Claims Clerk

This job was posted by https://joblink.maine.gov : For more information, please see: https://joblink.maine.gov/jobs/1398734 Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a reflection of our clients and the people they serve. 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 Responsibilities Claims 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 - trong 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 v