- Sedgwick (Boston, MA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Life Science Claims Specialist (REMOTE US) **PRIMARY PURPOSE** ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… 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
- 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
- United Therapeutics (Boston, MA)
- …first publicly-traded biotech or pharmaceutical company to take the form of a public benefit corporation. Our public benefit purpose is to provide a brighter ... you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training, Communications and Policy will be responsible… more
- Tufts Medicine (Boston, MA)
- …using specialized knowledge and skills typically acquired through advanced education. A specialist level role that is a recognized subject matter expert in job ... resolving difficult and often complex problems. **Job Overview** The Senior Research Associate will be a member of the...and publish manuscripts, analyze large datasets (eg, health care claims data and electronic medical record) to estimate health… more
- Highmark Health (Boston, MA)
- …twelve months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health Insurance Plans (AHIP) ... 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