- Sedgwick (Boston, MA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance New England Workers Compensation Claims Examiner | Dedicated Client | CT, MA, NH, RI, VT ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...CANDIDATE?** To analyze Workers Compensation Medical Only & Lost-Time claims on behalf of our valued clients to determine… more
- Sedgwick (Boston, MA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability (REMOTE; NY License , BI, and Litigation Exp ... required) **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims … more
- Sedgwick (Boston, MA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner , Bodily Injury (Auto) **PRIMARY PURPOSE** : To analyze and ... process complex auto and bodily injury claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.… more
- Intermountain Health (Boston, MA)
- **Job Description:** The Claims Examiner I is responsible for inbound calls from providers and health plans and adjudicates physician claims , in a timely and ... to and supports the corporation's quality improvement efforts. Processes medical claims (CPT, ICD, and Revenue Coding) at production standards, including timely… more
- Sedgwick (Boston, MA)
- …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and… more
- Boston Mutual Life Insurance (Canton, MA)
- … examiner : Minimum of 1 year of business/office experience. Sr. Claim Examiner : Minimum of 2 years life/medical claims experience required. Knowledge ... we found them" **Statement of Position** The Life Claim Examiner reports directly to the Life Claim Manager. The... is responsible for managing and processing all assigned claims with adherence to company policies and contract provisions… more
- State of Massachusetts (Boston, MA)
- …the Tax Division or Operations Division. This includes making decisions on abatement claims , resolving disputes, and working with taxpayers on problem cases. * * The ... and procedures utilized by the entire agency.** *Job Summary:* The PRO Tax Examiner V supervises the PRO tax unit to provide one-stop-shopping to our customers… more
- State of Massachusetts (Boston, MA)
- …the major duties of which included the adjudication, examination and/or review of claims , benefits and/or taxes; the practice of law; labor relations work; claims ... Services* **Organization:** **Department of Transitional Assistance* **Title:** *Hearings Officer (Review Examiner II)* **Location:** *Massachusetts-Boston-1 Ashburton Place* **Requisition ID:**… more
- Sedgwick (Boston, MA)
- …Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing ... to advance to the next round, a recruiter will be in touch. \#claimsexaminer # claims _As required by law, Sedgwick provides a reasonable range of compensation for… more
- Eastern Bank (Lynn, MA)
- …and detailed records in the case management system. + Responsible for managing affidavits/ claims process submitted to the bank, to determine liability upon the bank ... languages, etc., required to perform the job.) + Certified Fraud Examiner (CFE), Certified Financial Crimes Investigator (CFCI) professional designation preferred +… more
- Highmark Health (Boston, MA)
- …**Required** + None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) ... (AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have… more