- CVS Health (Boston, MA)
- …will move to $18.50. Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit Specialists have the opportunity to ... use multiple systems and screens to obtain and record claim information + Review claims information to...offers a full range of medical, dental, and vision benefits . Eligible employees may enroll in the Company's 401(k)… more
- MAPFRE Insurance (Webster, MA)
- Claim Specialist , Casualty (Hybrid) Date: Jan 12, 2025 Location: Webster, MA, US Company: MAPFRE Bring your passion and enthusiasm for Claims to our TEAM! At ... complex matters seamlessly. Be part of this collaborative group of innovative claim handlers. Understandably, comprehensive benefits are important and we offer… 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 ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- Sedgwick (Providence, RI)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist , Professional Liability **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...for this role is_ **_$115,000- $120,000_** _. A comprehensive benefits package is offered including but not limited to,… more
- Sedgwick (Providence, RI)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Environmental Claims Specialist **Job Description Summary** To analyze complex or ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...for this role is_ **_$110,000- $120,000_** _. A comprehensive benefits package is offered including but not limited to,… more
- Sedgwick (Providence, RI)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Professional Liability (Cyber) **PRIMARY PURPOSE** **:** To ... guidance to less experienced team members on complex cyber claims Reporting and Analytics: + Prepare detailed claim...for this role is_ **_$110,000- $120,000_** _. A comprehensive benefits package is offered including but not limited to,… more
- Zurich NA (Boston, MA)
- Sr. Claims Specialist , Workman's Compensation 119585 Zurich North America is seeking an experienced Senior Claims Specialist in Workers' Compensation to ... also open to fully remote applicants residing in Maine. The Senior Workers' Compensation Claims Specialist will manage claims of moderate to high exposure… more
- MetLife (Warwick, RI)
- …pending, ongoing and appeal reviews. . Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and ... and other information pertinent to the evaluation of the claim . Once telephone calls are completed, you will be...proofs are needed to make a reasonable and logical claims determination based off the information available. . Collaborates… more
- Lincoln Financial Group (Providence, RI)
- …for this opportunity. **Requisition #:** 74082 **The Role at a Glance** As an **LTD Claims Specialist ** , you will manage a workload of Long-Term Disability ... and reviewing medical records and making timely and ethical claim determinations. You'll complete a thorough training program to...and e-mail to gather information regarding Long Term Disability Claims and state and federal benefits when… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …waste, and abuse and to facilitate accurate claim payments. The coding specialist will conduct pre-payment reviews of claims submitted by providers and ... regulatory and state guidelines, and policies. 4. Provide instructions to the claims operations department prepayment reviews to initiate claim adjustments 5.… more
- Travelers Insurance Company (Providence, RI)
- …level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . ... Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is… more
- USAA (Providence, RI)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... makes us so special! **The Opportunity** As a Insurance Property Adjuster Specialist , you will work within established guidelines and framework to investigate,… more
- State of Massachusetts (Boston, MA)
- …liens are issued and deadlines are met. * Report out on findings as needed. *Medicare Claims Reporting and Claim Handling * * Work with A&F IT to ensure ... in all matters relating to the Commonwealth's classification, compensation, benefits , recruitment, training & employee development, civil rights, collective… more
- Sedgwick (Providence, RI)
- …information and claim status either by phone, written correspondence and/or claims system. + Participates in and maintains a quality service culture within the ... to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Service Center Specialist - Background in Auto Insurance Required **PRIMARY PURPOSE** : To assist… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …responsible for managing denials related to front-end prior authorization, biosimilar drugs, pharmacy- benefit exclusion drugs, and claims . Located in Boston and ... Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and appeals… more
- Point32Health (Canton, MA)
- …company.Under direction of the Provider Enrollment Supervisor, the Provider Enrollment Specialist processes, maintains, and revises all components of the provider ... and facsimile and in writing regarding practitioner information. The Specialist has comprehensive knowledge of IPA (Independent Practitioners Affiliations) specifics… more
- Northeast Family Services (Warwick, RI)
- …in regard to claims , payments, and outstanding balances + Review explanation of benefits to ensure claims process and pay correctly + Monitor and identify ... Northeast Family Services is currently seeking a Billing Specialist to join their growing team! This position...variety of daily tasks, including preparing clean and timely claims submissions, resolution of denials from payers, posting of… more
- Travelers Insurance Company (Providence, RI)
- …level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . ... conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.… more
- Health Plans, Inc. (Westborough, MA)
- …for employer groups who self-fund their health, dental and short-term disability benefit programs. As such, the specialist manages information for clients ... reputation. As a third-party administrator, we offer a suite of health and benefit solutions to employers. By joining HPI, you'll contribute to ideas that make… more
- Noblis (Boston, MA)
- …**Role Description:** Noblis isseekinga detail-oriented and experienced **Advanced** **Contracting Specialist ** to join our team at ARPA-H (Advanced Research ... Projects Agency for Health). As an ARPA-H **Intermediate** **Contracting Specialist ** **(PATIO)** , you will be responsible for coordinatingand assisting in the… more