- Guardian Life (Pittsfield, MA)
- ** Disability Claims Specialist ** At Guardian, we live our Purpose every day. As champions of wellbeing for ourselves, our communities, and consumers, we ... experiences for you to grow and enrich your career and future as a Disability Claims Specialist . We believe in your aspirations for purpose, leadership, and… more
- Sedgwick (Springfield, MA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Environmental Claims Specialist **Job Description Summary** To analyze complex or ... technically difficult environmental claims ; to provide resolution of highly complex nature and/or...limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or… more
- Trinity Health (Springfield, MA)
- …of Trinity Health Of New England! **Position Purpose** The Patient Access Accounts Specialist is a highly skilled, detail-oriented colleague that is an integral part ... This position provides extensive support covering all aspects of registration related billing claims edits (pre A/R) to submit clean claims to the third-party… more
- CDM Smith (Springfield, MA)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
- Walgreens (Springfield, MA)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Baystate Health (Holyoke, MA)
- **Summary:** The Prior Authorization Specialist is responsible for obtaining authorizations to ensure reimbursment for specialty services and testing provided ... and clear communication between providers, staff, insurers, and families. The specialist works closely with the appropriate clinical team members for information… more
- CDM Smith (Springfield, MA)
- …ID:** 40481BR **Business Unit:** FSU **Job Description:** The FEMA Costing Specialist : * Conducts preliminary damage assessments (PDAs) in the field for ... structure damaged by a disaster. * Reviews, evaluates and analyzes applicant-provided cost claims for reasonableness and accuracy as related to the scope of work. *… more
- CDM Smith (Springfield, MA)
- …**Business Unit:** FSU **Job Description:** The FEMA Disaster Management Construction Specialist : * Schedules and conducts site inspections with applicants, performs ... projects and meets regularly on the status. * Evaluates applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates… more
- …in Athena IDX Enterprise Task Management (ETM) program. **2)** Reviews all denied claims for third party payer on "Explanation of Benefits" and remittance advises ... and takes appropriate action based on findings. **3)** Appeals claims from third party carriers with additional documentation as needed for appropriate… more
- State of Massachusetts (Holyoke, MA)
- …guidelines. . Report all Domestic Violence issues to the appropriate Domestic violence specialist immediately. . Ensure all clients are made aware of ADA services ... part-time, professional experience in social work or social casework, claims adjudication, job placement, recruitment, employment counseling, vocational or… more