- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and ... to enhance provider satisfaction and member access to care. Reporting to the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account… more
- Zurich NA (Boston, MA)
- Marine Claims Senior Claims Specialist 126574 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and ... and 6 or more years of experience in the Claims and/ or Litigation Management area.OR + Juris Doctor...and 2 or more years of experience in the Claims and/ or Litigation Management area.OR + Zurich Certified… more
- HUB International (Wilmington, MA)
- …maintain their own unique, regional culture. We currently have an opportunity for a ** Senior Claims Specialist ** . **Overview** : Responsible for servicing ... : + Provides advocacy for small, middle market, and high-profile clients by reporting claims . + Participate in the claim after hours program as part of the servicing… more
- Zurich NA (Boston, MA)
- …New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, or Vermont. The Senior Workers Compensation Claims Specialist will handle multi-party ... Sr. Claims Specialist , Workers Compensation 128029 Zurich is looking for an accomplished Workers Compensation Sr. Claims Specialist for or our Northeast… more
- CVS Health (Boston, MA)
- …do it all with heart, each and every day. **Position Summary** The ** Senior Accounts Receivable Specialist ** prepares accounting and financial records and ... monthly invoices in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required Qualifications** + 2+… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …and abuse and to facilitate accurate claim payments. The Prepayment Review Coding Specialist will conduct pre-payment reviews of claims submitted by providers ... blue. The position serves as a Prepayment Review Coding Specialist within the Fraud Investigation & Prevention Unit ("FIP")....to substantiate the services billed. This process allows for claims to be reviewed prior to adjudication to ensure… more
- Philips (Cambridge, MA)
- …important member of the Philips North America MRI Clinical Science team, the Senior MRI Clinical Scientist will collaborate with medical doctors and physicists of ... in North America. + Will be the expert MRI specialist in an assigned technical or clinical application area,...IP for product development and generate evidence to support claims through scientific publications. + Be hands-on, be able… more
- The Brattle Group (Boston, MA)
- …to internal departments and external benefit insurers as well as coordination with Senior Benefits Specialist related to onboarding of new employees in Europe ... including communications on features, eligibility, and processing of wellness claims + Assist with compensation-related activities including research, scheduling… more
