- 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 ... open to fully remote applicants residing in Maine. The Senior Workers' Compensation Claims Specialist will manage claims of moderate to high exposure and… more
- Sedgwick (Boston, MA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Professional Liability (Cyber) **PRIMARY PURPOSE** **:** To ... analyze complex or technically difficult Cyber and other Professional Liability claims ; to provide resolution of medium to highly complex nature claims ; to… more
- Sedgwick (Boston, MA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist , Professional Liability **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** ... + Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on the claim; manages… more
- Sedgwick (Boston, MA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Environmental Claims Specialist **Job Description Summary** To analyze complex or ... technically difficult environmental claims ; to provide resolution of highly complex nature and/or...provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within company standards, industry… more
- Guardian Life (Pittsfield, MA)
- …for you to grow and enrich your career and future as a Life Claims Specialist . We believe in your aspirations for purpose, leadership, and achievement ... help build the core proficiencies you will need to be a successful Life Claims Specialist . In your first year, we will provide extensive training in a highly… more
- Lincoln Financial Group (Boston, MA)
- …for this opportunity. **Requisition #:** 74082 **The Role at a Glance** As an **LTD Claims Specialist ** , you will manage a workload of Long-Term Disability ... claims independently in accordance with established procedures and guidelines....and e-mail to gather information regarding Long Term Disability Claims and state and federal benefits when applicable +… more
- Carrington (Boston, MA)
- **Come join our amazing team and work from home!** The Loss Mitigation FHA Claims Specialist will be responsible for preparing, filing, and following up on all ... FHA home retention claims timely and accurately according to investor/insurer guidelines. Perform...**What you'll do:** + Prepare and file all HUD claims timely and accurately according to investor/insurer/CMS guidelines and… more
- US Tech Solutions (Canton, MA)
- **Job Summary:** The Medical Claims Research Specialist supports the HEDIS (Healthcare Effectiveness Data and Information Set) reporting period by reviewing ... medical claims , identifying appropriate medical records and providers, and documenting...+ Follow workflows to complete daily tasks. + Conduct claims and provider research using claims reports.… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …fraud, waste, and abuse and to facilitate accurate claim payments. The coding specialist will conduct pre-payment reviews of claims submitted by providers and ... persona. The position serves as a Prepayment Review Coding Specialist within the Fraud Investigation & Prevention Unit ("FIP")....to substantiate the services billed. This process allows for claims to be reviewed prior to adjudication to ensure… more
- Beth Israel Lahey Health (Charlestown, MA)
- …oversight of the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will be responsible for efficient & timely billing ... Follow-Up, and Denial activities necessary to obtain payment/resolution of claims . . Review the entire account to ensure ...claims . . Review the entire account to ensure claims were billed properly, payments were applied correctly, and… 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
- 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 ... moderate and high severity Bodily Injury and Un/Under Insured Motorist claims . This position requires proficiency in interpreting Personal and Commercial Auto… more
- State of Massachusetts (Boston, MA)
- …the leadership of the Director of Workers' Compensation, the Workers' Compensation Specialist is responsible for overseeing specialty programs that fall within the ... and credited to the claim. * Analyze, study and report trends of third-party claims activity to ensure the best cost savings to our partner agencies. * Maintain… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …Department: Patient Accounts All Locations: East Boston Position Summary: The Billing Specialist II is responsible for organizing work flow to complete the timely ... and accurate submission of medical and dental claims to Medicaid, Medicare, other third party payors and...and maintain a low backlog of work. The billing specialist III works as part of a team that… more
- Family Service Association - Fall River (Fall River, MA)
- …Service Association is seeking to hiring a full time, 40 hours per week, Revenue Cycle Specialist . Hours are Monday - Friday from 8 am to 5 pm The Revenue Cycle ... Specialist , reporting to the Director of Financial Services, plays...payment receipt. Key responsibilities include reviewing and processing insurance claims , verifying patient insurance information, resolving billing issues, managing… more
- LogixHealth (Bedford, MA)
- $5,000 Signing Bonus Location: On-Site in Bedford, MA This Role: As a Billing Specialist at LogixHealth, you will work with a team of fellow medical billers, ... 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… more
- Sedgwick (Boston, MA)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Service Center Specialist - Background in Auto Insurance Required **PRIMARY PURPOSE** : To assist ... customer service representatives in expediting the application by providing claims general information; to track trends; to investigate client feedback both… more
- CVS Health (Boston, MA)
- …/ graduate in good standing will move to $18.50. Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit Specialists have the ... by providing accurate and timely resolution in processing medical claims . You will be a key link in providing...screens to obtain and record claim information + Review claims information to determine the nature of a member's… more
- Lowe's (Wilmington, MA)
- **Your Impact at Lowe's** As a Market Delivery Inventory Specialist , your skillful management of inventory processes and positive stakeholder relationships directly ... Your tasks include managing various product categories, monitoring crucial reports, and resolving claims with our third-party logistics partner - all in a day's work… more
- Robert Half Accountemps (Springfield, MA)
- Description We are seeking a diligent Insurance Follow-Up Specialist to join our team in Springfield, Massachusetts. As an Insurance Follow-Up Specialist , you ... tactically * Ability to understand and interpret complex insurance claims and appeals * Proven track record of following...* Proven track record of following up on insurance claims and appeals in a timely manner * Demonstrated… more