- 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
- 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
- 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 128029 Zurich...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
- 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
- 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
