- Eversource Energy (Westwood, MA)
- …with the first three months in the office\. Eversource is looking for a ** Senior Specialist , Project Engagement** for Transmission in **Westwood, MA** \. As part ... as needed, to help manage resolution through the corporate Claims process\. **Technical** **Knowledge/Skill/Education/Licenses/Certifications:** _Technical_ _Knowledge/Skills:_ + Strong leadership… more
- CVS Health (Boston, MA)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** The ** Senior Claims Benefit Specialist ** will review and adjust SF ( ... claims . They will adjudicate complex, sensitive, and/or specialized claims in accordance with claim processing guidelines....every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- CVS Health (Boston, MA)
- …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for ... handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication… 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
- Prime Therapeutics (Boston, MA)
- …+ MISCELLANEOUS DUTIES: + Provide backup support to team members (SIU Coordinator and Senior SIU Specialist ) in the performance of job duties as assigned. + ... drives every decision we make. **Job Posting Title** SIU Specialist - Remote in the California market **Job Description**...Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the… more
- CS Energy (Worcester, MA)
- The Project Controls Specialist works under the guidance of our Project Controls Leadership and in partnership with our Operations Team to provide a single point of ... Schedules, Project Forecast Sheets, and 4 Week Lookahead Reports. The Project Controls Specialist will report to the Edison, Albany, or Worchester office at least… more
- Highmark Health (Boston, MA)
- …months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP) **Language ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more
- American Family Insurance - Corporate (Boston, MA)
- …regulatory agency insurance licensing compliance. You will report to a Licensing Senior Manager. Position Compensation Range: $61,000.00 - $101,000.00 Pay Rate Type: ... on enacted changes in legislation and regulations to assist with sales, claims or product development and maintenance. + Collaborate with various business units… more
- Highmark Health (Boston, MA)
- …twelve months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health Insurance Plans (AHIP) ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more