- Zurich NA (Boston, MA)
- Senior Claims Specialist or Claims Specialist 117405 Zurich North America is seeking an experienced Senior Claims Specialist or Claims ... set relative to the qualifications listed for this position._ Basic Qualifications: ** Senior Claims Specialist :** + Bachelor's Degree and 6 or more years… more
- BrightSpring Health Services (Taunton, MA)
- Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist , where you'll play a key...a key role in ensuring our long-term care and senior living clients receive the pharmaceutical support they need.… more
- LogixHealth (Bedford, MA)
- …Excel skills We want to meet YOU! Purpose Process all denied and unpaid claims submitted to insurance carriers to ensure payments are received and provide oversight ... Review A/R reports to follow up on any unpaid claims + Submit required appeals when needed + Submit...to two years related billing experience preferred; Previous Billing Specialist experience highly desired. Prior word processing, spreadsheet and… more
- Zurich NA (Boston, MA)
- Senior Design/Construction Management Consulting Specialist 113183 Zurich is looking for a highly skilled ** Senior Design/Construction Management Consulting ... relationships with client companies and their teams. This advanced senior design/construction management consultant will be responsible for driving revenue… more
- LogixHealth (Bedford, MA)
- …related procedures for physicians/mid/level providers to ensure groups can submit claims to insurance carriers for reimbursement. Duties and Responsibilities + ... Process provider enrollment applications for providers/groups + Research insurance provider enrollment requirements by state + Enter group/individual data to credentialing system + Prepare and submit provider enrollment applications with provider, insurance… more
- State of Massachusetts (Boston, MA)
- …Administrator contractual functions that relate to provider enrollment and credentialing, claims operations, appeals, program integrity and reporting related to the ... (TPA) contractual functions relating to provider enrollment and credentialing, claims operations, prior authorization, appeals, program integrity and reporting… more
- Travelers Insurance Company (Boston, MA)
- …multinational partners around the world, in partnership with the B&SI Senior Management team. -Serves as trusted advisor for external constituents **Post-transaction ... invoice issuance, policy issuance, etc.). - Coordinates with Claim when foreign claims are at issue and assistance is needed. - Assists Reinsurance Accounting… more
- Highmark Health (Boston, MA)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- Wolters Kluwer (Boston, MA)
- …Services job family group. Working under instruction, guidance and direction from more senior level roles, works on projects of limited complexity. Work is reviewed ... by management or more senior peers. Responsible for output (documents, analysis, product) in...+ Receive legal invoice assignments from the Operations Support Specialist and/or work the intake queue for self-assignments. +… more