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Claim Assistant Jobs in Augusta, ME (NOW HIRING)

Claims Clerk

Winthrop, ME · Hybrid

$27/hr

Collect, organize, review, and prepare medical and psychiatric records for adjudicative review. * Assist in summarizing and organizing documentation to support disability claim evaluations. Case ...

Surveillance Investigator

Augusta, ME · On-site

$21.25 - $26.25/hr

... to assist with the administration of an insurance claim. * Must possess a valid driver's license with at least one year of driving experience * Private Investigator's license required prior to ...

Surveillance Investigator

Augusta, ME · On-site

$21.25 - $26.25/hr

... to assist with the administration of an insurance claim. * Must possess a valid driver's license with at least one year of driving experience * Private Investigator's license required prior to ...

... claim including but not limited to insureds, claimants, agents, and attorneys * Obtain and maintain appropriate adjuster's license(s) as required * Assist in the evaluation and selection of outside ...

Manage daily case assignments for staff and assist with workload coordination. * Support claim processing activities through accurate documentation and administrative follow-up. Data Entry & Records ...

Vendor Damage Claim Management Qualifications / Requirements: * Certificate in Production and ... These tools are used to assist our recruiters. All hiring decisions are made by PTAG recruiters and ...

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Claim Assistant information

See Augusta, ME salary details

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How much do claim assistant jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for claim assistant in Augusta, ME is $20.84, according to ZipRecruiter salary data. Most workers in this role earn between $17.84 and $22.60 per hour, depending on experience, location, and employer.

What is a claim assistant?

Claim Assistants are professionals who provide administrative and clerical support to claims departments in insurance companies or related organizations. Their main responsibilities include processing claim forms, verifying information, assisting claimants with inquiries, maintaining records, and supporting claims adjusters throughout the claims process. They play a crucial role in ensuring timely and accurate handling of insurance claims, helping both clients and the company resolve claims efficiently.

What are the key skills and qualifications needed to thrive as a claim assistant, and why are they important?

To thrive as a Claim Assistant, you need strong organizational skills, attention to detail, and a foundational understanding of insurance processes, typically supported by a high school diploma or equivalent. Familiarity with insurance claims management systems, office software like Microsoft Office, and sometimes basic data entry certifications are commonly needed. Excellent communication, problem-solving, and customer service skills help you interact effectively with clients and team members. These skills ensure accurate and timely processing of claims, minimize errors, and provide a positive experience for policyholders.

What are some of the common challenges claim assistants face when managing multiple claims simultaneously?

Claim Assistants often juggle several claims at once, requiring strong organizational skills and attention to detail. A common challenge is prioritizing tasks effectively, as some claims may require urgent follow-up or additional documentation. Staying on top of multiple deadlines and communicating with various stakeholders—such as policyholders, adjusters, and healthcare providers—can be demanding. Utilizing claims management software and maintaining clear records can help manage workload and reduce errors.

What is the difference between Claim Assistant vs Claims Processor?

AspectClaim AssistantClaims Processor
Required CredentialsHigh school diploma or equivalent; some roles may prefer insurance-related certificationsHigh school diploma; some roles may require insurance or claims processing certifications
Work EnvironmentOffice setting, interacting with claimants and insurance staffOffice environment, focusing on reviewing and processing claims
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, claims departments
Common Search & ComparisonClaim Assistant vs Claims Processor

The Claim Assistant and Claims Processor roles share similarities in work environment and required credentials, often working within insurance companies. The Claim Assistant typically supports claim handling by gathering information and coordinating with clients, while the Claims Processor focuses on reviewing, evaluating, and processing claims. Both roles are essential in the claims process, but the Claims Processor usually has more responsibility for decision-making and claim approval.

Is claims processing a stressful job?

Claims processing is a core responsibility of claim assistants, involving reviewing and managing insurance claims, which can be stressful due to tight deadlines, high workload, and the need for accuracy. The job requires attention to detail, communication skills, and sometimes working under pressure, especially during peak periods or complex cases.

What are the most commonly searched types of Claim jobs in Augusta, ME?

The most popular types of Claim jobs in Augusta, ME are:

Claims Clerk

ssollc

Winthrop, ME • Hybrid

$27/hr

Full-time

Posted 7 days ago


Job description

Claims Clerk - 7 Openings

Location: Winthrop, Maine
Pay Rate: $27.00 per hour
Schedule: Full-Time, 40 Hours per Week
Work Arrangement: Onsite to Start | Hybrid Eligible Upon Successful Training

Position Overview

The Maine Disability Determination Services (DDS) is seeking a detail-oriented and customer-focused Claims Clerk to support the disability claims adjudication process.

In this role, you will assist the adjudicative team by gathering information, obtaining and organizing medical evidence, coordinating communications, and maintaining accurate case documentation. While this position does not make disability determinations, it plays a critical role in ensuring claims are thoroughly documented and efficiently processed.

This is an excellent opportunity for candidates with administrative, claims processing, customer service, medical office, or social services experience who enjoy working in a fast-paced environment where attention to detail is essential.

Key ResponsibilitiesClaims Support & Evidence Collection
  • Contact claimants, healthcare providers, employers, and authorized third parties by phone and mail to obtain medical and vocational documentation.
  • Follow up on outstanding requests to ensure timely receipt of records and supporting evidence.
  • Collect, organize, review, and prepare medical and psychiatric records for adjudicative review.
  • Assist in summarizing and organizing documentation to support disability claim evaluations.
Case Coordination
  • Schedule and coordinate medical and psychological consultative examinations as directed by adjudicators and medical consultants.
  • Communicate examination details and appointment reminders to claimants.
  • Track and document claim-related activities and correspondence.
Customer Service & Communication
  • Respond to incoming calls regarding claim status and general inquiries.
  • Return voicemails and provide timely, professional assistance to claimants and providers.
  • Conduct required survey and follow-up calls.
Records Management
  • Review paper claim files and convert records to electronic format.
  • Scan, index, and maintain electronic documentation.
  • Ensure files are complete, accurate, and organized in accordance with agency requirements.
Minimum Qualifications

Candidates should demonstrate:

  • Strong customer service and communication skills
  • Basic knowledge of office procedures and administrative practices
  • Ability to follow written and verbal instructions
  • Ability to manage multiple tasks while maintaining accuracy and attention to detail
  • Proficiency with Microsoft Office applications and other computer-based systems
  • Ability to perform routine data entry and keyboarding tasks
  • Ability to review documents for accuracy and completeness
  • Strong organizational and recordkeeping skills
  • Ability to work independently and as part of a team
Preferred Qualifications

The following experience is highly desirable but not required:

  • Medical records administration
  • Medical terminology
  • Disability claims processing
  • Social Security or public benefits programs
  • Healthcare administration
  • Insurance, workers' compensation, or claims-related support work
  • Electronic document management systems
Knowledge, Skills & Abilities

Successful candidates will have:

  • Exceptional attention to detail
  • Strong written and verbal communication skills
  • Ability to handle sensitive and confidential information
  • Professional telephone etiquette
  • Strong organizational and time-management skills
  • Ability to prioritize work and meet deadlines
  • Experience maintaining electronic and paper filing systems
  • Ability to learn and apply agency policies and procedures
Schedule & Work Environment
  • Full-time, 40 hours per week
  • Scheduled between 7:00 AM and 5:00 PM
  • No on-call responsibilities
  • Hybrid work opportunity available after successful completion of training and demonstrated independent performance
Background Check Requirement

The selected candidate must successfully complete a Tier II Social Security Administration background investigation prior to employment.

Requirements include:

  • Fingerprinting
  • Identity verification
  • A valid government-issued photo ID that is REAL ID compliant