- HUB International (Wilmington, MA)
- …maintain their own unique, regional culture. We currently have an opportunity for a ** Senior Claims Specialist ** . **Overview** : Responsible for servicing ... : + Provides advocacy for small, middle market, and high-profile clients by reporting claims . + Participate in the claim after hours program as part of the servicing… more
- Zurich NA (Boston, MA)
- …New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, or Vermont. The Senior Workers Compensation Claims Specialist will handle multi-party ... Sr. Claims Specialist (Workers Compensation, NE Region) 129546 Zurich is looking for an accomplished Workers Compensation Sr. Claims Specialist for or… more
- Beth Israel Lahey Health (Charlestown, MA)
- …a difference in people's lives.** Under oversight of the Department Manager, the Senior Specialist Patient Financial Services - Hospital Billing will be ... of senior level Accounts Receivable tasks. The Senior Specialist will be responsible for the...posting. * Gathers all necessary documentation needed to have claims reprocessed/adjudicated * Informs and/or transfers to management of… more
- CVS Health (Boston, MA)
- …handle customer service inquiries and problems. **Additional Responsibilities** - Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- CVS Health (Boston, MA)
- …Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance ... level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine...to the team that may result in adjustment to claims . + May provide job shadowing to lesser experience… more
- USAA (Boston, MA)
- …(Associate in General Insurance), CPCU (Chartered Property Casualty Underwriter), AIC (Associate in Claims ), or SCLA ( Senior Claims Law Associate) or ... special and impactful. **The Opportunity** As a dedicated Property Adjuster Specialist , you will work within defined guidelines and framework, investigate, evaluate,… more
- Cardinal Health (Boston, MA)
- …authorization through billing and collections. Job Purpose: The Patient AR Specialist is responsible for managing and resolving outstanding patient balances, ... billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs)… more
- Medtronic (Boston, MA)
- …articulate to customers. + Execute engaging field sales and clinical specialist field education programs that are targeted, purposeful, and support electrophysiology ... Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through… more
- Philips (Cambridge, MA)
- …important member of the Philips North America MRI Clinical Science team, the Senior MRI Clinical Scientist will collaborate with medical doctors and physicists of ... in North America. + Will be the expert MRI specialist in an assigned technical or clinical application area,...IP for product development and generate evidence to support claims through scientific publications. + Be hands-on, be able… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and ... to enhance provider satisfaction and member access to care. Reporting to the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account… more
- Adecco US, Inc. (Boston, MA)
- …detail-oriented Executive Assistant & Program Coordinator to support four senior executives spearheading a major multi-year Technology Enabled Business ... **Calendar Management:** Proactively manage complex, dynamic schedules for four senior executives. This involves scheduling and confirming meetings, managing time… more