Claims Jobs in Falmouth, ME
A Claims Professional in the insurance industry is responsible for handling insurance claims filed by policyholders. Their role includes investigating the claim, determining the policyholder's coverage, negotiating settlements, and authorizing payments. They are often the main point of contact for clients during the claims process and will work closely with underwriters, brokers, and other insurance professionals. They may also provide recommendations for policy adjustments or present evidence in legal cases.
Claims Professionals should have excellent customer service skills, as well as strong analytical and problem-solving abilities. They should be familiar with insurance laws and regulations, and have a solid understanding of the specific types of insurance they work with. Some positions may require professional certifications such as the Chartered Property Casualty Underwriter (CPCU) or Associate in Claims (AIC). Prior to becoming a Claims Professional, a person might serve in roles such as Insurance Underwriter, Insurance Sales Agent, or Claims Adjuster Trainee.
Long-Term Disability Claims Examiner
- South Portland, ME (8 miles from Falmouth, ME)
- 4 days ago
- South Portland, ME (8 miles from Falmouth, ME)
- 4 days ago
The Long-term Disability (LTD) Claims Examiner is responsible for obtaining and analyzing information in order to make claim decisions and payments on disability claims....
Remote WorkAssociate Claim Representative
- Auburn, ME (23 miles from Falmouth, ME)
- 5 days ago
- Auburn, ME (23 miles from Falmouth, ME)
- 5 days ago
claim handling procedures Develop claim negotiation and settlement skills Meet and communicate with claimants, legal counsel, and third parties Develop specialized skills including but, not limited...
Senior Director, Claims & Provider Reimbursement - Remote
- Portland, ME (6 miles from Falmouth, ME)
- 5 days ago
- Portland, ME (6 miles from Falmouth, ME)
- 5 days ago
Position Summary The Senior Director, Claims & Provider Reimbursement, is responsible for oversight of health plan claims administration....
Remote WorkSenior Director, Claims & Provider Reimbursement
- Portland, ME (6 miles from Falmouth, ME)
- 8 days ago
- Portland, ME (6 miles from Falmouth, ME)
- 8 days ago
Position Summary The Senior Director, Claims & Provider Reimbursement, is responsible for oversight of health plan claims administration....
- New Gloucester, ME (15 miles from Falmouth, ME)
- 8 days ago
- New Gloucester, ME (15 miles from Falmouth, ME)
- 8 days ago
Access and utilize Claims System, generate loss runs and claim reports as requested....
Paid Leave Claim Examiner (Remote, Bilingual Preferred)
- Portland, ME (6 miles from Falmouth, ME)
- 9 days ago
- Portland, ME (6 miles from Falmouth, ME)
- 9 days ago
The Claim Examiner is accountable for ensuring optimal claims handling and timely, accurate decisions....
Remote Work- Portland, ME (6 miles from Falmouth, ME)
- 12 days ago
- Portland, ME (6 miles from Falmouth, ME)
- 12 days ago
OPTIMUM CONSTRUCTION, INC. is one of New England's foremost construction managers and general contractors with a broad portfolio of projects for commercial, corporate, healthcare, housing, and...
- Gorham, ME (9 miles from Falmouth, ME)
- 13 days ago
- Gorham, ME (9 miles from Falmouth, ME)
- 13 days ago
Are you an Estimator looking for an opportunity to play a key role in Northern New England's growing communities? At Great Falls Construction, we believe in making a positive impact through our...
- Portland, ME (6 miles from Falmouth, ME)
- 18 days ago
- Portland, ME (6 miles from Falmouth, ME)
- 18 days ago
Position Overview The Property Claims Adjuster is responsible for managing property insurance claims, including coordinating with independent adjusters to investigate, negotiate, and resolve claims...
Associate Director, Claims-Stop Loss
- Portland, ME (6 miles from Falmouth, ME)
- 20 days ago
- Portland, ME (6 miles from Falmouth, ME)
- 20 days ago
claims adjudication processes for our Stop Loss product line....
- Lewiston, ME (24 miles from Falmouth, ME)
- 45+ days ago
- Lewiston, ME (24 miles from Falmouth, ME)
- 45+ days ago
at Sargent Electric in Lewiston, Maine, United States Job Description Sargent Electric Company (www.sargentelectric.com) Consistently named one of the Top Fastest Growing Companies. Also, Awarded...
- South Portland, ME (8 miles from Falmouth, ME)
- 60+ days ago
- South Portland, ME (8 miles from Falmouth, ME)
- 60+ days ago
and make decisions consistent with claims standards and local laws Evaluate and handle claim payments and resolution of claims without payments Review and determine validity of any supplement requests...
- South Portland, ME (8 miles from Falmouth, ME)
- 60+ days ago
- South Portland, ME (8 miles from Falmouth, ME)
- 60+ days ago
In a fast-paced environment, you'll learn how to resolve a full case load of claims efficiently while managing the claims process from start to finish....
Senior Casualty Claims Representative
- Westbrook, ME (5 miles from Falmouth, ME)
- 30+ days ago
- Westbrook, ME (5 miles from Falmouth, ME)
- 30+ days ago
Claims handled may include General Liability bodily injury and property damage, Commercial Automobile bodily injury including Uninsured/Underinsured Motorist claims, pollution and environmental exposures...
Claims Representative - Auto Physical Damage
- Westbrook, ME (5 miles from Falmouth, ME)
- 30+ days ago
- Westbrook, ME (5 miles from Falmouth, ME)
- 30+ days ago
Work proficiently with various computer programs including MS Word, Excel, and other applications used in the claim handling process....
Demographic Data for Falmouth, ME
Moving to Falmouth, ME? Find some basic demographic data about Falmouth, ME below.
Claims Online Courses and Training Opportunities
Title Synonyms
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Salary for Claims Jobs in Falmouth, ME
Required or preferred licenses and certifications for Claims positions.
Highest Education Level
Claimss in Falmouth, ME offer the following education backgroundQualifications / Skill Sets
The following top skills are often required or desired to land a Claims position
- Engineering
- Bidding
- Take-offs
- Claims Handling
- Residential Construction
- Specifications
- Property Claims
- General Liability
- Claims Adjusting
- Bodily Injury
- Subrogation
- Property and Casualty Insurance
- Property Damage
- Special Investigative Unit
- Total Loss
- Professional Liability
- Coverage Analysis
- Auto Claims
- Xactimate
- Commercial Claims
- Symbility
- Audatex
- Claims Management
- Property Insurance
- CCC One
- Commercial Insurance
- Litigation Management
- Claims Processing
- Medical Claims
- Underwriting
- Claims
- Litigation
- Insurance Claims
- Appraisal
- Workers' Compensation
- Mediation
- File Management
- Resolution
- Estimating
- Reimbursement
- Military Background
- High School Diploma
- Negotiation
- Investigation
- Written Communication
- Presentation
- Flexibility
- Mentoring
- Documentation
- Collaboration
- Reporting
- Interpersonal Skills
- Filing
- Problem Solving
- Project Management
- Microsoft Office
- Microsoft Excel
- Time Management
- Staff Supervision
- Organization
- Customer Service
- Scheduling
- Computer Skills
- Leadership
- Communication Skills
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