Claims Clerk

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.

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 systemsAbility to perform routine data entry and keyboarding tasks
• Ability to review documents for accuracy and completeness
• Strong organizational and recordkeeping skillsAbility 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 skillsAbility to handle sensitive and confidential information
• Professional telephone etiquette
• Strong organizational and time-management skillsAbility to prioritize work and meet deadlines
• Experience maintaining electronic and paper filing systemsAbility 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 PMNo on-call responsibilities
• Hybrid work opportunity available after successful completion of training and demonstrated independent performance
• Background Check Requirement

Requirements include: Fingerprinting Identity verification A valid government-issued photo ID that is REAL ID compliant Compensation for roles at Staffing Solutions Organization LLC (SSO) varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience. As required by applicable law, SSO provides a reasonable range of compensation for this role. In addition, SSO provides a range of benefits for this role. Applicants must be authorized to work in the U.S. This position is not eligible for work authorization sponsorship (including H-1B sponsorship) by SSO and under the federal laws relating to the F-1 STEM EAD program, this position is not eligible to support a STEM EAD extension application. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, marital status, age, national origin, protected veteran status, or disability. Staffing Solutions Organization LLC is an E-Verify participant.