- Segal (Boston, MA)
- …health valuations and health benefits in the Public Sector and Multiemployer markets .The Opportunity:The individual will step into a multi-faceted role that ... targeting existing and prospective clients in the Public Sector and Multiemployer markets ; andPerforming as signing or responsible actuary for certain clients. The… more
- Highmark Health (Boston, MA)
- …list of all duties required of this position. ADA E1. Ensure all claims are handled according to all internal operating and administrative procedures along with ... reviewing plan wording for each individual employer group, which should include the plan document,...team. E5. Conduct one on one coaching with the claims team especially the trainee staff E6. Provide recommendation… more
- Ryder System (Boston, MA)
- …status as a protected veteran, among other things, or status as a qualified individual with disability . _Job Seekers can review the Job Applicant Privacy Policy ... Applicant Privacy Policy by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)\_ **Summary** The Claims Representative handles complex and mid-to-high exposure bodily injury… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …us transform healthcare? Bring your true colors to blue. The Senior Claims Testing Analyst is responsible for reviewing business requirements, developing, and ... executing comprehensive test plans, analysis of reporting, performing claims quality review, mentoring associates and ensuring department goals are met in a… more
- Ally (Boston, MA)
- …shouldn't your opportunities be, too? **The Opportunity** Actual Job Title: Mechanical Claims Specialist (MCS) Posted Job Title: Auto Mechanic, Service Manager or ... and/or someone who has a love and passion for all things auto? The Mechanical Claims Specialist (MCS) role at Ally is perfect for those who love working with cars… more
- MetLife (Boston, MA)
- Service Manager - Regional Market City/Cities Aurora, Boston, Tampa State(s) Florida, Illinois, Massachusetts Country United States Working Schedule Full-Time Work ... Service Consultant (CSC) and Sales Coordinator (SC) associates for a Regional Market service team within the Northeast Region. Drives quality broker and customer… more
- Prime Therapeutics (Boston, MA)
- …Senior Benefit Plan Configuration Analyst - Preferably remote in the California market **Job Description Summary** This position specializes in the analysis and ... requirements, assesses the benefit impact on current design and claims processing, presents to the stakeholder and/or other internal...Ability to work within a team and as an individual contributor in a fast-paced, changing environment. + Strong… more
- Highmark Health (Boston, MA)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... underwriting policies, practices, and standards. Analyzes associated policies, guidelines, market data to continuously improve risk management and gain appropriate… more
- Highmark Health (Boston, MA)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent develops and uses ... underwriting policies, practices, and standards. Analyzes associated policies, guidelines, market data to continuously improve risk management and gain appropriate… more
- WTW (Boston, MA)
- …for a leader with personal lines insurance analytics experience in the North American market to join as a Property & Casualty (P&C) Director in our Insurance ... role you will collaborate with our team of pricing, claims , distribution, product management, underwriting and claims ...well as across the broader organization. Our combination of market expertise and market -leading analytical software (in… more
- Humana (Boston, MA)
- …health first** The Medical Director relies on medical background and reviews health claims . The Medical Director (Staff Geriatrician or Physician with Ten (10) Years ... physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana...and social health needs. + Provide support to Medicaid markets within the region, aiding in case review, peer… more
- MAPFRE Insurance (Webster, MA)
- …yearly** **Hybrid Role: 2 days in office/3 days remote** Bring your passion and enthusiasm for Claims to our TEAM! At MAPFRE we believe we are only as strong as our ... while offering top notch service to our insureds! Participate in your own Individual Development Plan (IDP) which serves as your blueprint for outlining your… more
- Verint Systems, Inc. (Boston, MA)
- …innovators with the passion, creativity, and drive to answer constantly shifting market challenges and deliver impactful results for our customers. Our commitment to ... acquisition, open enrollment and maintaining and updating employee benefit resources. This individual will liaise with our brokers and vendors as needed to address… more
- Live Nation (Mansfield, MA)
- …accommodations for the known physical or mental limitations of an otherwise qualified individual with a disability who is an applicant consistent with its ... the world's leading live entertainment company, comprised of global market leaders: Ticketmaster, Live Nation Concerts, and Live Nation...THE JOB We are seeking a motivated and experienced individual to work with the Venue Management team at… more
- HomeSafe Alliance (Boston, MA)
- …operations (property survey, pick up, pack, delivery, unpack, short term storage SIT, claims ). + Provide GHC contract requirements to JPPSO staff and ensure customer ... + Express company concerns and requirements to HomeSafe Alliance operations, claims , quality, and operations excellence staff sections. Keeps a JPPSO Region… more
- Deloitte (Boston, MA)
- …- ETL Developer What we do Operations and Technology Transformation delivers market leading expertise and industry depth by harnessing deep sector knowledge, scaling ... of the following sub service areas: Insurance Products, Underwriting, Claims , Billing & Payments, Policy Administration or Distribution +...filled. At Deloitte, it is not typical for an individual to be hired at or near the top… more
- MAPFRE Insurance (Webster, MA)
- …Claim Rep, you will be responsible for adjusting 1st party Express claims for Auto Physical Damage through screening losses, determining coverage exposures, and ... with supervisory oversight. + Fraud Identification - Identify potentially fraudulent claims for transfer with Supervisory input. + Embrace and effectively manage… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …with brokers, also executing and verifying compliance with regulations. This individual will also prepare, complete, and submit required insurance renewal ... document quote proposals, etc. Handle all aspects of insurance claims , responsible for follow-up with Legal, claim adjusters, etc.,...health plan headquartered in Boston. We have been a market leader for over 75 years, and are consistently… more
- Wegmans (Chestnut Hill, MA)
- **we are a food market where you make the difference** At Wegmans, we're on a mission to help people live healthier, better lives. So, when you bring your unique ... and demonstrating patience, empathy, care, and compassion + Troubleshoot rejected insurance claims and address issues to achieve the best outcome for customers +… more
- Gilead Sciences, Inc. (Boston, MA)
- …and Drug Administration's implementing regulations, the Federal Anti-Kickback Statute, the False Claims Act, PhRMA, Corporate Code of Business Conduct and the Office ... sales experience + Possess superior selling skills focused on highly competitive markets + Proven and consistent track record of meeting/exceeding sales objectives,… more
