- Ability to lift 50 pounds
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Jewelry Service Consultant
Day's Jewelers —Waterville, ME
- $41,600 - $58,325 a year
- Weekends as needed
- OSHA
- High school diploma or GED
- Ability to lift 50 pounds
Quick Apply
Senior Consultant, Supplemental Health
Sun Life —Portland, ME
- $71,100 - $106,700 a year
- Full-time
- Hybrid work
- 5 years
- HIPAA
- Analysis skills
- AD&D insurance
- Disability insurance
Vocational Rehab Consultant
Unum Group —Portland, ME
- $53,300 - $100,700 a year
- Full-time
- Mid-level
- Master's degree
- Case management
- Loan repayment program
- Disability insurance
Senior Manager, Business Consulting - Payment Integrity Center of Excellence
CVS Health —Augusta, ME
- $67,900 - $199,144 a year
- Full-time
- 5 years
- Analysis skills
- Presentation skills
- Health insurance
- Dental insurance
11d
National Analytic Consultant- Employee Benefits
Insurance Office of America, Inc. —South Portland, ME
- $155,000 - $170,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Paid holidays
- Health insurance
Quick Apply
8h
Senior Consultant, Employee Health & Benefits
Marsh McLennan Agency —Portland, ME
- Full-time
- Hybrid work
- 7 years
- Writing skills
- HIPAA
- Disability insurance
- Dental insurance
Commercialization Expert
CLEAResult Consulting Inc. —Augusta, ME
- $120,000 - $140,000 a year
- Full-time
- Remote
- Analysis skills
- Travel
- US work authorization
- Health insurance
- Dental insurance
Quick Apply
Commercial Insurance Consultant, Claims Insights- Remote
CSAA Insurance Services, Inc. —Augusta, ME
- $122,850 - $164,000 a year
- Full-time
- Remote
- Computer Science
- Mid-level
- SQL
- 401(k) matching
4d
Experienced Managing Consultant Construction Claims and Dispute Resolution
Merge Associates —United States
- $120,000 - $300,000 a year
- Full-time
- Remote
- Background check
- Engineering
- 11+ years
- Health savings account
- Paid holidays
Quick Apply

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Jewelry Service Consultant
Day's Jewelers —South Portland, ME
Jewelry Service Consultants care for our customers and provide support to the sales department for point-of-sale transactions, jewelry restoration, repair,…
$41,600 - $58,325 a year
Quick Apply
Jewelry Service Consultant
Day's Jewelers —Waterville, ME
Jewelry Service Consultants care for our customers and provide support to the sales department for point-of-sale transactions, jewelry restoration, repair,…
$41,600 - $58,325 a year
Quick Apply

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Van Martin Roofing —Columbus, OH
Valid driver’s license and reliable transportation. Is self-motivated and able to manage their own schedule. Generate new business through referrals, canvassing…
$80,000 - $250,000 a year
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Exterior Restoration Consultant (Roofing & Siding)
New Albany Exterior Solutions —New Albany, OH
Valid driver’s license and reliable transportation. Ability to work independently and manage your own schedule. Take photographs and document property damage.
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Medical Consultant

Unum Group -
Portland, ME

Apply Now

Job Details

Full-time
$133,500 - $274,100 a year

Benefits

Loan repayment program
Disability insurance
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
401(k) 5% Match
Vision insurance
401(k) matching
Opportunities for advancement

Qualifications

BC/BE
Mentoring
Medical License

Full Job Description

When you join the team at Unum, you become part of an organization committed to helping you thrive.

Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life’s moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide:

Award-winning culture
Inclusion and diversity as a priority
Performance Based Incentive Plans
Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability
Generous PTO (including paid time to volunteer!)
Up to 9.5% 401(k) employer contribution
Mental health support
Career advancement opportunities
Student loan repayment options
Tuition reimbursement
Flexible work environments

All the benefits listed above are subject to the terms of their individual Plans .

And that’s just the beginning…

With 10,000 employees helping more than 39 million people worldwide, every role at Unum is meaningful and impacts the lives of our customers. Whether you’re directly supporting a growing family, or developing online tools to help navigate a difficult loss, customers are counting on the combined talents of our entire team. Help us help others, and join Team Unum today!

General Summary:

We’re expanding our team of experienced physicians specializing in Internal Medicine, Family Practice, Occupational Medicine, and Physical Medicine & Rehabilitation to join us as expert Medical Consultants. This is a unique opportunity to leverage your clinical expertise in a full‑time role—without direct patient care.

As a Medical Consultant, you’ll apply your medical training to review and evaluate clinical documentation for disability claims in a collaborative, team‑oriented environment.

This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The incumbent provides high quality, timely, and efficient medical consultative services to the Benefits Center. The Medical Consultant adheres to current regulatory, claim process, and internal workflow standards as set forth in the Benefits Center Claims Manual, underwriting manual, and associated documentation. The incumbent adheres to accepted norms of medical practices and Code of Conduct guidelines. Physicians and psychologists conduct their reviews and analyses within appropriate ethical standards and maintain their professional licenses and Board certifications. This role is expected to provide excellent customer service and to interact on a regular basis with business partners, health care providers, and other specialized resources.

Principal Duties and Responsibilities

Provide timely, clear medical direction and opinions to team partners, with reasoned forensic analysis to support the medical opinions
Partner/consult with fellow medical consultants when appropriate to ensure the completion of a whole person analysis
Apply medical knowledge to determine functional capacity through assessment of medical and other data related to impairment, regarding accuracy of diagnoses, treatment plans, duration guidelines, and prognosis
Provide relevant medical education and knowledge to others in terms appropriate and understandable to the intended audience
Perform telephone contacts with the insured’s healthcare providers to gather medical information and to facilitate a better understanding of the claimant's functional abilities
Make timely and appropriate referrals for second opinion reviews when appropriate or required according to current guidelines and best practices
Demonstrate ability to manage and complete high volumes of assigned work, maintain consistently good turnaround times, and operate with a sense of urgency
Focus not only on individual workload, but on the team/group work volumes to ensure organizational success
Receive feedback and follow through with appropriate behaviors/actions
Perform other duties as assigned

Job Specifications

Professional Degree (MD, DO)
Active, unrestricted US medical license
Board certification required for physicians in their area of specialty
Minimum of five years of clinical experience in medical specialty
Strong team and collaborative skills. Ability to work in a fast paced, team based, corporate environment
Ability to mentor others and to give and receive constructive, behaviorally based feedback with peers and partners

~IN1

#LI-RA1

Unum and Colonial Life are part of Unum Group, a Fortune 500 company and leading provider of employee benefits to companies worldwide. Headquartered in Chattanooga, TN, with international offices in Ireland, Poland and the UK, Unum also has significant operations in Portland, ME, and Baton Rouge, LA - plus over 35 US field offices. Colonial Life is headquartered in Columbia, SC, with over 40 field offices nationwide.

Unum is an equal opportunity employer, considering all qualified applicants and employees for hiring, placement, and advancement, without regard to a person's race, color, religion, national origin, age, genetic information, military status, gender, sexual orientation, gender identity or expression, disability, or protected veteran status.

The base salary range for applicants for this position is listed below. Unless actual salary is indicated above in the job description, actual pay will be based on skill, geographical location and experience.

$133,500.00-$274,100.00

Additionally, Unum offers a portfolio of benefits and rewards that are competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short & long-term disability), performance-based incentive plans, paid time off, and a 401(k) retirement plan with an employer match up to 5% and an additional 4.5% contribution whether you contribute to the plan or not. All benefits are subject to the terms and conditions of individual Plans.

Company:

Unum

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Refine Your Search

claims consultant jobs in maine

Medical Consultant

Jewelry Service Consultant

Jewelry Service Consultant

Senior Consultant, Supplemental Health

Vocational Rehab Consultant

Senior Manager, Business Consulting - Payment Integrity Center of Excellence

National Analytic Consultant- Employee Benefits

Senior Consultant, Employee Health & Benefits

Commercialization Expert

Commercial Insurance Consultant, Claims Insights- Remote

Experienced Managing Consultant Construction Claims and Dispute Resolution

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