- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and ... to enhance provider satisfaction and member access to care. Reporting to the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account… more
- Zurich NA (Boston, MA)
- Marine Claims Senior Claims Specialist 126574 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and ... Basic Qualifications: + Bachelor's Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.OR + Juris Doctor and 2 or more years of… more
- HUB International (Wilmington, MA)
- …maintain their own unique, regional culture. We currently have an opportunity for a ** Senior Claims Specialist ** . **Overview** : Responsible for servicing ... : + Provides advocacy for small, middle market, and high-profile clients by reporting claims . + Participate in the claim after hours program as part of… more
- Beth Israel Lahey Health (Burlington, MA)
- …Collaborate with insurance companies when necessary to proactively validate benefits , eligibility, and referral requirements. Communicate with patients to ensure ... and leadership for approval to proceed or reschedule. + Verifies covered benefits , including remaining hospital days, carve out coverages, and benefit … more
- Zurich NA (Boston, MA)
- …New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, or Vermont. The Senior Workers Compensation Claims Specialist will handle multi-party ... Sr. Claims Specialist , Workers Compensation (Maine) 128029...of damages allowed by law. + Negotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …and to facilitate accurate claim payments. The Prepayment Review Coding Specialist will conduct pre-payment reviews of claims submitted by providers and ... regulatory and state guidelines, and policies. + Provide instructions to the claims operations department prepayment reviews to initiate claim adjustments +… more
- The Brattle Group (Boston, MA)
- …to internal departments and external benefit insurers as well as coordination with Senior Benefits Specialist related to onboarding of new employees in ... functional areas of the Human Resources (HR) department with a focus on the Benefits & Compensation team. The HR Assistant will ensure high quality and timely… more
- WATTS (Andover, MA)
- …and we have a dynamic future ahead. The Strategic Accounts Receivable Specialist is responsible for the efficient, effective, productive, and accurate resolution of ... support for common proof of delivery and/or product shortage claims + Provide guidance and direction to Sales and...with all levels of the organization, from staff to senior leadership. + Adaptability - Flexible and resilient in… more
- WTW (Boston, MA)
- …This role is also eligible for an annual short-term incentive bonus. **Company Benefits ** WTW provides a competitive benefit package which includes the following ... Risk, including adjustments for model limitations, near-term climate conditions, and claims experience. + Working with clients, jointly with other Willis commercial… more
- Cardinal Health (Boston, MA)
- …authorization through billing and collections. Job Purpose: The Patient AR Specialist is responsible for managing and resolving outstanding patient balances, ... and/or billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits … more
- Medtronic (Boston, MA)
- …articulate to customers. + Execute engaging field sales and clinical specialist field education programs that are targeted, purposeful, and support electrophysiology ... Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through… more
- Philips (Cambridge, MA)
- …important member of the Philips North America MRI Clinical Science team, the Senior MRI Clinical Scientist will collaborate with medical doctors and physicists of ... in North America. + Will be the expert MRI specialist in an assigned technical or clinical application area,...IP for product development and generate evidence to support claims through scientific publications. + Be hands-on, be able… more
