Disability Claims Adjudicator
$54.41k - $76.32kDepartment of Health and Human Services
Position Details Department: Department of Health and Human Services (DHHS) Location: Winthrop, Maine Job Class Code: 3065 Grade: 25 (Professional & Technical) Salary: $54,412.80 to $76,315.20 per year Opening Date: June 26, 2026 Closing Date: July 10, 2026 Position Numbers: 02024-1592, 02024-1041, 02000-3202, 02000-2539, 02000-2214 Overview Disability Determination Services is hiring a Disability Claims Adjudicator to review and adjudicate Social Security Disability benefits claims. The role involves collecting and analyzing medical, psychiatric, and vocational evidence, collaborating with medical professionals, conducting vocational work analysis, and making determinations. Training is provided and a remote option of up to 3 days per week is available after 8-12 months. Core Responsibilities Collect, review, examine, and analyze medical, psychiatric, and vocational reconsideration appeals, continuing benefits applications, and complex initial applications to determine eligibility and benefit payments. Determine eligibility for disability benefits according to federal regulations and complete written determinations. Determine eligibility for advanced payments for claimants with severe disabilities. Contact and interview claimants and physicians to obtain evidence. Authorize and arrange for consultations and examinations to meet program requirements. Write detailed letters to claimants, medical consultants, and agencies to request information and communicate decisions. Assign codes to written decisions for statistical reporting. Perform additional duties such as quality assurance, mentoring, training, professional relations, processing Canadian claims, and other special projects as needed. Ideal Candidates Ability to work in a production environment with quality and speed goals. Sensitivity to public needs and customer focus. Effective communication and cooperation across phone, email, and video-conferencing. Attention to detail, analytical and problem-solving skills. Capacity to learn complex medical and vocational information. Positive attitude and teamwork orientation. Minimum Qualifications Intermediate education, training, or experience in research, investigation, data analysis, or creating comprehensive reports. Conditional job offer and access to SSA system contingent on passing the SSA suitability process (pre-screen and background adjudication). Application Information To apply, upload a resume, cover letter, and transcript if education is used to meet qualifications. Submit documents in PDF format. For questions, contact Mora Camenga (View email address on click.appcast.io) or Samantha Gilman (View email address on click.appcast.io). Equal Employment Opportunity Statement The Department of Health and Human Services is an equal opportunity employer. We are committed to creating a welcoming environment for all applicants regardless of race, color, sex, sexual orientation or gender identity, disability, religion, age, or other protected characteristics. Reasonable accommodations are provided to qualified individuals with disabilities upon request. #J-18808-Ljbffr Department of Health and Human Services
- The Department of Health and Human Services is looking for a Disability Claims Adjudicator in Winthrop, Maine, responsible for reviewing and adjudicating Social Security disability claims. The role involves analyzing medical evidence, interviewing claimants, and making...DisabilityClaimsRemote job
$18.27 - $25.72 per hour
WellSense Health Plan is looking for a Claims Processor to ensure accurate and timely claims processing. You will evaluate and interpret claims, maintaining quality and productivity standards, while working in a remote capacity. The position requires a high school degree...ClaimsRemote job- ...Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the... ...customer service and advocacy to employees, as it relates to claims issues, reimbursements, confirming coverage, finding a doctor...DisabilityClaimsLocal area
$65k - $80k
...implications, and maintain accurate leave data. Manage unemployment claims, billing reconciliation, and appeal hearings. Handle industrial... ..., color, sex, sexual orientation, gender identity, religion, disability, age, genetic information, military/veteran status, marital...DisabilityClaimsFull timeContract workImmediate startWork visaMonday to Friday$18 - $31 per hour
...Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed),... ...records. An Equal Opportunity Employer, including disability/veterans. Job ID: 1808270BR Title: Pharmacy Intern Company...DisabilityClaimsHourly payInternshipWork at officeImmediate startFlexible hoursShift workAfternoon shift$225k - $275k
...to include Health, dental, life insurance, short and long term disability, federal loan repayment, potential sign on, relocation, housing... ...Medicine or Internal Med salary $225000 - $275000 ~ Malpractice Insurance is covered by the Federal Tort Claims Act (FTCA)...DisabilityClaimsFull timeTemporary workPart timeWork at officeImmediate startRelocation packageMonday to FridayWeekend workAfternoon shift$18 per hour
...adjustments as necessary to ensure proper filing of supplemental claims to insurance companies. It works closely with other departments... .... Benefits Medical, dental, and vision coverage. Life and disability insurance. 401(k) retirement plan. Tuition reimbursement. Flexible...DisabilityClaimsHourly payFull timeWork at officeFlexible hours$248.5k - $302.92k
...Performs all the required steps to ensure the generation of clean claims – completing documentation, submitting encounters on time, and... ...regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression...DisabilityClaimsTemporary workFixed term contract$18.58 - $26.58 per hour
...other relevant parties to resolve billing issues and outstanding claims. Contact patients and insurance companies via phone calls,... ..., religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and...DisabilityClaimsHourly payRemote workShift workAfternoon shift$300k
...Attorney Insurance High Exposure Claims - Quincy, MA Attorney Counsel Insurance Claims Lawyer VP Vice President Complex Catastrophic... ...to race, color, religion, age, sex, national origin, handicap, disability or marital status. We reasonably accommodate individuals with handicaps...DisabilityClaimsContract workRemote workWork from homeRelocation package- ...environment. Summary: Coordinates and implements the construction claims management programs for all MWRA engineering and construction... ...accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing duties...DisabilityClaimsContract workFor contractorsWork at officeRemote workMonday to Friday
- ...those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and... ...records. An Equal Opportunity Employer, including disability/veterans. The actual compensation that you will be offered will...DisabilityClaimsApprenticeshipWork experience placementLocal areaImmediate startFlexible hoursAfternoon shift
$62.67k - $75.21k
...ensure a culture of safety. Manage workers compensation claims. Accountable for compliance with organizational standards... ...brands welcome and encourage applications from candidates with disabilities. Accommodations are available upon request for candidates taking...DisabilityClaimsMinimum wageLocal areaFlexible hoursWeekend workAfternoon shift$248.5k - $302.92k
...Performs all the required steps to ensure the generation of clean claims - completing documentation, submitting encounters on time, and... ...regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression...DisabilityClaimsFull timeTemporary workFixed term contractWork at officeLocal areaFlexible hours$70.72k - $110.24k
...health and welfare benefit plans including medical, dental, life, disability, and supplemental programs. Launch annual benefits open... ...and third‑party administrators to ensure accurate and efficient claims administration and customer service. Oversee eligibility, tracking...DisabilityClaimsFull timeWork at officeMonday to FridayFlexible hours$17 - $19 per hour
...those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient... ...conviction records. An Equal Opportunity Employer, including disability/veterans. The actual compensation that you will be offered will...DisabilityClaimsHourly payWork experience placementSeasonal workLocal areaImmediate startFlexible hoursShift workAfternoon shift$300k - $400k
...discrimination, harassment, wrongful termination, and similar claims. You will also play a critical role in advising clients on complex... ...of age, gender, race, marital status, national origin, disability, religion, veteran status, or sexual orientation, focusing instead...DisabilityClaims$26 - $28 per hour
...through continuing education and training. Works with guest claims/risk management to mitigate liability to the company while maintaining... ...accommodations may be made to enable individuals with disabilities to perform the essential functions. Age, Gaming and Certifications...DisabilityClaimsHourly payWork at officeLocal area- ...A leading insurance claims firm located in Revere, Massachusetts is seeking Independent Insurance Claims Adjusters. This position offers a dynamic career with flexibility, autonomy, and the opportunity to make a significant impact in the lives of others. The ideal candidate...ClaimsFlexible hours
$107.6k - $209.1k
...strong working relationships with cross-functional groups including Claims, Compliance, Regulatory, Legal and other functions to engage... ..., age, ethnicity and origins, marital status, religion, disability, or any other protected characteristic. At AXA XL, we know that...DisabilityClaimsWork at officeFlexible hours- ...territory.Partner closely with underwriting, product management, claims, and risk control to identify opportunities, resolve issues,... ...origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any...DisabilityClaimsWork experience placementLocal areaNight shift
$65k
...employee benefits, including enrollments, changes, terminations, and claims processing. You will function as a primary resource for staff,... ...has been completed. Administers leaves of absence and disability claims, ensuring compliance and appropriate documentation. Assist...DisabilityClaimsFull timePart timeWork at officeMonday to Friday$102k - $130k
...or authors technical papers. Identifies areas of potential claims, by preparing documentation and reporting to Project Manager.... ...medical and dental. ~ Company-paid life, short, and long-term disability. ~401k match, tuition assistance, and more. ~ Cross-training...DisabilityClaimsContract workTemporary workFor subcontractorRemote workRelocation package$50k - $55k
...Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto PRIMARY PURPOSE OF THE ROLE: To analyze... ...not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health...DisabilityClaimsContract workWork at officeLocal areaFlexible hours$72.11k - $97.97k
...experience in social work or related fields (social casework, claims adjudication, job placement, recruitment, employment counseling,... ...Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply. The Commonwealth is an Equal...DisabilityClaimsFull timePart timeImmediate startDay shift$150k
...Claims Specialist We are currently seeking a Claims Specialist. This individual would be responsible for reviewing, processing, investigating... ...discretionary bonus. Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. The...DisabilityClaimsFull time$37 per hour
...review relevant documentation, data, and artifacts to support claims and findings. Conduct interviews, surveys, or focus groups (if... ...veteran status, political affiliation, genetic information or disability, as defined and required by state and federal laws. Additionally...DisabilityClaimsFull timeImmediate startWork visa$102k - $130k
...or authors technical papers. Identifies areas of potential claims, by preparing documentation and reporting to Project Manager.... ...medical and dental. ~ Company-paid life, short, and long-term disability. ~401k match, tuition assistance, and more. ~ Cross-training...DisabilityClaimsContract workTemporary workFor subcontractorLocal area$80k - $90k
...to analyze Lost‑Time Workers Compensation claims on behalf of clients to determine benefits due and ensure ongoing adjudication within service expectations, industry best... ...medical, dental, vision, 401(k) on day one, PTO, disability and life insurance, employee assistance,...DisabilityClaimsRemote workFlexible hours$195.42k - $370.53k
...Provide thought leadership across corepolicy administration, claims, billing, underwriting, digital distribution, anddata platforms... ...includes a variety of medical and dental plans, vision coverage, disability and life insurance, 401(k) plans, and a robust suite of personal...DisabilityClaimsFull timeH1bLocal area
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