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Insurance Claims Processing Jobs in Maine (NOW HIRING)

MEMIC

Claim Assistant

Portland, ME · On-site

$46K/yr

Opportunity to build a career in the insurance industry. * Meaningful work that helps injured employees and employers navigate the claims process. MEMIC is committed to a policy of nondiscrimination ...

MEMIC

Claim Assistant

Portland, ME · On-site

$46K/yr

Opportunity to build a career in the insurance industry. * Meaningful work that helps injured employees and employers navigate the claims process. MEMIC is committed to a policy of nondiscrimination ...

MEMIC

Claim Assistant

Portland, ME · On-site

$46K/yr

Opportunity to build a career in the insurance industry. * Meaningful work that helps injured employees and employers navigate the claims process. MEMIC is committed to a policy of nondiscrimination ...

Interim HealthCare

Billing coordinator

Augusta, ME

Responsibilities • Submit and process medical claims to insurance providers in a timely manner • Verify patient insurance coverage, eligibility, and benefits • Review clinical documentation to ...

Interim HealthCare

Billing coordinator

Augusta, ME

Responsibilities • Submit and process medical claims to insurance providers in a timely manner • Verify patient insurance coverage, eligibility, and benefits • Review clinical documentation to ...

The Misch Group

Public Adjuster

Portland, ME · On-site

Educate prospective clients on our services and guide them through the insurance claims process. * Develop and maintain a pipeline of leads through prospecting and networking efforts. * Conduct ...

Reliance Matrix

LTD Claims Examiner II

South Portland, ME · On-site

$52K - $65K/yr

Level I LOMA designation preferred. * 2 years experience processing long term disability claims ... Company provided Life & Disability Insurance to ensure financial protection when you need it most

Rsli

LTD Claims Examiner II

South Portland, ME · On-site

$52K - $65K/yr

Level I LOMA designation preferred. * 2 years experience processing long term disability claims ... Company provided Life & Disability Insurance to ensure financial protection when you need it most

Progressive

Auto Damage Claims Adjuster

Augusta, ME

$66K - $81K/yr

Negotiate repair process with body shops * Document information related to the claim and make ... Valid driver's license, auto insurance, and compliance with Progressive's driving standards and/or ...

MEMIC

Claim Specialist I

Portland, ME · On-site

$60K - $70K/yr

About MEMIC At MEMIC, our mission is to make workers' compensation insurance better-through ... In this role, you'll play a critical part in helping injured workers navigate the claims process ...

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All JobsInsurance Claims Processing JobsInsurance Claims Processing Jobs in Maine

Insurance Claims Processing information

What is insurance claims processing?

Insurance claims processing is the procedure by which insurance companies review, investigate, and settle claims made by policyholders. This process involves verifying the details of a claim, ensuring it meets the terms of the policy, and determining the appropriate payout or action. Claims processors handle documentation, communicate with claimants, and may work with other parties like adjusters or healthcare providers. The goal is to ensure claims are resolved efficiently, accurately, and fairly according to policy guidelines.

What are the key skills and qualifications needed to thrive in insurance claims processing?

To excel in Insurance Claims Processing, you need strong attention to detail, analytical abilities, and a foundational understanding of insurance policies or claims procedures, often supported by a high school diploma or associate degree. Familiarity with claims management software, databases, and sometimes industry certifications like AIC (Associate in Claims) is common. Effective communication, problem-solving skills, and the ability to manage stressful situations make someone stand out in this role. These competencies are critical for ensuring claims are processed accurately, efficiently, and in compliance with regulatory standards.

What are some common challenges faced in insurance claims processing, and how can new team members effectively manage them?

In insurance claims processing, new team members often encounter challenges such as handling high volumes of claims, interpreting complex policy language, and communicating effectively with policyholders and other stakeholders. To manage these challenges, it's important to develop strong organizational skills, stay detail-oriented, and proactively seek clarification when unsure about policy terms or procedures. Collaborating with experienced colleagues and taking advantage of ongoing training opportunities can also help new processors build confidence and efficiency in their daily tasks.

What is the difference between Insurance Claims Processing vs Insurance Adjuster?

AspectInsurance Claims ProcessingInsurance Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are commonRequires a high school diploma; certifications like AIC or state licensing often needed
Work EnvironmentOffice-based, processing claims via computer systemsField and office work, inspecting damages and interviewing claimants
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Primary FocusReviewing and processing insurance claims efficientlyAssessing damages and determining claim validity and payout

While both roles are essential in the insurance industry, Insurance Claims Processing focuses on handling and managing claims paperwork, whereas Insurance Adjusters evaluate damages and determine claim settlements. Understanding these differences helps job seekers identify the right career path within the insurance sector.

How to get a job as an insurance claims processor?

To become an insurance claims processor, candidates typically need a high school diploma or equivalent, with some roles preferring postsecondary training or certifications in insurance or claims processing. Relevant skills include attention to detail, communication, and familiarity with claims management software. Gaining experience through internships or entry-level positions can improve job prospects, and some employers may require background checks or specific licensing depending on the state or company policies.

Is insurance claims processing a stressful job?

Insurance claims processing can be a stressful job due to tight deadlines, high workload, and the need for accuracy in evaluating claims. It often requires strong attention to detail, communication skills, and the ability to handle difficult customer interactions, which can contribute to job-related stress.

What does an insurance claims processing do?

An insurance claims processor reviews and evaluates insurance claims to determine coverage and payout amounts. They verify policy details, gather necessary documentation, and ensure claims are processed accurately and efficiently, often using claims management software. Attention to detail and knowledge of insurance policies are essential for this role.

What are popular job titles related to Insurance Claims Processing jobs in Maine?

For Insurance Claims Processing jobs in Maine, the most frequently searched job titles are:

What job categories do people searching Insurance Claims Processing jobs in Maine look for?

The top searched job categories for Insurance Claims Processing jobs in Maine are:

What cities in Maine are hiring for Insurance Claims Processing jobs?

Cities in Maine with the most Insurance Claims Processing job openings:

Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Maine as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, and 4% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution.

Claim Assistant

MEMIC

Portland, ME • On-site

$46K/yr

Other

Posted 17 days ago

Job description

Claim Assistant

Portland, Maine

At MEMIC, our mission is to make workers' compensation insurance better—through compassionate service, trusted partnerships, and an unwavering focus on workplace safety. Our core values—Be Conscientious, Be an Expert, Be a Partner, Be Curious, and Be Transparent—drive everything we do. For over 30 years, we've been a leader in helping businesses protect their employees and reduce workplace injuries while delivering exceptional claims services.

Job Overview: Claim Assistant

Are you highly organized, detail-oriented, and passionate about helping others? Join our team as a Claim Assistant, where you'll play a key role in supporting Claims Adjusters and ensuring injured workers receive prompt, professional service throughout the claims process.

This position is ideal for someone who enjoys administrative work, customer service, and working in a fast-paced environment where accuracy matters. Insurance experience is not required. We are willing to train the right candidate who brings a positive attitude, strong technical skills, and a commitment to excellence.

This is a hybrid position

What You'll Do
  • Open and establish new workers' compensation claims and assign claims to the appropriate adjuster.
  • Support the claims team with correspondence, forms, document preparation, filing, and mail processing.
  • Process and pay invoices while ensuring accuracy and timeliness.
  • Serve as a helpful resource for injured workers, employers, medical providers, and internal team members by responding to questions and directing inquiries appropriately.
  • Maintain claim diaries, follow-up activities, and file documentation.
  • Assist adjusters and management with information requests and administrative support.
  • Help ensure claims are handled efficiently, accurately, and in compliance with company standards.
What We're Looking For
  • Strong customer service and communication skills.
  • Excellent attention to detail and organizational abilities.
  • Comfortable using technology and entering data accurately.
  • Ability to prioritize multiple tasks and meet deadlines.
  • Positive attitude and willingness to learn.
  • Insurance or claims experience is helpful but not required.
Why Join Us?
  • Comprehensive training provided.
  • Collaborative and supportive team environment.
  • Opportunity to build a career in the insurance industry.
  • Meaningful work that helps injured employees and employers navigate the claims process.

MEMIC is committed to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religious creed, national origin, ancestry, age, disability, genetics, gender identity, veteran's status, sexual orientation, or any other characteristic protected by law. Additionally, we are committed to providing an inclusive and accessible recruitment experience for all candidates. If you need a reasonable accommodation during the interview process, please contact us.

To ensure an equitable and authentic interview process, candidates should not use AI or chatbot tools during the live interview or phone screen. We welcome any preparation you choose to do beforehand, but all responses shared during the interview must be your own.

Note: MEMIC does not offer Stem-OPT EAD Extension for this role.

MEMIC's Job Applicant Privacy Notice

Check out our benefit offerings here! Starting pay is: $46,293/annually

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