- Iron Mountain (Boston, MA)
- …program.Manage accountabilities in the administration of first and third party worker 's compensation claims .Ensure success of litigation management ... program and manage complex claims with significant settlement authority.Crisis Management:Work with key stakeholders to support events and provide… more
- Asian American Arts Alliance (Boston, MA)
- …the ICA's employee health, dental, vision, disability, life, unemployment and workers compensation insurance plans;Compliance, Legal, and Risk Management- ... partner with the human resources department for aspects of compensation , benefits and legal requirements. The CFO will ensure...to protect the ICA against property loss and liability claims ;- Review and track all insurance claims … more
- Arid Lands Institute (Boston, MA)
- …ICA's employee health, dental, vision, disability, life, unemployment, and workers ' compensation insurance plans.Compliance, Legal, and Risk ManagementNegotiate ... partner with the human resources department for aspects of compensation , benefits, and legal requirements. The CFO will ensure...to protect the ICA against property loss and liability claims .Review and track all insurance claims and… more
- Sedgwick (Boston, MA)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Complex Claims Advisor | Remote **This ... manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional expertise to...preferred. **Skills & Knowledge** + Subject matter expertise in worker 's compensation claims and/or liability… more
- Sedgwick (Boston, MA)
- … Examiner **PRIMARY PURPOSE** **:** To analyze complex or technically difficult workers compensation claims to determine benefits due; to work with ... specific requirements. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult claims by investigating and… more
- Sedgwick (Boston, MA)
- …based on level of experience. **PRIMARY PURPOSE OF THE ROLE:** To analyze high-level Workers Compensation claims on behalf of our valued clients to ... Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer New England Claims Examiner - Workers Compensation ...brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of… more
- Elevance Health (Boston, MA)
- …and payment of claims . + Provides guidance on the most complex claims . + Develops short/long-term objectives and continually monitors procedures to ... **Anticipated End Date:** 2024-09-09 **Position Title:** Rating/ Claims System Senior Advisor **Job Description:** **Rating/ Claims System Senior Advisor**… more
- UMB Bank (Boston, MA)
- …change to ensure the best customer experience. + Review and decide high-value and complex card fraud claims . + Prepare regular reports on card fraud ... **Duties & Responsibilities** The Manager, Card Fraud Claims , will oversee and manage the UMB card...College Degree + TSYS TS2 and/or TSYS TMS experience ** Compensation Range:** Minimum: $69,230.00 - Maximum: $179,300.00 _The posted… more
- Iron Mountain (Boston, MA)
- …mediations.** + **Manage accountabilities in the administration of first and third party worker 's compensation claims . This role manages domestic and/or ... calls as pertains to insurance contractual obligations.** + **Review and approve Workers compensation allocation model** + **Support B2B Opportunities** +… more
- State of Massachusetts (Boston, MA)
- …codes, policies and procedures governing DFML in order to examine and resolve most complex DFML applications. * Experience in adjudicating claims . * Ability to ... *Lead Claims Examiner/Job Service Representative II| Department of Family...Medical Leave program that provides income support to Massachusetts workers and their families during significant life events while… more
- Elevance Health (Woburn, MA)
- …and procedures. + Investigates potential fraud and over-utilization by performing the most complex medical reviews via prepayment claims review and post payment ... and/or fraudulent activities by health care providers through prepayment claims review, post payment auditing, and provider record review....in good faith believes is the range of possible compensation for this role at the time of this… more
- Sedgwick (Boston, MA)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker , attorney and supervisor. + Identifies ... Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker , employer, and medical providers, create a case management strategy to facilitate… more
- Takeda Pharmaceuticals (Lexington, MA)
- …contribute to Takeda's mission by providing regulatory strategic oversight for complex products or therapeutic area products to help ensure regulatory compliance ... products. + Provide regulatory strategic oversight for at least one (1) complex product or therapeutic area/multiple products to help ensure regulatory compliance of… more
- Beth Israel Lahey Health (Boston, MA)
- …the missing elements reports, verifying accuracy of registered payer information ( workers compensation , auto liability), providing updated information, where ... out to patients requesting specific information to assist with continuing claims processing. Works collaboratively with primary care or specialty physicians, their… more
- Takeda Pharmaceuticals (Lexington, MA)
- …You will also provide regulatory strategic oversight for at least one complex product or therapeutic area/multiple products to help ensure regulatory compliance of ... PA home office (hybrid). How you will contribute: + Understand and interpret complex issues in relation to regulatory requirements and promotional strategy. + Mentor… more
- State of Massachusetts (Boston, MA)
- …statutes and regulations that affect eligibility for financial assistance, such as worker 's compensation , social security and unemployment insurance. 8. Ability ... seeks qualified applicants for the position of Benefit Eligibility & Referral Social Worker D (BERS D) - Regional Homeless Coordinator Supervisor within the Housing… more
- Elevance Health (Woburn, MA)
- …acceptability of insurance risks and appropriate premium rates for large, complex renewal and prospect employer groups in accordance with Corporate Underwriting ... are not limited to: + Calculates renewal rates for complex group cases based on thorough analysis of the...increments or decrements. + Communicates with sales, administration and claims to assess the rating and administrative impact or… more
- Elevance Health (Woburn, MA)
- …the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. **How ... level function as subject matter experts, conducting routine to complex audits, generally related to multiple functions on multiple...in good faith believes is the range of possible compensation for this role at the time of this… more
- State of Massachusetts (Lawrence, MA)
- …statutes and regulations that affect eligibility for financial assistance, such as worker 's compensation , social security and unemployment insurance. 1. Ability ... for the position of Benefit Eligibility & Referral Social Worker C (BERS C) within the Division of Housing...crisis and with the ability to interpret and understand complex regulations and policy to determine program eligibility accurately.… more
- Elevance Health (Woburn, MA)
- …responsible for the Case Management and Utilization Management of the complex transplant membership. Assess, develop, implement, coordinate, monitor, and evaluate ... as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of...in good faith believes is the range of possible compensation for this role at the time of this… more
