- Guardian Life (Boston, MA)
- Grow your career with Guardian in our newly created opportunity as a **Claim Case Manager II , Supplemental Health** ! In a culture where "People Count," "We Do ... decisions via telephone and in writing. + Prioritize and review new claims to adhere to established departmental turnaround times. + Meet productivity requirements… more
- Sedgwick (Boston, MA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Contract Manager II **PRIMARY PURPOSE** : To negotiate and/or renegotiate medical ... their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more… more
- Beth Israel Lahey Health (Burlington, MA)
- …provider documentation in order to determine appropriate coding and initiate corrected claims and appeals. Duties include hands on coding, documentation review and ... for ICD-9, ICD-10. Works directly with the Billing Supervisor and Coding Manager to resolve complex issues and denials through independent research and assigned… more
- Beth Israel Lahey Health (Westwood, MA)
- …the direct supervision of the Pharmacy Shared Service Supervisor, the Specialty Technician II will perform a variety of duties related to preparing and dispensing ... Supervisor and the Specialty Pharmacy Lead Technician solve complicated insurance claims . Performs all required pharmacy tasks to ensure compliance with federal,… more
- Tufts Medicine (Boston, MA)
- …duties: Facilitates the reimbursement for clinical services provided to patients. Submits claims to health insurers, follows up with health insurers about submitted ... claims , and performs appeals for non-clinical denials, etc. An...15. Escalates concerns and reports any billing inconsistences to Manager . **Physical Requirements** **:** 1. Professional office environment with… more
- Beth Israel Lahey Health (Boston, MA)
- …ablity to manipulate complex, large databases including Medicare and other insurance claims data. 6. Advanced skills with Microsoft applications which may include ... and determines how to accomplish defined results with some guidelines. Manager /Director provides broad guidance and overall direction. 4. **Written Communications:**… more
- State of Massachusetts (Boston, MA)
- …is responsible for the systems that the DFML relies upon to process constituent claims , pay benefits, and administer the program in order to achieve this mission. As ... an Exemption and Employer Support Manager , you will play a crucial role in overseeing...Employer Portal, API, Contact Center, and DOR and DFML Claims Processing system. You will also be responsible for… 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 is ... for supporting processes within the Department of Family Medical Leave (DFML). The Claims Examiner/Job Service Representative I will review claims escalated by… more
- State of Massachusetts (MA)
- …the Western Circuit Staff Attorney will work alongside the Western Circuit Manager to host workshops and clinics for assisting self-represented litigants in ... as well as custody matters, child support, housing evictions or small claims matters. All Court Service Center Staff Attorneys use professional legal experience… more
- Middlesex Savings (Needham, MA)
- …branch, division and Bank's strategic goals. May perform the functions of a Senior Banker II , Senior Banker III, or Assistant Branch Manager in absence of said ... The Senior Banker I is proficient in all Banker II requirements. In addition, they are proficient with home...approvals, lost bank checks, basic service recovery, processing fraud claims , and complex business accounts, among other technical and… more
- Beth Israel Lahey Health (Burlington, MA)
- …Hours:** 40 **Work Shift:** Day (United States of America) The PFS Denial Specialist II role is vital to ensure that hospital denied accounts are thoroughly reviewed ... for any opportunity to correct, refile and or appeal claims for re-processing and reimbursement. The role also includes review and rework of all types of denials, as… more
- Zurich NA (Boston, MA)
- …(a division of Zurich North America) is currently hiring a Reinsurance Financial Analyst II on the WAQS/Bermuda team and this person will report to a Reinsurance ... Financial Manager within Group Reinsurance. The ideal candidate can work...collateral of approximately $15 billion. The Reinsurance Financial Analyst II analyzes and performs intermediate to complex reinsurance accounting… more
- State of Massachusetts (Boston, MA)
- …work closely withthe Clinical-Community Linkage Innovation Epidemiologist III,Cancer Initiatives manager , and program staff, be responsible for planning and ... for analyzing key surveillance and survey/clinical datasets (including BRFSS, YRBS, YHS, claims datasets, etc) to generate accurate and relevant data and evidence… more
- The Hartford (Boston, MA)
- Sr Consultant Risk Engineering - KR08DEConsultant II Risk Engineering - KR08ME We're determined to make a difference and are proud to be an insurance company that ... process - meeting with insured's, making presentations, working with claims and underwriting, etc. + Work with Risk Engineering... and underwriting, etc. + Work with Risk Engineering Manager on special projects and developing reports to support… more
- Leonardo DRS, Inc. (Fitchburg, MA)
- …revenue and profit forecasting and general support to the program manager /program team with business and financial analysis. **Job Responsibilities** + Provide ... values and culture of the organization **Job Responsibilities Part II ** + Ability to navigate ERP systems, multi-platform data...with ability to adapt to multiple audiences + Provide claims and litigation support involving ASBCA and USCFC +… more