- Sedgwick (Boston, MA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Representative | Remote Are you looking for an opportunity to ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...OF THE ROLE:** To analyze mid-level Commercial General Liability claims on behalf of our valued clients to determine… more
- Sedgwick (Boston, MA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Commercial Auto Claims Representative - Liability **PRIMARY PURPOSE** : To analyze and ... process low to mid-level auto physical damage claims . Commercial auto claims experience is preferred. Having a current New York adjuster's license is optimal but… more
- Elevance Health (Manchester, NH)
- ** Claims Representative I (Health and Dental)** **Location:** Remote, within 50 miles of an Elevance Health pulse point. **Hours:** An 8-hour shift, Monday - ... Friday, between the hours of 7 am - 6 pm EST. The ** Claims Representative I** is responsible for successfully completing the required basic training. Able to… more
- Concord Group Insurance (Bedford, NH)
- The Branch Claims Representative investigates, evaluates, and determines the appropriate disposition of all types of claims arising out of the Company's ... service to agents, insureds, and others in the course of handling those claims to their conclusion. Work is performed under general supervision. Responsibilities +… more
- State of Massachusetts (Boston, MA)
- *Lead Claims Examiner/Job Service Representative II| Department of Family & Medical Leave* The Program Integrity Claims Examiner/Job Service ... within the Department of Family Medical Leave (DFML). The Lead Claims Examiner/Job Service Representative II will review, analyze and evaluate disputed claims… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA This Role: As a Claims Specialist, you will work with internal teams to provide cutting-edge solutions that will directly improve ... to review and carry out processes on all out of network claims . The ideal candidate will have strong technological skills, excellent interpersonal communication,… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA This Role: As a Claims Specialist in EDI at LogixHealth, you will perform general tasks in the EDI Department on the Billing Team . ... interpersonal communication, and a desire to learn. Key Responsibilities: + Print paper claims for all Allscripts databases + Work daily custom reports for client… more
- Carrington (Boston, MA)
- **Come join our amazing team and work remote from home!** The Default Claims and Loss Analysis Business Analysts function as an expert resource which consults with ... reports. + Using a strong background of Default MI Claims and/or Loss Analysis identify gaps, trends and build...+ Conceptualize and design dashboards and reports that are representative of the business unit's productivity. + Strong understanding… more
- HealthEdge Software Inc (Boston, MA)
- …Employment:** Full-time, permanent **Work Environment:** The physical demands described here are representative of those that must be met by an employee to ... successfully perform the essential functions of this job: + The employeeis occasionally required tomove around the office. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to… more
- LogixHealth (Bedford, MA)
- $1,000 SIGNING BONUS Purpose LogixHealth is seeking a Call Center Representative in our Patient Call Center. The person in this role will represent our clients in a ... to perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodation may… more
- Elevance Health (Manchester, NH)
- **Customer Care Representative I** **Location:** Remote, within 50 miles of an Elevance Health pulse point. **Hours:** An 8-hour shift, Monday - Friday, between the ... hours of 8 am - 6 pm EST. The **Customer Care Representative I** is responsible for successfully completing the required basic training. Able to perform basic job… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …Department: Registration All Locations: East Boston Position Summary: The Patient Access Representative is expected to make all patients feel welcome, over the phone ... to a front end error at the end of each shift to avoid delay in claims being processed. Alerts supervisor of any issues with accounts in workqueue or in completing… more
- Surgery Care Affiliates (Waltham, MA)
- …and third-party reimbursement issues. + Works all denials and corrected claims collaborating with the biller and/or Business Office Manager, insurance payers ... and/or patients on past due accounts + Primary functions are credit balance management, patient balance resolution and non-patient (insurance) resolution + Ensure payments by primary and secondary payers and/or self-pay patients are accurate + Responsible for… more
- Evolent Health (Boston, MA)
- …+ Answer and manage inbound inquiries regarding health plan benefits and claims , eligibility, medical and other healthcare procedures, billing and payments and other ... related topics from customers in a prompt, courteous manner. Conduct out-bound and/or return calls to customers as necessary. + Ask appropriate questions and listen actively to identify specific questions or issues to provide appropriate response and type of… more
- LogixHealth (Bedford, MA)
- …bring your expertise to facilitate payment of Emergency Department Physician medical claims . The ideal candidate will have strong technical skills, excellent ... returned mail from patients + Mail out all paper claims generated by the staff on a daily basis...perform each Key Responsibility satisfactorily. The following requirements are representative of the knowledge, skills, and/or ability required to… more
- LogixHealth (Bedford, MA)
- …benefits (EOB) statement + Analyze A/R (Accounts Receivable) reports to follow up on unpaid claims + Send out appeals on claims that require an appeal + Submit ... required documentation to insurance companies as requested + Research claims for information in order to process bills in a timely manner + Communicate with… more
- Robert Half Finance & Accounting (Burlington, MA)
- …with various insurance agencies for certificates of insurance, policy renewals, and insurance claims . * Act as a backup for communication with union concerning new ... log of outstanding matters. * Liaise with the local insurance carrier representative to gather information related to work accidents. * Handle unemployment insurance… more
- Guardian Life (Boston, MA)
- **Job Posting Title** **Team Leader, Absence Claims Management (STD)** **Job Description** The **Team Leader, Absence Claims Management (STD)** is responsible ... submit process improvement ideas to revise workflows and procedures. + Support claims initiatives by encouraging/providing relevant feedback and acting as a change… more
- Crawford & Company (Boston, MA)
- …and direction, resolves moderately complex residential and commercial property claims by investigating losses, negotiating settlements, presenting evidence in legal ... proceedings while maintaining adequate production levels. Responsibilities + Examines claims forms, policies and endorsements, client instructions and other records… 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...perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable… more