• Senior Claims Benefit

    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 ( ... ), FI ( _fully insured_ ), Reinsurance, and/or RX claims . They will adjudicate complex, sensitive, and/or specialized ...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
    CVS Health (06/23/25)
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  • Senior Specialist , Project…

    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
    Eversource Energy (06/04/25)
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  • SIU Specialist - Remote in the California…

    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
    Prime Therapeutics (06/24/25)
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  • Business Compliance Specialist

    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
    American Family Insurance - Corporate (06/21/25)
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  • Senior Medical Stop Loss Underwriter

    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...employee groups, or past claim experience to determine what benefits can be offered and to set the rates.… more
    Highmark Health (05/20/25)
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  • Associate Medical Stop Loss Underwriter

    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...employee groups, or past claim experience to determine what benefits can be offered and to set the rates.… more
    Highmark Health (06/03/25)
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