- Sedgwick (Boston, MA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr . Claims Specialist , Medical Malpractice (LTC) **PRIMARY PURPOSE** ... : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to… more
- BJs Wholesale Club (Marlborough, MA)
- …Leave, Jury Duty * Benefit plans for your changing needs* o Three medical plans**, Health Savings Account (HSA), two dental plans, vision plan, flexible spending ... (must be at least 18 years old) *eligibility requirements vary by position ** medical plans vary by location Job Summary: Execute and implement strategies that will… more
- Citizens (Medford, MA)
- …to continuously learn, consider a career at Citizens as a Fraud Customer Support Sr . Specialist . In this role, you'll play a crucial part in safeguarding ... the customer's consent on a resolution. + Provide accurate complete claims processing, and records management using established procedures in moving/placing… more
- Sedgwick (Manchester, NH)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Claims Specialist , Professional Liability (A&E, D&O) **ESSENTIAL ... + Extensive knowledge and comprehension of insurance coverage + Claims expertise in medical malpractice, errors and...of insurance coverage + Claims expertise in medical malpractice, errors and omissions, directors and officers, life… more
- CVS Health (Boston, MA)
- …And we do it all with heart, each and every day. **Position Summary** The ** Senior Claims Benefit Specialist ** will review and adjust SF ( _self-funded_ ... amount levels on customer service platforms, specifically by using technical and claims processing expertise. + Apply medical necessity guidelines, determine… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr . Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr . Analyst will ... specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims , settlement, claims… more
- Commonwealth Care Alliance (Boston, MA)
- …and operational coding initiatives at Commonwealth Care Alliance (CCA). The Clinical Documentation Sr . Specialist will serve as a primary resource in evaluating ... medical encounter notes/records housed either at CCA or at...Degree or equivalent experience + Possession of Certified Coding Specialist designation (CCS, CCS-P, CCA from AHIMA) or Certified… more
- American Family Insurance - Corporate (Boston, MA)
- …regulatory agency insurance licensing compliance. You will report to a Licensing Senior Manager. Position Compensation Range: $61,000.00 - $101,000.00 Pay Rate Type: ... on enacted changes in legislation and regulations to assist with sales, claims or product development and maintenance. + Collaborate with various business units… 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 ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- HCA Healthcare (Manchester, NH)
- …purpose and integrity. We care like family! Jump-start your career as a Medical Staff Services Coordinator today with Catholic Medical Center. **Benefits** ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… 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 ... of financial exhibits. This is an entry level position, with oversight by Senior Underwriters and/or Management until the individual is acclimated to the Company… more