- Suffolk University (Boston, MA)
- Human Resources Coordinator & Operations Specialist Staff Exempt Boston, Massachusetts Apply Description Suffolk University is seeking a Human Resources ... Coordinator & Operations Specialist . This role performs a wide...compliance including employment verifications, employee files requests, and unemployment claims . + Assist with Human Resources cost center expense;… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Pharmacy Operations Specialist is responsible for supporting the operational functions of Commonwealth Care Alliance ... (CCA) pharmacy program. Operational functions include: claims oversight and resolution, monthly EOB reviews and monthly...tool for all lines of business + Support pharmacy operations team in the analysis of monthly and yearly… more
- Deloitte (Boston, MA)
- Operations & Technology Transformation Specialist Master, Guidewire Data Migration - ETL Developer What we do Operations and Technology Transformation ... on July 31, 2024 Work you'll do As an OTT Insurance Transformation Specialist Master, you will bring considerable technical expertise to deliver effective solutions… more
- 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
- Crawford & Company (Boston, MA)
- …which focuses primarily in the following four key areas of edjuster's content claims handling operations : + Acting/operating as a third party, intermediary ... Claims Specialists are consistently (daily/weekly basis) assigned new claim files. + Operating from their home-based offices, edjuster's...detailed work/time logs on a daily basis, for all claims processed. + Maintain claim related notes… more
- AIG (Boston, MA)
- Claims Analyst III As a Claim Analyst III, you will be responsible for handling all aspects of third-party Professional Liability/EPL/D&O claims from ... and litigation / procedural requirements for Financial Lines. + Specialist knowledge of Professional Liability technical claims ...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- Beth Israel Lahey Health (Burlington, MA)
- …and accurately appeal claims to ensure successful initial submission. The Billing Specialist will be responsible for charge and claim review to ensure the ... you're making a difference in people's lives.** The Billing Specialist role specializes in high dollar claims ,...claim and it was billed appropriately. The Billing Specialist will work directly with Supervisors and Managers to… more
- Beth Israel Lahey Health (Danvers, MA)
- …and accurately appeal claims to ensure successful initial submission. The Billing Specialist will be responsible for charge and claim review to ensure the ... you're making a difference in people's lives.** The Billing Specialist role specializes in high dollar claims ,...claim and it was billed appropriately. The Billing Specialist will work directly with Supervisors and Managers to… more
- USAA (Boston, MA)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... **The Opportunity** We are seeking a dedicated Property Adjuster Specialist to join our field Team. The adjuster has...to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will… more
- Tufts Medicine (Burlington, MA)
- …are more complex, more technical, and/or more critical to Tufts Medicine operations . This position requires regular engagement with teams, departments, and key ... responsibilities may be assigned. 1. Serves as an experienced business specialist and technology generalist responsible for aligning technology solutions with… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …experience in a hospital or professional practice is highly desirable. + Knowledge of claims operations systems (NASCO, Blue Card, ITS) is also desired. + ... This position is an opportunity to become directly involved in the daily operations of the Provider & Subscriber Accounts Receivables department within Treasury … more
- The Hartford (Boston, MA)
- …you, then you've landed in the right place. The Construction Account Specialist (CAS) provides Risk Engineering services for all assigned construction accounts ... Instructions. + Apply analytical and communication skills and the knowledge of construction operations to uncover the business needs of the insured and be able to… more
- State of Massachusetts (Taunton, MA)
- …emerging labor market needs of the Commonwealth, now and in the future. The Job Specialist IV assists in the operation of a unit of Employment Counselors, DVOP, and ... or other personnel providing services to DCS clients; interprets and explains operations rules and procedures; refers clients to various training and employment… more
- Elevance Health (Woburn, MA)
- …+ Healthcare related experience a plus. + Previous experience in high-volume operations (Medical Review, Appeals, Claims , Customer Service) strongly preferred. + ... **Pharmacy Quality Improvement Specialist ** _This position will work a hybrid model...and other key operational improvements, provide guidance to leads, operations experts, associates, and/or managers on process improvement issues.… more
- Walgreens (Allston, 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
- Philadelphia Insurance Companies (Bridgewater, MA)
- …50 and rated A++ by AM Best. Duties We are looking for a Business Solutions Specialist / Sr. Specialist to join our team! Summary - Analyzes company ... operations , organization, and systems in order to recommend solutions...Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii,… more
- State of Massachusetts (Boston, MA)
- …Assistance is seeking detail-oriented individuals for the position of *Central Office Specialist *. Our ideal candidate will act as a subject matter expert, providing ... programs, policies, procedures, specifications, standards and guidelines governing agency operations and assigned unit activities. * Ability to apply principals,… more
- Beth Israel Lahey Health (Burlington, MA)
- …you're making a difference in people's lives.** Job Summary: The Medication Access Specialist will fulfill all of the job responsibilities as needed and coordinate ... more specialty clinics. This position acts as a care coordination specialist between specialty/retail pharmacy and the prescribers. Responsible for documenting,… more
- Drug Enforcement Administration (Boston, MA)
- …in support of Division leadership. Responsibilities As a Mission Support Specialist , your typical work assignments may include: Performing administrative support ... All qualifications must be met by the closing date of this announcement. Qualification claims will be subject to verification. You may qualify at the GS-09 level, if… more
- Textron (Boston, MA)
- **EHS Specialist , IAD or BOS** **Description** Textron Specialized Vehicles Inc\. is a leading global manufacturer of golf cars, utility and personal transportation ... Manage aspects of workers compensation and act as a liaison to 3rd party claims management group\. * Implement and monitor the effectiveness of Textron EHS standards… more