- 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
- Lincoln Financial (Boston, MA)
- …this opportunity. **Requisition #:** 74565 **The Role at a Glance** As an Appeals Specialist you will be responsible for being a product subject matter expert to ... multiple product lines. You will perform and deliver on appeals claims assignments/projects while simultaneously leveraging and applying knowledge. You will analyze… more
- Sedgwick (Boston, MA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Medical Malpractice (LTC) **PRIMARY PURPOSE** : To analyze ... complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case… more
- Sedgwick (Boston, 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
- Santander US (MA)
- Specialist , Claims & Fraud Operations Country: United States of America **Your Journey Starts Here:** Santander is a global leader and innovator in the financial ... possibilities **We Want to Talk to You!** **The Difference You Make** : The Specialist , Claims & Fraud Operations performs routine, analytical review of data… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Hiring for One Year Term **Position Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, ... Claims Coding Sr. Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding… more
- CVS Health (Boston, MA)
- …And we do it all with heart, each and every day. **Position Summary** The **Senior Claims Benefit Specialist ** will review and adjust SF ( _self-funded_ ), FI ( ... _fully insured_ ), Reinsurance, and/or RX claims . They will adjudicate complex, sensitive, and/or specialized claims in accordance with claim processing… more
- Trustmark (Boston, MA)
- …communities. **About the role** This role is a dedicated training position for Claims that resides in the Knowledge Management & Customer Experience group. The ... and minimum of 2 years of experience in handling claims appropriately in accordance with the corporate claim philosophy,...our business. We are an equal opportunity employer, including disability and protected veteran status. Join a passionate and… more
- Sedgwick (Boston, MA)
- …claim decisions. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Acts as a backup for key disability claims on an ad hoc basis. + Performs other duties as ... objective, quantifiable, medically supported work restrictions/accommodations. + Performs standard disability clinical reviews of referred medical claims based… more
- USAA (Boston, MA)
- …special and impactful. **The Opportunity** As a dedication Property Adjuster Specialist , you will work within defined guidelines and framework, investigate, ... evaluate, negotiate, and settle complex property insurance claims . You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Position Summary: Reporting to the Director, Claims Operations & Quality Assurance, the Regulatory Compliance & Audits Sr. Specialist II is ... Medicaid) and CMS Medicare requirements. This role is housed within the Claims Operations & Quality Assurance team and works closely with Cognizant (TPA)… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …Patient Accounts All Locations: 151 Orleans Street Position Summary: The Billing Specialist II is responsible for organizing work flow to complete the timely ... and accurate submission of medical and dental claims to Medicaid, Medicare, other third party payors and...and maintain a low backlog of work. The billing specialist III works as part of a team that… 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
- Entergy (Plymouth, MA)
- **Job Title:** Capital Projects Procurement Specialist **Work Place Flexibility:** Onsite **Legal Entity:** Entergy Services, LLC This position may be filled in New ... Jackson, MS; The Woodlands, TX This position may be filled as a Procurement Specialist Senior or Senior Staff based on the qualifications and experience of the… more
- Prime Therapeutics (Boston, MA)
- …our passion and drives every decision we make. **Job Posting Title** SIU Specialist - Remote in the California market **Job Description** Responsible for the intake ... support to team members (SIU Coordinator and Senior SIU Specialist ) in the performance of job duties as assigned....Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the… more
- Cognizant (Boston, MA)
- **Accounts Receivable Specialist (remote)** This is a remote position open to any qualified applicant in the United States. The successful candidate performs ... process initiatives to reduce denials. **Job Duties:** The Accounts Receivable Specialist role responsibilities include following up directly with payers to resolve… more
- South Middlesex Opportunity Council (Framingham, MA)
- …year of employment. + Employer-paid Life Insurance & AD&D and Long-Term Disability for full-time employees. + Comprehensive Benefits Package including Medical Plans ... Insurance, Accident Insurance, Critical Illness, Hospital indemnity, and Short-Term Disability . + Flexible Spending Accounts, Dependent Care Accounts, Employee… more
- Lowe's (Wilmington, MA)
- **Your Impact at Lowe's** As a Market Delivery Inventory Specialist , your skillful management of inventory processes and positive stakeholder relationships directly ... managing various product categories, monitoring crucial reports, and resolving claims with our third-party logistics partner - all in...+ Health, Dental and Vision insurance + Life and Disability insurance + Paid time off based on role,… more
- CVS Health (Boston, MA)
- …handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- CDM Smith (Boston, 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