- CSL Behring (Waltham, MA)
- …driving early product strategy, Target Product Profiles (TPPs), Target Product Claims (TPCs), Stage-Gate Preparation, and Life Cycle Management (LCM) Planning and ... **Main responsibilities:** + **Commercial Leadership:** Act as the primary commercial representative in the R&D Product Strategy Team (PST), influencing early… more
- Commonwealth Care Alliance (Boston, MA)
- …inbound call support + Leverages internal and external resources (such as claims , referrals, and pharmacy data) to identify accurate, successful contact information ... Language(s)** Bilingual preferred **Other** + The physical demands described here are representative of those that must be met by an employee to successfully… more
- Towne Park (Boston, MA)
- …- 15% Understands and drives business metrics for forecasting, productivity, claims , customer service, and turnover. Ensures all associates accurately identify and ... PHYSICAL DEMANDS** _The_ **_working conditions and physical demands_** _described here are representative of those that must be met by an associate to_… more
- PPL Corporation (Cumberland, RI)
- …diverse communities today. Overview Rhode Island Energy, a PPL company, is seeking a Claims Representative to support our property damage claims operations. ... In this role, you'll be responsible for evaluating and managing claims related to electrical contact, natural gas incidents, contractor-related issues, and property… more
- Sedgwick (Boston, MA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Claims Representative | PIP | Remote **PRIMARY PURPOSE** : To analyze and ... process low to mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage regarding PIP and lower level… more
- State of Massachusetts (Boston, MA)
- *Lead Claims Examiner/Job Service Representative II| Department of Family & Medical Leave* The Program Integrity Claims Examiner/Job Service ... within the Department of Family Medical Leave (DFML). The Lead Claims Examiner/Job Service Representative II will review, analyze and evaluate disputed claims… more
- State of Massachusetts (Boston, MA)
- * Claims Examiner/Job Service Representative I| Department of Family & Medical Leave* The Program Integrity Claims Examiner/Job Service Representative I ... processes within the Department of Family Medical Leave (DFML). The Claims Examiner/Job Service Representative I will review claims escalated by the Contact… more
- State of Massachusetts (Boston, MA)
- *JOB SUMMARY* Responsible for processing instant ticket and on-line claims . Responsible for processing all Sales Representative 's SR90s submitted to Lottery ... phone inquiries from agents, customers and other Lottery departments concerning all claims and validations. Maintains Claims and Validations files. Answer… more
- State of Massachusetts (Boston, MA)
- *JOB SUMMARY* The Customer Service Representative 's ("CSR") role is to deliver top-quality customer service to the Massachusetts State Lottery Commission's (MSLC)'s ... internet, live chat, and in-person. The CSR is responsible for processing claims , issuing prize payments, operating MSLC terminals, selling tickets for all games,… 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
- 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
- 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
- Highmark Health (Boston, MA)
- …August 2016. + Experience in Provider Data Management, Customer Services or Claims . + Microsoft office experience (ie Word, Excel, PowerPoint, etc.) **Preferred** + ... File systems. + Experience with the Customer Service inquiry system or claims processing concepts. **Knowledge, Skills and Abilities** + Good written and verbal… more
- Molina Healthcare (Boston, MA)
- …member eligibility and covered benefits, Provider Portal, and status of submitted claims . * Ability to effectively communicate in a professionally setting. **Job ... Qualifications** **REQUIRED EDUCATION** : HS Diploma or equivalent combination of education and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment… 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
- Beth Israel Lahey Health (Burlington, MA)
- …documentation in order to determine appropriate coding and initiate corrected claims and appeals. Duties include hands-on coding, documentation review, and other ... annually or as introduced or required. 3. Reviews and analyzes rejected claims and patient inquiries of professional services, and recommends appropriate coding… more
- LogixHealth (Bedford, MA)
- …bring your expertise to facilitate payment of Emergency Department Physician medical claims . The ideal candidate will have strong technical skills, excellent ... returned mail from patients + Mail out all paper claims generated by the staff on a daily basis...perform each Key Responsibility satisfactorily. The following requirements are representative of the knowledge, skills, and/or ability required to… 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
- Travelers Insurance Company (Boxborough, 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
- LogixHealth (Bedford, MA)
- …the new clerical staff during their transition to working independently + Mail paper claims generated by staff on a daily basis + Attach primary EOBs to secondary ... claims + Attach medical records to claims ...perform each Key Responsibility satisfactorily. The following requirements are representative of the knowledge, skills, and/or ability required to… more
