- Sedgwick (Boston, MA)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and… more
- Sedgwick (Boston, MA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Environmental | Professional Liability | REMOTE **Job Description Summary** ... To analyze complex or technically difficult environmental claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case… more
- State of Massachusetts (Boston, MA)
- …join our Victim Compensation team. Reporting to theDirector of Victim Compensation,the Claims Manager provides management and oversight of MOVA's Claims ... compensation program in accordance with Massachusetts statute and regulations. The Claims Manager implements trauma informed, victim and survivor centered systems… more
- Carrington (Boston, MA)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... this position is $23.00/hr - $26.50/hr. **What you'll do:** Review reconciliation of all loan advances once the GSE...manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems including, but… more
- Ryder System (Boston, MA)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- State of Massachusetts (Boston, MA)
- …the filing of claims for unemployment insurance benefits. The Contact Center Supervisor provides technical assistance and training to staff on all aspects of the ... claims taking process thereby ensuring that staff have an...of laws, regulations, policies, and procedures. The Contact Center Supervisor evaluates work product through the review … more
- Beth Israel Lahey Health (Charlestown, MA)
- …all Hospital Billing, Follow-Up, and Denial activities necessary to obtain payment/resolution of claims .** ** Review the entire account to ensure claims were ... all claims /data problems that cannot be handled to the Supervisor /Manager within one (1) day of identifying the problem.** **Identifies and researches… more
- Cardinal Health (Boston, MA)
- …Collections is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of outstanding balances ... receivable and increase cash flow for the organization. **_Responsibilities:_** + Review aging reports and work insurance accounts to ensure timely resolution… more
- Walgreens (Needham, MA)
- …the unique communities we serve as requested by Store Manager, Healthcare Supervisor , or District Manager. Operations + Counsels patients and answers questions ... and federal controlled substance laws when filling prescriptions. The Product Review /Retail Fill Process Pharmacist is responsible for ensuring that elements of… more
- Walgreens (Boston, MA)
- …as immunizations. Responsible for ensuring the proper compounding, dispensation, review and verification of prescribed medications within regulatory guidelines, ... and federal controlled substance laws when filling prescriptions. The Product Review /Retail Fill Process Pharmacist has the ultimate responsibility for ensuring that… more
- Beth Israel Lahey Health (Burlington, MA)
- …and movement disorders. As part of your responsibilities, you will proactively review provider appointment lists and patient chart notes to identify individuals who ... enrollment in available programs, handles customized communications, ensures ongoing claims processing accuracy and efficient delivery throughout the treatment… more
- Point32Health (Canton, MA)
- …**Job Summary** Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and ... skills in all interactions. This individual prepares cases for presentation, discussion, review , and final disposition at the Member Appeals Committee (MAC) and… more
- Walgreens (Newton, MA)
- …Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... one's own performance, solicits for constructive feedback, and leverages Healthcare Supervisor as mentor and coach. **Communication** + Communicates with pharmacy… more
- Beth Israel Lahey Health (Boston, MA)
- …limited to: 1. Conducts initial post-offer/pre-placement physical assessment, including review of immunization status, and provides required testing or immunizations ... provider or circumstances require. 5. Works with the employee's supervisor to ensure that the employee needing work restrictions...11. In the absence of a manager, files appropriate claims reports and works as liaison with physician and… more
- Cardinal Health (Boston, MA)
- …Management staff and clinical staff to ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received. + Maintain a ... receives detailed instruction on new assignments. + Consults with supervisor or senior peers on complex and unusual problems....other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Beth Israel Lahey Health (Boston, MA)
- …responsibilities as needed, including attendance of study team meetings, review of protocols/amendments, conducting exploratory data analyses, and performing ... one direct report. + Retrieves, query, manipulate and manage large claims databases. + Provides statistical education to clinical investigators including faculties,… more
- Beth Israel Lahey Health (Milton, MA)
- …Milton, MA.** 1. Conducts initial post-offer/pre-placement physical assessment, including review of immunization status, and provides required testing or ... of leave as medical provider or circumstances require. Works with employee's supervisor to ensure that employee needing work restrictions or limited duty is… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …for those with known risk factors. + Serves as an expert consultant and/or supervisor to PACE providers (Program of All-Inclusive Care of the Elderly) for their ... procedure or new function. + Presents clinical cases for review at daily and weekly clinical meetings according to...the required steps to ensure the generation of clean claims - completing documentation, submitting encounters on time, and… more