- Boston Mutual Life Insurance (Canton, MA)
- …: Minimum of 1 year of business/office experience. Sr. Claim Examiner : Minimum of 2 years life/medical claims experience required. Knowledge Requirements: ... where we found them" **Statement of Position** The Life Claim Examiner reports directly to the Life... is responsible for managing and processing all assigned claims with adherence to company policies and contract provisions… more
- Sedgwick (Boston, MA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Multi-Line | Public Entity | Remote Are you looking for ... the same assisting our public entity clients with their claims ! If you are an agile multi-line examiner...and gathering information to determine the exposure on the claim ; assesses damages; manages claims through well-developed… more
- Sedgwick (Boston, MA)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a ... Claims Examiner at Sedgwick, you'll have the...Claims Examiner at Sedgwick, you'll have the opportunity to take...and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans… 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 ... processes within the Department of Family Medical Leave (DFML). The Lead Claims Examiner /Job Service Representative II will review, analyze and evaluate… more
- Sedgwick (Boston, MA)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Auto BI, UM, LIS | Remote Are you looking for ... professional needs. **ARE YOU AN IDEAL CANDIDATE?** As a Claims Examiner , you will primarily handle auto-related...RESPONSIBILITIES** + Processes complex auto commercial and personal line claims , including bodily injury and ensures claim … more
- Sedgwick (Boston, MA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Commercial Trucking | Remote Are you looking for an ... If you have 5+ years of experience as a Claims Examiner working on Complex Commercial Bodily...**ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Processes complex commercial trucking claims , including bodily injury, and ensures claim … 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 ... supporting processes within the Department of Family Medical Leave (DFML). The Claims Examiner /Job Service Representative I will review claims escalated by… more
- Sedgwick (Boston, MA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability (Multi-State Licensing Preferred - Hybrid - Sedgwick ... investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and timely… more
- Sedgwick (Boston, MA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Comp Claims Examiner - CA experience needed Are you looking for an opportunity ... and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within...on the claim . + Negotiating settlement of claims within designated authority. + Communicating claim … more
- Sedgwick (Boston, MA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NC, SC, KY, WV Jurisdictions | Remote **Are you ... and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within...on the claim . + Negotiating settlement of claims within designated authority. + Communicating claim … more
- Sedgwick (Boston, MA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdictional Knowledge & NY Licensing Required ... and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within...on the claim . + Negotiating settlement of claims within designated authority. + Communicating claim … more
- Sedgwick (Boston, MA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Dedicated Client | NY Licensing Required | Remote ... and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within...on the claim . + Negotiating settlement of claims within designated authority. + Communicating claim … more
- Sedgwick (Boston, MA)
- …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles...claim status; and provides written resumes of specific claims as requested by client. + Assures that direct… more
- Sedgwick (Boston, MA)
- …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles...claim status; and provides written resumes of specific claims as requested by client. + Assures that direct… more
- Sedgwick (Boston, MA)
- …FUNCTIONS and RESPONSIBILITIES** + Proactively and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional ... Fortune Best Workplaces in Financial Services & Insurance Complex Claims Advisor | Commercial GL and Auto | Remote...AN IDEAL CANDIDATE?** Are you an experienced attorney or examiner with a strong background in insurance coverage analysis?… more
- Sedgwick (Boston, MA)
- …accredited college or university preferred. **Experience** 2-3 years experience processing work comp claims as an examiner . Familiar with CPT, DRG and resources ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Work Comp Claims Negotiator **PRIMARY PURPOSE** **:** To negotiate Out of Network bills that do… more
- Point32Health (Canton, MA)
- …involving existing and upcoming FWA schemes. + Handling substantial prepayment claims including extensive administrative tasks, review of medical records, and ... Certification and Licensure + Certified Professional Coder ("CPC"); Certified Fraud Examiner ("CFE") designation a plus. Education + Required (minimum): Bachelor's… more
- Executive Office for US Attorneys and the Office of the US… (Boston, MA)
- …auditing, and understanding complex data, including Centers for Medicare & Medicaid claims data and PPP loan data, and activities of entities and individuals ... entities and persons under investigation. Experience as a Certified Financial Examiner and/or Certified Public Accounting designation (former or active) where the… more