- CSL Behring (Waltham, MA)
- …driving early product strategy, Target Product Profiles (TPPs), Target Product Claims (TPCs), Stage-Gate Preparation, and Life Cycle Management (LCM) Planning and ... **Main responsibilities:** + **Commercial Leadership:** Act as the primary commercial representative in the R&D Product Strategy Team (PST), influencing early… more
- GAP Solutions Inc (Boston, MA)
- …Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice of results or ... each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
- Towne Park (Boston, MA)
- …- 15% Understands and drives business metrics for forecasting, productivity, claims , customer service, and turnover. Ensures all associates accurately identify and ... PHYSICAL DEMANDS** _The_ **_working conditions and physical demands_** _described here are representative of those that must be met by an associate to_… more
- Sedgwick (Boston, MA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to ... and professional needs. **ARE YOU AN IDEAL CANDIDATE?** Join our team as a Claims Representative focused on Property Damage and low touch auto claims . If you… more
- Elevance Health (Woburn, MA)
- ** Claims Representative I** **Location:** Virtual in Woburn, MA or Manchester, NH. This role enables associates to work virtually full-time, **with the exception ... Friday, 8:30 am - 5:00 pm EST The **Claim Representative I** is responsible for successfully completing the required...for technical accuracy and soundness. + Codes and processes claims forms for payment ensuring all information is supplied… more
- State of Massachusetts (Boston, MA)
- *Lead Claims Examiner/Job Service Representative II| Department of Family & Medical Leave* The Program Integrity Claims Examiner/Job Service ... within the Department of Family Medical Leave (DFML). The Lead Claims Examiner/Job Service Representative II will review, analyze and evaluate disputed claims… 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 ... processes within the Department of Family Medical Leave (DFML). The Claims Examiner/Job Service Representative I will review claims escalated by the Contact… more
- Santander US (Boston, MA)
- Specialist, Claims & Fraud Operations Country: United States of America **Your Journey Starts Here:** Santander is a global leader and innovator in the financial ... **We Want to Talk to You!** **The Difference You Make:** The Specialist, Claims & Fraud Operations performs routine, analytical review of data and/or documentation… more
- Cardinal Health (Boston, MA)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Sedgwick (Manchester, NH)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Service Center Representative Candidates must reside in the Portsmouth, NH area Are you looking ... to develop a professional career? As a Service Center Representative you will have access to: + A stable...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Humana (Boston, MA)
- …a valued member of Humana's Internal Review Team as a Grievances & Appeals Representative , where you will play a critical role in addressing client concerns and ... and/or Service Read Only + Previous experience in medical claims processing + Previous inbound call center or related...+ Prior experience with Medicare + Experience with the Claims Administration System (CAS) + Ability to manage large… more
- The Cigna Group (Boston, MA)
- …patients' dreams of having a family come true! As a Pharmacy Technician Senior Representative , you will use your data entry skills to ensure patients receive the ... shipping, insurance, and payment details. + Be a team player - Escalate complex claims to the appropriate team for further action. Why join us? + Health coverage… more
- Graybar (Manchester, NH)
- Are you ready? As an Outside Sales Representative - Electrical Contractor, you will be selling our products and services in a specialized market. You will develop ... policies + Handle customer complaints promptly and effectively, and report potential claims + Keep management informed of local competition and market conditions +… more
- Highmark Health (Boston, MA)
- …ensure they utilize various means of automated communication, as well as, claims and electronic data interchange and electronic funds transfer. Collaborate with ... sales and customer service to respond to client/broker/member inquiries regarding provider contract, claim/member issues or provider file/record/directory discrepancies. Consult with dental director/dental advisers regarding clinical-related questions and… more
- Ryder System (Boston, MA)
- …**SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling ... complex and high exposure bodily injury and property damage claims . **Maintain an active inventory of claims ,...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- State of Massachusetts (Boston, MA)
- …to work, available for work and looking for a job. The Job Service Representative is responsible for making determinations on eligibility for benefits in disputed ... claims after gathering necessary information through interviews; issue timely...perform related work as required. Duties include: * Analyze claims by reviewing available data to identify and prioritize… more
- State of Massachusetts (Boston, MA)
- …work, available for work and looking for a job. The Job Service Representative I performs customer service and issue resolution by assisting employers or claimants ... determinations in accordance with MGL Chapter 151A, 430 CMR, the Job Service Representative 's Handbook, and established Revenue Procedures as well as the Code of… more
- State of Massachusetts (Boston, MA)
- …benefit amounts, monetary eligibility, reviewing wages/earnings and issues on current claims to determine claimant eligibility on the new claim. Also responsible ... hearing in accordance with MGL Chapter 151A, 430 CMR, the Job Service Representative 's Handbook, Revenue Procedures as well as the Code of Federal Regulations,… more
- ASM Global (Boston, MA)
- …proceedings. Partner with the General Counsel to investigate and respond to employment claims and demand letters, as well as state and federal agency claims ... duty with energy and enthusiasm. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may… more
- Highmark Health (Boston, MA)
- …the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the ... effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review of...+ Ability to visualize, articulate and solve complex problems representative of a broad range of service and claim… more
