- Sedgwick (Boston, MA)
- …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and analyzes… more
- Sedgwick (Boston, MA)
- …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and analyzes… more
- Harvard University (Cambridge, MA)
- …grounds. Additional Qualifications and Skills:As part of the pre-hire process, DOT Medical Examiner 's Certificate is required at Harvard's expense. Additional ... date and hourly rate can only be determined after contract ratification. The health of our workforce is a...are primary care givers. + Health and Welfare: Comprehensive medical , dental, and vision benefits, disability and life insurance… more
- Highmark Health (Boston, MA)
- …information, statistics, policies and procedures, licensure information, doctors' agreements, contract , etc. + Coordinates data extracts by assessing multiple ... to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Develop and… more
- Point32Health (Canton, MA)
- …involving internal and external research, detailed data analyses, review of medical records, and interviews of members, providers, and other third parties. ... + Applying laws, regulations, plan policies and guidelines, contract provisions, coding rules, coverage rules, and industry standards to information gathered during… more