- Sutherland Global Services (Boston, MA)
- …engineered brand experiences for some of the world's best-known brands. We are now seeking Health Claims Specialists to join us and support one of our ... and Wellness programs including a personal trainer dedicated to Sutherland + Health or health insurance claims experience + Knowledge of medical terminology… more
- Prime Therapeutics (Boston, MA)
- …clients. This position will serve as an escalation resource and mentor for Claims Specialists . **Responsibilities** + Leverage strong understanding of claims ... our passion and drives every decision we make. **Job Posting Title** Senior Medicare Claims Specialist - Remote **Job Description** The Claims Specialist… more
- Atrius Health (Chelmsford, MA)
- Atrius Health , an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical ... practice locations in eastern Massachusetts. Atrius Health 's 645 physicians and primary care providers, along with 420 additional clinicians, work in close… more
- Commonwealth Care Alliance (Boston, MA)
- …from Medicaid and Medicare for all CCA offered products. + Conduct reviews of health care claims and document review findings in accordance with standard ... Assurance, the incumbent is responsible for independent quality reviews of medical claims , and evaluating Call Center activities for compliance with policies and… more
- Sutherland Global Services (Boston, MA)
- …individuals with strong communication skills to join us as Medical Billing/AR Specialists ! In this position, you will be responsible for handling a variety ... This will include: + Conducting collection activity on appealed claims by contacting government agencies, third party payers via...as needed + Communicating with insurance plans and researching health plans for benefits and types of coverage +… more
- WellSense (Boston, MA)
- Sr. Provider Relations Consultant- (MA residents)-$5000 sign on bonus WellSense Health Plan is a nonprofit health insurance company serving members across ... (https://jobs.silkroad.com/BMCHP/Careers/Apply/MultiForm/293959) It's an exciting time to join the WellSense Health Plan, a growing regional health insurance… more
- Harvard University (Cambridge, MA)
- …to educational institutions, such as Title IX, student discrimination and disability claims , and faculty and student affairs. The University Attorney also will ... a hybrid work schedule (currently three days onsite/two days remote ). The Office of the General Counsel may alter...of handling a wide variety of legal matters and specialists with expertise in key areas. The Office embraces… more
- Zurich NA (Boston, MA)
- Product Specialist I 114106 Zurich North America is currently looking for a Product Specialists to join our Casualty Product Development Team based out of our North ... and endorsement drafting, leading reviews with Corporate Law and Claims Legal, and managing the filing process and Departments...employment at Zurich, employees must adhere to any COVID-related health and safety protocols in place at that time… more
- Humana (Boston, MA)
- … first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on ... Qualifications** + Medical utilization management experience, + working with health insurance organizations, hospitals and other healthcare providers, patient… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** Humana is seeking an individual for the Senior Business Intelligence Data Analyst to provide ... analytical tools + Provides support for payments to value-based specialists + Aids in the evaluation of new pharmacy...Medical Benefits + Dental Benefits + Vision Benefits + Health Savings Accounts + Flex Spending Accounts + Life… more
- WTW (Boston, MA)
- …strategically cross-selling products aligned with clients' needs and introducing technical specialists , as required, to win and retain the business. Note that ... this specific job opportunity. Since this role can be remote anywhere in the US, we are open to...face with clients + Champion the proper advocacy of claims + Participate in stewardship meetings + Support Client… more
- HUB International (Rockland, MA)
- …90% of workday. + Ability to work remotely. **Work Location:** Remote **Licensing or certification Requirements:** None required **Physical Demands:** **The physical ... network of experts who will help you reach your goals through risk services, claims management, and compliance support. And this gives you the peace of mind that… more
- HUB International (Rockland, MA)
- …work both independently and co-operatively with others. **Work Location:** + Remote **Schedule:** + Monday-Friday (8:30 am-5:00 pm) some flexibility with start/end ... network of experts who will help you reach your goals through risk services, claims management, and compliance support. And this gives you the peace of mind that… more