- HUB International (Wilmington, MA)
- …in 500 offices across North America. We currently have an opportunity for a Senior Claims Specialist . Overview: Responsible for the reporting, tracking, ... coverage analysis, negotiation, and advocacy on cyber claims in accordance with the practices, policies, and procedures of the Company. Responsible for the review,… more
- Zurich NA (Boston, MA)
- Sr. Claims Specialist , Worker's Compensation 123309 Zurich is currently looking for a Senior Workers Compensation Claims Professional with West Virginia ... claims experience to join the Workers' Compensation Claims organization. This is either a virtual position or...Our teams are dedicated to helping our customers manage claims with moderate to high complexity exposures and losses.… more
- CVS Health (Boston, MA)
- …with heart, each and every day. **Position Summary** In this position, the senior Claim Benefit Specialist (OPS) reviews, researches and adjudicates complex, ... processing guidelines. May be required to learn multiple Medicaid plans. Medical claims processing experience is a basic requirement. * Works to research and… more
- Iron Mountain (Boston, MA)
- …your unique contributions? If so, let's start the conversation. Job Description **The Senior Bankruptcy Specialist will play a key role in managing bankruptcy ... external legal partners, and support the company's interests in bankruptcy proceedings. The Senior Bankruptcy Specialist will work closely with the legal team to… more
- CVS Health (Boston, MA)
- …handle customer service inquiries and problems. Additional Responsibilities - Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Integra LifeSciences (Braintree, MA)
- …possible and making headway to help improve outcomes. The Sr. Regulatory Affairs Specialist is a seasoned senior professional role responsible for contributing ... in the US, EU, Canada and globally. The Sr. Regulatory Affairs Specialist is responsible for providing advanced level regulatory input for regulatory documentation… more
- Fujifilm (Boston, MA)
- **Position Overview** The accomplished Senior Corporate Compliance Specialist will support FUJIFILM's Corporate Compliance Program's operations to ensure high ... regulations (including Anti-Kickback Statute, Foreign Corrupt Practices Act (FCPA), False Claims Statute, and OIG's guidance of an effective compliance program) as… more
- Point32Health (Canton, MA)
- …our members, partners, colleagues and communities. **Job Summary** The product planning Specialist will assist the manager of NPVR Triage in Commercial Product ... Management. The specialist will intake, analyze, and configure request for large...team meeting to address cross functional product issues - claims , clinical, customer service, etc. * Support vendor relationship… more
- Carrington (Boston, MA)
- …completes the Set-up bankruptcy filings process, Motion for Reliefs, Proof of Claims , Transfer of Claims , Reaffirmations, Notice of Final Cures, Post-Petition ... the set-up bankruptcy filings, Motion for Reliefs, Proof of Claims , Transfer of Claims , Reaffirmations, Notice of...or mortgage industry. * One year or more in senior or lead bankruptcy role or project management *… 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
- United Therapeutics (Boston, MA)
- …you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training, Communications and Policy will be responsible ... team members, consultants and stakeholders + Manage Corporate Compliance Operations Specialist II, who is responsible for administration of compliance training and… 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
- 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
- Medtronic (Boston, MA)
- …articulate to customers. + Execute engaging field sales and clinical specialist field education programs that are targeted, purposeful, and support electrophysiology ... Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through… more