- Segal (Boston, MA)
- …health valuations and health benefits in the Public Sector and Multiemployer markets .The Opportunity:The individual will step into a multi-faceted role that ... targeting existing and prospective clients in the Public Sector and Multiemployer markets ; andPerforming as signing or responsible actuary for certain clients. The… more
- HomeSafe Alliance (Boston, MA)
- **Title:** Claims Adjuster (SCA) HHG/Military Move **HomeSafe Alliance** is the single global household goods movement manager of over 300,000 Military Household ... an SCA position** . **Position Summary** : **HomeSafe Alliance** is seeking experienced Claims Adjustors with experience in HHG/Military Move to process and settle … more
- MetLife (Boston, MA)
- Service Manager - Regional Market Location(s) + Posting Location:Boston, Massachusetts + Posting Location:Tampa, Florida + Posting Location:Aurora, Illinois Country ... Service Consultant (CSC) and Sales Coordinator (SC) associates for a Regional Market service team within the Northeast Region. Drives quality broker and customer… more
- Prime Therapeutics (Boston, MA)
- …Senior Benefit Plan Configuration Analyst - Preferably remote in the California market **Job Description Summary** This position specializes in the analysis and ... requirements, assesses the benefit impact on current design and claims processing, presents to the stakeholder and/or other internal...Ability to work within a team and as an individual contributor in a fast-paced, changing environment. + Strong… more
- USAA (Springfield, MA)
- …and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and analyzes ... adjusting for a virtual first approach to inspections and claims handling. USAA also provides a company vehicle to...offer:** **Compensation:** USAA has an effective process for assessing market data and establishing ranges to ensure we remain… more
- Highmark Health (Boston, MA)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... underwriting policies, practices, and standards. Analyzes associated policies, guidelines, market data to continuously improve risk management and gain appropriate… more
- Takeda Pharmaceuticals (Boston, MA)
- …options to remove barriers to access and improve brand value proposition. + Perform claims analysis and identify market dynamics that demonstrate the impact of ... all assets are end user friendly. + Scan the market to understand key trends impacting markets ...a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience,… more
- WTW (Boston, MA)
- …for a leader with personal lines insurance analytics experience in the North American market to join as a Property & Casualty (P&C) Director in our Insurance ... role you will collaborate with our team of pricing, claims , distribution, product management, underwriting and claims ...well as across the broader organization. Our combination of market expertise and market -leading analytical software (in… more
- Deloitte (Boston, MA)
- …standards. + Ensure timely and accurate recording of reinsurance premiums, claims , recoveries, and other related transactions. + Perform reconciliations of ... implementations/enhancements. + Work collaboratively with client stakeholders, including underwriters, claims , actuaries, finance/accounting/controllership and external auditors. + Stay abreast… more
- Commonwealth Care Alliance (Boston, MA)
- …Assurance, the incumbent is responsible for independent quality reviews of medical claims , and evaluating Call Center activities for compliance with policies and ... to the business area leadership. For Medical Claim reviews, post-payment review of claims that were manually processed by a Claim Examiner to assess financial and… more
- Humana (Boston, MA)
- …health first** The Medical Director relies on medical background and reviews health claims . The Medical Director (Staff Geriatrician or Physician with Ten (10) Years ... physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana...and social health needs. + Provide support to Medicaid markets within the region, aiding in case review, peer… more
- Live Nation (Mansfield, MA)
- …accommodations for the known physical or mental limitations of an otherwise qualified individual with a disability who is an applicant consistent with its ... the world's leading live entertainment company, comprised of global market leaders: Ticketmaster, Live Nation Concerts, and Live Nation...THE JOB We are seeking a motivated and experienced individual to work with the Venue Management team at… more
- HomeSafe Alliance (Boston, MA)
- …operations (property survey, pick up, pack, delivery, unpack, short term storage SIT, claims ). + Provide GHC contract requirements to JPPSO staff and ensure customer ... + Express company concerns and requirements to HomeSafe Alliance operations, claims , quality, and operations excellence staff sections. Keeps a JPPSO Region… more
- Deloitte (Boston, MA)
- …- ETL Developer What we do Operations and Technology Transformation delivers market leading expertise and industry depth by harnessing deep sector knowledge, scaling ... of the following sub service areas: Insurance Products, Underwriting, Claims , Billing & Payments, Policy Administration or Distribution +...filled. At Deloitte, it is not typical for an individual to be hired at or near the top… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …with brokers, also executing and verifying compliance with regulations. This individual will also prepare, complete, and submit required insurance renewal ... document quote proposals, etc. Handle all aspects of insurance claims , responsible for follow-up with Legal, claim adjusters, etc.,...health plan headquartered in Boston. We have been a market leader for over 75 years, and are consistently… more
- Wegmans (Northborough, MA)
- **we are a food market where you make the difference** At Wegmans, we're on a mission to help people live healthier, better lives. So, when you bring your unique ... and demonstrating patience, empathy, care, and compassion + Troubleshoot rejected insurance claims and address issues to achieve the best outcome for customers +… more
- Gilead Sciences, Inc. (Boston, MA)
- …and Drug Administration's implementing regulations, the Federal Anti-Kickback Statute, the False Claims Act, PhRMA, Corporate Code of Business Conduct and the Office ... sales experience + Possess superior selling skills focused on highly competitive markets + Proven and consistent track record of meeting/exceeding sales objectives,… more
- Meta (Boston, MA)
- …status, sexual stereotypes, age, status as a protected veteran, status as an individual with a disability , or other applicable legally protected characteristics. ... for influencing product strategies and positioning for target audiences, driving go-to- market efforts that drive awareness and adoption, and working cross… more
- Humana (Boston, MA)
- …rates for complex accounts + Experience analyzing a wide variety of health or claims related data + Experience with Disability lines of coverage + Experience ... to complex group accounts focusing on Dental, Vision, Life and Disability products. The Senior Financial Underwriter work assignments involve moderately complex… more
- WTW (Boston, MA)
- …advisor to business leaders, providing guidance and insights on business strategy, market trends, and competitive intelligence; + Own P&L management for respective ... analysis and controls; + Work closely with internal stakeholders, including underwriting, claims , finance, and legal teams, to ensure a cohesive approach to business… more
