- Sedgwick (Boston, MA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to ... and professional needs. **ARE YOU AN IDEAL CANDIDATE?** Join our team as a Claims Representative focused on Property Damage and low touch auto claims . If you… more
- Sedgwick (Boston, MA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative (IAP) - Workers Compensation Training Program Are you ... industry professional with the ability to analyze workers compensation claims and determine benefits due. **ARE YOU AN IDEAL...the foundational skills needed for a successful career in claims adjusting. Over the course of a few years,… more
- Elevance Health (Woburn, MA)
- ** Claims Representative I** **Location:** Virtual in Woburn, MA or Manchester, NH. This role enables associates to work virtually full-time, **with the exception ... Friday, 8:30 am - 5:00 pm EST The **Claim Representative I** is responsible for successfully completing the required...for technical accuracy and soundness. + Codes and processes claims forms for payment ensuring all information is supplied… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Claims Review Representative makes appropriate claim decision based on strong knowledge of ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative performs advanced administrative/operational/customer support… more
- Zurich NA (Boston, MA)
- Claims Concierge Service Executive - Northeast 127284 Zurich is looking to hire a ** Claims Concierge Service Executive** in our Claims Relationship ... business units and functional groups to execute strategies that promote claims value-added services, drive profitable growth, and improve technical excellence,… more
- Ryder System (Boston, MA)
- …(http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and Auto Liability ... Claims , Physical Damage Repairs and Property and Cargo ...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …Service Representative , you will resolve telephone and written Provider claims -related service inquiries. The Provider Services Representative responds to ... with an unparalleled consumer experience. As a Provider Service Representative , you will be at the heart of the...to corporate policies and guidelines, timely filing, account receivables, claims processing, etc. You'll be able to represent the… more
- Beth Israel Lahey Health (Charlestown, MA)
- …and interprets third party payments, adjustments, and denials. Initiates corrected claims , appeals and analyzes unresolved third party and self-pay accounts, ... information that impacts the resolution of current or potential future claims . 3. Establishes relationships and maintains open communication with third party… more
- Lawrence General Hospital (Lawrence, MA)
- …of the range to support future salary growth. As the Patient Account Representative , you will be responsible for ensuring accurate and timely billing and collection ... Embraces and uses technology provided to complete daily tasks. + Reviews all claims assigned prior to electronic submission and corrects any errors. + Understands… more
- Amergis (Boston, MA)
- …facility in Charlestown, MA who is currently seeking a qualified Patient Access Representative to assist them on a contractual basis. Details of the position ... include: Position: Remote Patient Access Representative Location: Charlestown, MA Start Date: ASAP Duration: 13...+ Monday - Friday + 7:30am-4:00pm Contract Requirements: . Claims experience and scheduling experience required . Must be… more
- Highmark Health (Boston, MA)
- …ensure they utilize various means of automated communication, as well as, claims and electronic data interchange and electronic funds transfer. Collaborate with ... sales and customer service to respond to client/broker/member inquiries regarding provider contract, claim/member issues or provider file/record/directory discrepancies. Consult with dental director/dental advisers regarding clinical-related questions and… more
- Beth Israel Lahey Health (Charlestown, MA)
- …as license/certification verification, onboarding and off-boarding processes, unemployment claims , track visas, employment verifications, records management, and ... assist with special projects (essential) **Required Qualifications:** + High School diploma or GED required. Bachelor's degree preferred. + 1-3 years related work experience required. + Organizing and prioritizing activities + Understanding of the HR function… more
- Ryder System (Boston, MA)
- …**SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling ... complex and high exposure bodily injury and property damage claims . **Maintain an active inventory of claims ,...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- State of Massachusetts (Boston, MA)
- …to work, available for work and looking for a job. The Job Service Representative is responsible for making determinations on eligibility for benefits in disputed ... claims after gathering necessary information through interviews; issue timely...perform related work as required. Duties include: * Analyze claims by reviewing available data to identify and prioritize… more
- State of Massachusetts (Boston, MA)
- …work, available for work and looking for a job. The Job Service Representative I performs customer service and issue resolution by assisting employers or claimants ... determinations in accordance with MGL Chapter 151A, 430 CMR, the Job Service Representative 's Handbook, and established Revenue Procedures as well as the Code of… more
- State of Massachusetts (Boston, MA)
- …benefit amounts, monetary eligibility, reviewing wages/earnings and issues on current claims to determine claimant eligibility on the new claim. Also responsible ... hearing in accordance with MGL Chapter 151A, 430 CMR, the Job Service Representative 's Handbook, Revenue Procedures as well as the Code of Federal Regulations,… more
- CVS Health (Boston, MA)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the Accounts Receivable Supervisor include:** +… more
- Highmark Health (Boston, MA)
- …the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the ... effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review of...+ Ability to visualize, articulate and solve complex problems representative of a broad range of service and claim… more
- Sedgwick (Boston, MA)
- …of experience and education required to include three (3) years as an Account Representative **OR** five (5) years adjuster experience including one (1) year in a ... in one of the following areas: workers compensation, liability and disability claims management + Strong understanding of client location coding parameters, banking… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …continuous improvement and compliance. + Manages reports and trends to the Management Representative to help in the preparation of Management reviews and/or other ad ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more