- Sedgwick (Boston, MA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to ... and professional needs. **ARE YOU AN IDEAL CANDIDATE?** Join our team as a Claims Representative focused on Property Damage and low touch auto claims . If you… more
- Elevance Health (Woburn, MA)
- ** Claims Representative I** **Location:** Virtual in Woburn, MA or Manchester, NH. This role enables associates to work virtually full-time, **with the exception ... Friday, 8:30 am - 5:00 pm EST The **Claim Representative I** is responsible for successfully completing the required...for technical accuracy and soundness. + Codes and processes claims forms for payment ensuring all information is supplied… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Bilingual Claims Research & Resolution Representative 2 manages claims operations that ... / provider** **associates researching the resolution to a pending call.** The Claims Research & Resolution Representative 2 works with insurance companies,… more
- Santander US (Boston, MA)
- Specialist, Claims & Fraud Operations Country: United States of America **Your Journey Starts Here:** Santander is a global leader and innovator in the financial ... **We Want to Talk to You!** **The Difference You Make:** The Specialist, Claims & Fraud Operations performs routine, analytical review of data and/or documentation… more
- Travelers Insurance Company (Canton, MA)
- …is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim ... the following core assignments: + Handles 1st party property claims of moderate severity and complexity as assigned. +...as mandated. + In order to progress to Claim Representative , a Trainee must demonstrate proficiency in the skills… more
- Cardinal Health (Boston, MA)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- The Cigna Group (Boston, MA)
- …patients' dreams of having a family come true! As a Pharmacy Technician Senior Representative , you will use your data entry skills to ensure patients receive the ... shipping, insurance, and payment details. + Be a team player - Escalate complex claims to the appropriate team for further action. Why join us? + Health coverage… more
- Graybar (Westwood, MA)
- Are you ready? As an Outside Sales Representative , you will develop new prospects and maintain contacts with established customers for the purpose of selling Company ... policies + Handle customer complaints promptly and effectively, and report potential claims . + Keep management informed of local competition and market conditions +… more
- Highmark Health (Boston, MA)
- …ensure they utilize various means of automated communication, as well as, claims and electronic data interchange and electronic funds transfer. Collaborate with ... sales and customer service to respond to client/broker/member inquiries regarding provider contract, claim/member issues or provider file/record/directory discrepancies. Consult with dental director/dental advisers regarding clinical-related questions and… more
- Ryder System (Boston, MA)
- …**SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling ... complex and high exposure bodily injury and property damage claims . **Maintain an active inventory of claims ,...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- State of Massachusetts (Boston, MA)
- …to work, available for work and looking for a job. The Job Service Representative is responsible for making determinations on eligibility for benefits in disputed ... claims after gathering necessary information through interviews; issue timely...perform related work as required. Duties include: * Analyze claims by reviewing available data to identify and prioritize… more
- State of Massachusetts (Boston, MA)
- …work, available for work and looking for a job. The Job Service Representative I performs customer service and issue resolution by assisting employers or claimants ... determinations in accordance with MGL Chapter 151A, 430 CMR, the Job Service Representative 's Handbook, and established Revenue Procedures as well as the Code of… more
- State of Massachusetts (Boston, MA)
- …benefit amounts, monetary eligibility, reviewing wages/earnings and issues on current claims to determine claimant eligibility on the new claim. Also responsible ... hearing in accordance with MGL Chapter 151A, 430 CMR, the Job Service Representative 's Handbook, Revenue Procedures as well as the Code of Federal Regulations,… more
- ASM Global (Boston, MA)
- …proceedings. Partner with the General Counsel to investigate and respond to employment claims and demand letters, as well as state and federal agency claims ... duty with energy and enthusiasm. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may… more
- Highmark Health (Boston, MA)
- …the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the ... effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review of...+ Ability to visualize, articulate and solve complex problems representative of a broad range of service and claim… more
- Sedgwick (Boston, MA)
- …of experience and education required to include three (3) years as an Account Representative **OR** five (5) years adjuster experience including one (1) year in a ... in one of the following areas: workers compensation, liability and disability claims management + Strong understanding of client location coding parameters, banking… more
- Travelers Insurance Company (Brockton, MA)
- …is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. This position requires ... and information gathered to accurately determine physical claim value of claims using company recognized resources, estimating and evaluation software. + Establishes… more
- CDM Smith (Boston, MA)
- …and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. Identify contractual requirements to maintain and ... prosecute claims , and assist project team in managing to those...above. This pay range is a good faith estimate representative of all experience levels for this position based… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …in wider clinical development plans. + Serve as early-stage CMC representative of the department in effectively communicating program related updates, strategies, ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Beth Israel Lahey Health (Charlestown, MA)
- …back-end billing functions and workflows, charge generation and capture, claims generation and reconciliation, remittance posting processes, retro adjudication and ... Divisions. Provides quality customer service and serves as an exemplary representative of the Patient Financial Services team **Job Description:** **Essential Duties… more