- 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 ... supporting processes within the Department of Family Medical Leave (DFML). The Claims Examiner /Job Service Representative I will review claims escalated by… more
- Fallon Health (Worcester, MA)
- **Overview** **The Claims Examiner position is a hybrid role working 3 days (Tuesdays, Wednesdays and Thursdays) in the office in Worcester, MA and 2 days ... us on Facebook, Twitter and LinkedIn. **Brief Summary of purpose:** The Claims Examiner should have thorough claim processing knowledge at a complex level..… more
- Sedgwick (Boston, MA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation **PRIMARY PURPOSE** : To analyze complex ... or technically difficult workers' compensation claims to determine benefits due; to work with high...to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication… more
- Sedgwick (Boston, MA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Liability Claims Examiner | Auto BI with Complex BI & UM/UI Experience | ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...YOU AN IDEAL CANDIDATE?** To analyze Auto Bodily Injury claims on behalf of our valued clients to determine… more
- Sedgwick (Boston, MA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Dedicated Client | NY Licensing Required | Remote ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...IDEAL CANDIDATE?** To analyze **New York** **Workers Compensation Lost-Time** claims on behalf of our valued clients to determine… more
- Sedgwick (Boston, MA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Liability Claims Examiner | General Liability & Auto with BI experience | NY ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...needs. **ARE YOU AN IDEAL CANDIDATE?** To analyze **Liability** claims on behalf of our valued clients to determine… more
- Sedgwick (Boston, MA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance (Remote) Claims Examiner - Workers Compensation | AZ, CO, UT Jurisdictions Are ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...PURPOSE OF THE ROLE:** To analyze high-level Workers Compensation claims on behalf of our valued clients to determine… more
- Sedgwick (Boston, MA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdictional Knowledge & NY Licensing Required ... workers compensation knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...**ARE YOU AN IDEAL CANDIDATE?** To analyze workers compensation claims on behalf of our valued clients to determine… more
- Sedgwick (Boston, MA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigated Claims Consultant ( Examiner ) | Public Entity | Remote **Are you looking ... CANDIDATE?** If you have 10+ years of experience handling high-exposure, complex claims involving serious injuries and legal inquiries or disputes, and developing… more
- Sedgwick (Boston, MA)
- …resolution; to work in conjunction with and provide recommendations and education to the claims examiner , claimant, and clinical team; to work with the clinical ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- State of Massachusetts (Boston, MA)
- Review Examiner I | Department of Family & Medical Leave DFML is looking for an organized and independent self-starter to facilitate the appeals process through ... research, analysis, and investigation. The Review Examiner I is responsible for conducting hearings on appeals...I is responsible for conducting hearings on appeals of claims for agency services or benefits; for promptly preparing… more
- State of Massachusetts (Boston, MA)
- …the major duties of which included the adjudication, examination and/or review of claims , benefits and/or taxes; the practice of law; labor relations work; claims ... Services* **Organization:** **Department of Transitional Assistance* **Title:** *Hearing Officer (Review Examiner II)* **Location:** *Massachusetts-Boston-1 Ashburton Place* **Requisition ID:**… more
- CDM Smith (Boston, MA)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...such as CPA (Certified Public Accountant), CFE (Certified Fraud Examiner ), or CFF (Certified in Financial Forensics). **EEO Statement:**… more
- Point32Health (Canton, MA)
- …involving existing and upcoming FWA schemes. + Handling substantial prepayment claims including extensive administrative tasks, review of medical records, and ... Certification and Licensure + Certified Professional Coder ("CPC"); Certified Fraud Examiner ("CFE") designation a plus. Education + Required (minimum): Bachelor's… more