- Boston Mutual Life Insurance (Canton, MA)
- …courteous. + Leave our customers and associates "better than where we found them." The Director - Claim Services plays a pivotal role within Boston Mutual, ... for managing and overseeing of all aspects of the Claims Service team for Life and Accident...policies. + Stay informed about changes in regulations affecting Claim services . + Develop and implement risk… more
- Point32Health (Canton, MA)
- …about who we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Director of Configuration and Operations of the claim adjudication ... perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities… more
- Beth Israel Lahey Health (Plymouth, MA)
- …LEAN methodology in order to provide the full continuum of health care services and the best quality patient centered care. **Position Summary:** The Risk Manager ... accountability, and continuous improvement. This role oversees all aspects of claims management, event reporting, and risk reduction strategies to protect patients,… more
- Travelers Insurance Company (Braintree, MA)
- …Executives. + Builds and maintains productive relationships with underwriting and service teams assigned to business units, with the broker/agent community, with ... Claim , with other Risk Control staff, and with clients....specialist discipline. + Maintains timely, relevant communications with Technical Director , Field Management and Risk Control staff. **What Will… more
- Fallon Health (Dartmouth, MA)
- …are continually rated among the nation's top health plans for member experience, service , and clinical quality. Fallon Health's Summit ElderCare(R) is a Program of ... and retention of support/administrative staff. Conducts or oversees processing of claims , data collection and reports including those related to the Electronic… more
- Travelers Insurance Company (Braintree, MA)
- …develop and execute agency sales plans and frequently partner with your Managing Director (MD) to develop region/group sales plans. + May assist in the training ... designation. **What is a Must Have?** + Four years of underwriting, claim , operations, risk assessment, actuarial, sales, product, or finance experience. **What Is… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …management referrals, as clinically appropriate + Participate in the PRU's appeal process of service and claims denials + Participate in the development of PRU's ... The Physician Reviewer is responsible for evaluating pre & post- service clinical service requests made by BCBSMA...as appropriate. At the request of the Senior Medical Director of the Physician Review Unit (PRU), the reviewer… more