- Eversource Energy (Westwood, MA)
- …with the first three months in the office\. Eversource is looking for a ** Senior Specialist , Project Engagement** for Transmission in **Westwood, MA** \. As part ... as needed, to help manage resolution through the corporate Claims process\. **Technical** **Knowledge/Skill/Education/Licenses/Certifications:** _Technical_ _Knowledge/Skills:_ + Strong leadership… more
- Zurich NA (Boston, MA)
- Marine Claims Senior Claims Specialist 125273 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and ... Basic Qualifications: + Bachelor's Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.OR + Juris Doctor and 2 or more years of… more
- WATTS (Andover, MA)
- …have a dynamic future ahead. Reporting to the Payroll Manager, as the Sr. Payroll Specialist you will work onsite in Andover, MA to manage the administration of the ... requirements. + Ensure accurate reporting and tax withholding on employee wages, benefits . + Process and maintain expense payment due, positive pay and 401K… more
- CVS Health (Boston, MA)
- …+ Distributes work assignment daily to junior staff. + Trains and mentors claim benefit specialists. + Makes outbound calls to obtain required information ... handle customer service inquiries and problems. **Additional Responsibilities** + Reviews pre-specified claims or claims that exceed specialist adjudication… more
- CVS Health (Boston, MA)
- …Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Process provider ... amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine coverage, complete… more
- Beth Israel Lahey Health (Burlington, MA)
- …Collaborate with insurance companies when necessary to proactively validate benefits , eligibility, and referral requirements. Communicate with patients to ensure ... and leadership for approval to proceed or reschedule. + Verifies covered benefits , including remaining hospital days, carve out coverages, and benefit … more
- Prime Therapeutics (Boston, MA)
- …+ MISCELLANEOUS DUTIES: + Provide backup support to team members (SIU Coordinator and Senior SIU Specialist ) in the performance of job duties as assigned. + ... drives every decision we make. **Job Posting Title** SIU Specialist - Remote in the California market **Job Description**...Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the… more
- Zurich NA (Boston, MA)
- Sr. TPA Specialist , Complex Claims 125068 Zurich Insurance is currently looking for a Sr TPA Specialist . This position will oversee complex Liability ... Specialist analyzes highly complex coverage situations, evaluates high exposure claims , seeks/grants authority, assigns/explains reserves to senior management… more
- CS Energy (Worcester, MA)
- The Project Controls Specialist works under the guidance of our Project Controls Leadership and in partnership with our Operations Team to provide a single point of ... Schedules, Project Forecast Sheets, and 4 Week Lookahead Reports. The Project Controls Specialist will report to the Edison, Albany, or Worchester office at least… more
- Highmark Health (Boston, MA)
- …months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP) **Language ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more
- Charles River Laboratories (Wilmington, MA)
- …facilitate release of shipments * Responsible for qualification of free trade agreement claims (ie USMCA) * Conduct QBR's with Customs brokers to evaluate quality of ... skills * Licensed Customhouse Broker (LCB) or Certified Customs Specialist (CCS) preferred * University degree * Experience leveraging...in the past five years. We're committed to providing benefits that elevate your quality of life. Based on… more