- Travelers Insurance Company (West Bridgewater, MA)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site… more
- Travelers Insurance Company (Braintree, MA)
- …complete service transition can be achieved. + Assist the Operations Account Specialist and BDD in securing the executed Claim Service Agreement/Contract. + ... partnerships with the company. Operational Support * Supporting the Operations Account Specialist (OAS): the CSEO works...process in concert with internal resources (eg Risk Control, Claim , RMIS, Operations , etc.). + Conduct/attend account… more
- USAA (Providence, RI)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... makes us so special! **The Opportunity** As a Insurance Property Adjuster Specialist , you will work within established guidelines and framework to investigate,… more
- Family Service Association - Fall River (Fall River, MA)
- …end-stage billing functions, in all systems, including editing deposits, researching failed claims , completing claim and payment approval and following up on ... a full time, 40 hours per week, Revenue Cycle Specialist . Hours are Monday - Friday from 8 am...Services, plays a critical role in managing the financial operations of the organization by overseeing the end-to-end revenue… more
- Point32Health (Canton, MA)
- …Billing Services and, internally, provides Customer Service and direction to Claims Operations , Provider Relations, Allied Health Services, Credentialing and ... direction of the Provider Enrollment Supervisor, the Provider Enrollment Specialist processes, maintains, and revises all components of the...forms, and many other supporting documents, as well as claims payment and claims forms and is… more
- Travelers Insurance Company (Providence, RI)
- …growth in our National Property business for a Sr. Risk Control Property Specialist . The position is available in multiple locations and will support our field ... and helping identify needs for Technical Training of Regional Specialist Consultants (RSCs), and Staff. This job serves as...assigned to business units, with the broker/agent community, with Claim , with other Risk Control staff, and with clients.… more
- Drug Enforcement Administration (Boston, MA)
- …analog, and digital telecommunications. Responsibilities As a Telecommunications Specialist (Surveillance), your typical work assignments may include: Coverting ... external to the agency, and across the DEA world-wide with investigative operations by integrating the use of electronic communications equipment. System designing,… more
- Walgreens (Bridgewater, MA)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... (eg, offering help proactively, identifying needs, servicing until satisfied, etc.). ** Operations ** + Executes and coaches team members on warehouse and vendor… more
- Molina Healthcare (New Bedford, MA)
- …managed care experience + Experience in one or more of the following: Claims , Provider Services, Provider Network Operations , Hospital or Physician Billing, or ... and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system… more
- Integra LifeSciences (Braintree, MA)
- …and making headway to help improve outcomes. The Regulatory Affairs Specialist is an intermediate level role responsible for implementing regulatory strategies ... regulations in the US, EU, Canada and globally. The Regulatory Affairs Specialist is responsible for providing regulatory input for regulatory documentation and… more
- Prime Therapeutics (Providence, RI)
- …and drives every decision we make. **Job Posting Title** Senior Enrollment Specialist **Job Description** + Effectively supports Magellan's SBU program operations ... and point of sale edits from providers. + Proficient use of enrollment and claims point of sale for research and problem resolution. + Assists in data collection… more
- GE Vernova (Foxborough, MA)
- …through management of project related activities and resources. Impacts departmental operations and responsible for planning/execution. The role has some autonomy ... activites et des ressources liees au projet. Impacte les operations du departement et responsable de la planification/execution. Le...data and books + Support project close out and claims /Provide support to tenders + Oversee the planning function… more
- GE Vernova (Foxborough, MA)
- …through management of project related activities and resources. Impacts departmental operations and responsible for planning/execution. The role has some autonomy ... between approved project financial data and books + Support project close out and claims /Provide support to tenders + Oversee the planning function on the project +… more
- Boston Public Schools (Boston, MA)
- …ensuring edit checks are accurate and complete for timely submission of monthly claims . Monitors supply and labor costs by management through use of site-based ... all site-monitoring requirements are met. Works with financial management to ensure claim information is submitted in a timely fashion Assists in defining needs… more
- HealthEdge Software Inc (Providence, RI)
- …root-cause issues are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The ... **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and...healthcare edits that drive cost savings and accuracy in claims processing. The successful candidate will be responsible for… more
- Ford Motor Company (Providence, RI)
- …Escalation Manager is the Ford lead for our California buyback review/approval operations for Ford and Lincoln customers/California Operations /and CRC buyback ... experience. + Work closely with the Ford Regional Escalation Specialist to provide oversight and direction to the California...Provide training and direction to a team of Consumer Claims Analysts located in California + Ensure that all… more
- Point32Health (Canton, MA)
- …regulatory requirements and timelines. The Senior Manager works closely with claims , membership operations , clinical services, care management, customer ... to business functions, etc. + Oversee or collaborate with Product Specialist to manage Benefit Adjudication Committee meetings and other sub-workgroups as… more