- Fallon Health (Worcester, MA)
- **Overview** **The Claims Examiner position is a hybrid role working 3 days (Tuesdays, Wednesdays and Thursdays) in the office in Worcester, MA and 2 days ... us on Facebook, Twitter and LinkedIn. **Brief Summary of purpose:** The Claims Examiner should have thorough claim processing knowledge at a complex level..… more
- Federal Emergency Management Agency (Maynard, MA)
- …this position will possess excellent customer service and have commercial insurance claims experience as an adjuster, examiner , insurance agent writing ... state/tribal/local government/private non-profit grant management requests. Presenting coverage and claims analysis to management and making recommendations on resolution… more
- Fallon Health (Worcester, MA)
- …records pertaining to FWA investigations Compare to information submitted on the claims in order to determine amount and nature of billable services Determines ... systems to assure integrity and compliance in billing and claims payment. + Develop educational materials for new hire...this work is a plus, such as Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), or other… more