Claims Management Specialist

Job overview

The Claims Management Specialist is initially in-office in Augusta, ME, with the possibility of transitioning to a hybrid arrangement. The annual salary range is $67,787–$70,824. Maine Public Employees Retirement System administers disability retirement and rehabilitation programs for its members. The role evaluates disability retirement applications and continuing benefit eligibility, analyzes medical, vocational, and employment information, and coordinates rehabilitation services. It supports fair, timely, and accurate determinations through communication with members, employers, healthcare providers, and medical review professionals.

What you'll do

• Evaluate disability retirement applications and continuing eligibility
• gather and analyze medical, vocational, and employment information
• assess ability to perform essential job functions and reasonable accommodations
• issue determinations in consultation with the Medical Review Service Provider
• coordinate rehabilitation services and monitor compliance
• assist with appeals and provide technical guidance
• represent the organization at meetings, presentations, and outreach events.

What we're looking for

Skills & competencies

claims management specialist

disability retirement

rehabilitation

benefits eligibility

medical evidence review

augusta me

mainepers

hybrid eligible

7:30 a.m.–4:00 p.m.

monday–friday

annual salary $67,787–$70,824

pension plan

tuition reimbursement

Work arrangement

• Weekend coverage required

Benefits & perks

• 13 paid holidays
• health, fully paid dental, vision, and life insurance
• defined benefit pension and deferred compensation plans
• tuition reimbursement
• parental leave
• vacation and sick leave.

Why this role

Weekday schedule is 7:30 a.m.–4:00 p.m., Monday through Friday. Benefits include 13 paid holidays, health insurance, fully paid dental insurance, vision and life insurance, pension and deferred compensation plans, tuition reimbursement, parental leave, vacation, and sick leave.

About the employer

Maine Public Employees Retirement System is hiring for this role. Industry: Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds. Sector: 52.