Reliance Standard

Claims Examiner I - Absence Management Specialist


PayCompetitive
LocationSouth Portland/Maine
Employment typeFull-Time

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  • Job Description

      Req#: R6117
      Employer Industry: Healthcare Services

      Why consider this job opportunity:
      - Salary up to $24.00 hourly
      - Annual performance bonus for all team members
      - Generous 401(k) company match that is immediately vested
      - Hybrid work arrangements for eligible roles
      - Paid Time Off – new hires start with at least 20 days of PTO per year, plus nine paid holidays
      - Opportunity to connect with colleagues through the Employee Resource Group program

      What to Expect (Job Responsibilities):
      - Investigate claim issues and provide resolutions within departmental and regulatory guidelines
      - Interpret and administer contract provisions regarding eligibility and duration
      - Accurately code all system fields with correct financial, diagnosis, and duration information
      - Coordinate with other departments to ensure appropriate claims transition or facilitate timely return to work
      - Manage Performance Guarantee clients and meet targeted metrics

      What is Required (Qualifications):
      - High School Diploma or GED (Bachelor’s preferred)
      - Microsoft Office experience
      - Strong attention to detail, analytical skills, and ability to collaborate with others
      - Strong organizational skills, including the ability to prioritize work and multi-task
      - Customer service experience and orientation

      How to Stand Out (Preferred Qualifications):
      - Experience in claims management or a related field
      - Familiarity with HIPAA rules and regulations
      - Proven ability to work independently and proactively engage in training

      #HealthcareServices #ClaimsManagement #CareerOpportunity #CompetitivePay #EmployeeBenefits

      We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company

      Reliance Standard Life Insurance Company is a member of the Tokio Marine Group. Tokio Marine Holdings, Inc., the ultimate holding company of the Tokio Marine Group, is incorporated in Japan and is listed on the Tokyo Stock Exchange. The Tokio Marine Group operates in the property and casualty insurance, reinsurance and life insurance sectors globally.

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