- Neighborhood Health Plan of Rhode Island (Smithfield, RI)
- …Shift Daytime Job Category Professional / Experienced Description The Policy and Claims Research Specialist is responsible for supporting the Payment ... act as the point of contact for claim related research . Serves as a claims subject matter...expert (SME) and resource/support for claim edit and payment policy initiatives Conducts in-depth research on complex… more
- Lincoln Financial (Boston, MA)
- …on financial calculations with team members that involve complex contract provisions. + Research questions and escalations from Claims team; liaises with various ... 74565 **The Role at a Glance** As an Appeals Specialist you will be responsible for being a product...product lines. You will perform and deliver on appeals claims assignments/projects while simultaneously leveraging and applying knowledge. You… more
- Lincoln Financial (Boston, MA)
- …at a Glance** We are excited to bring on a Social Security Specialist to join our Financial Services Organization supporting Group Protection. Background Details ... used in conjunction with disability insurance policies. They will monitor claimants' SS claims until a final decision is received. **What you'll be doing** +… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Professional Reimbursement Strategy, the Payment Integrity Consultant uses industry knowledge, research skills, payment policy and business operations knowledge ... drug fee schedules, including assessing and pricing new codes + Analyze claims data in conjunction with provider reimbursement methodologies and external benchmarks… more
- USAA (Boston, MA)
- …us special and impactful. **The Opportunity** As a dedicated Property Adjuster Specialist , you will work within established guidelines and framework to investigate, ... evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will...in compliance with all state regulatory requirements. Property Adjuster Specialist focus on using technology and desk adjusting for… more
- Beth Israel Lahey Health (Charlestown, MA)
- …in people's lives.** Reporting to the Manager, Benefits, the Benefits Specialist is responsible for supporting the day-to-day administration of our benefit ... Supporting the Beth Israel Lahey Health (BILH) Benefits team, the Benefits Specialist provides benefit administration support to our employee population. With a… more
- Santander US (Quincy, MA)
- …possibilities **We Want to Talk to You!** **The Difference You Make** : The Specialist , Claims & Fraud Operations performs routine, analytical review of data ... Specialist , Fraud Operations Country: United States of America...steps to mitigate the risks. + Follow and maintains Policy and Procedure Manuals. + Enters fraud cases in… more
- Carrington (Boston, MA)
- …Bankruptcy Ledger Experience Required to be Considered!** The Bankruptcy Ledger Specialist will be responsible for completing and monitoring ledgers through the ... high degree of accuracy, for all Bankruptcy processes including Acquisitions, Proof of Claims , Notice of Final Cures, Motions for Relief, Agreed Orders, Notices of… more
- Highmark Health (Boston, MA)
- …Graph Intelligence specialist , you will be the spearhead of cutting-edge research projects. This means deeply engaging with graph theory, building and enriching ... treatment efficacy? Highmark Health is seeking a groundbreaking Lead Data Scientist, Research & Development, specializing in Graph Intelligence, who will not just… more
- Philips (Cambridge, MA)
- …notably University of Texas Southwestern Medical Center) with a focus on research , development, and evaluation of new medical applications for Magnetic Resonance ... imaging., **Your role:** + Will guide, conduct, and support research and advanced clinical applications for the Magnetic Resonance...in North America. + Will be the expert MRI specialist in an assigned technical or clinical application area,… 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
- Western Digital (Boston, MA)
- …**Job Description** **Position Summary** We are looking for a **Retail Compliance Specialist ** to join the Western Digital Fulfillment Operations Team to be ... chargebacks, late deliveries, labeling errors, incorrect shipments. Review and validate claims received from retail partners to determine legitimacy and compliance… more
