- Citizens (Medford, MA)
- Description As a Fraud Claims Sr . Specialist , you'll play a pivotal role in our Fraud and Claims Operations group, one of our most critical ... + Review Claims - Responsible for reviewing claims filed by customers for fraud and risk activity and analyzing information across multiple applications… more
- Citizens (Medford, MA)
- …and seek opportunities to continuously learn, consider a career at Citizens as a Fraud Customer Support Sr . Specialist . In this role, you'll play ... service experience in one of our most critical departments at Citizens. Our Fraud Customer Support colleagues acquire the training, and assistance needed to grow… more
- Citizens (Medford, MA)
- …Speaks clearly, listens actively, and takes notes to understand the customer's fraud claims . Handles routine customer fraud inquiries promptly ... Description The Fraud Customer Service Center requires the delivery of...customers' expectations while simultaneously independently creating a claim. Processed claims requires accurate and complete documentation and records management… more
- Prime Therapeutics (Boston, MA)
- …MISCELLANEOUS DUTIES: + Provide backup support to team members (SIU Coordinator and Senior SIU Specialist ) in the performance of job duties as assigned. ... and/or Certified Pharmacy Technician certification. **Responsibilities** + 3+ years' fraud investigations/ claims experience. + Ability to manage workload… 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 ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more