- Trustmark (Boston, MA)
- …colleagues, clients and communities. Responsible for reviewing and processing claims including, identifying irregularities and reviewing for accuracy, and ... Care (LTC), Disability and Critical Care. Key Accountabilities + Identifies claims that need additional reviews, initiates and implements the appropriate reviews.… more
- Guardian Life (Boston, MA)
- …by providing comprehensive medical reviews and analysis of long-term disability claims . The RN Clinical Consultant identifies restrictions, limitations and ... and prioritize the customer experience. **Candidate Responsibilities** The RN Clinical Consultant reviews long-term disability claims to determine the impact… more
- Exl Service (Boston, MA)
- Overview Commercial Insurance Risk Control Consultant - Independent Contractor Overview EXL Risk Control is a leading provider of risk assessments and loss ... Loss Control + Commercial Lines Property/Casualty Underwriting + Commercial Lines Property/Casualty Claims Adjuster + Commercial insurance inspections + Fire and… more
- Sedgwick (Boston, MA)
- …and Casualty Underwriter (CPCU), Associate in Risk Management (ARM), Associate in Insurance Claims (AIC), Certified Professional in Health Care Risk Management ... limited to Bachelor of Science in Nursing, Legal Nurse Consultant , Associate in Claims (AIC), Chartered Property...applicable to line-of-business + Extensive knowledge and comprehension of insurance coverage + Claims expertise in medical… more
- Deloitte (Boston, MA)
- Senior Consultant , Operations & Technology Transformation, Insurance , Guidewire Developer - ETL/Data Migration What we do Operations and Technology ... development of junior staff. Your role As a Senior Consultant you will bring considerable technical expertise to deliver...working in one of the following sub service areas: Insurance Products, Underwriting, Claims , Billing & Payments,… more
- Zurich NA (Boston, MA)
- Crop Product Development Consultant 116424 This **Crop Product Development Consultant ** has been created to support the RCIS Growth Strategy. This role is ... also responsible for research, development of products and related coverages for Crop insurance products. The role can work from any Zurich office or remote,… more
- Deloitte (Boston, MA)
- …this role ends on January 31, 2025 Work you'll do As an OTT Insurance Transformation Consultant , you will bring technical expertise to deliver effective ... Consultant , Operations and Technology Transformation, Guidewire Application Developer...years of experience working in one of the following Insurance sub service areas: User experience, Integration, Claims… more
- Sedgwick (Boston, MA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Litigation Consultant **PRIMARY PURPOSE** : To address and handle high end cases with ... Ten (10) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience required.… more
- Elevance Health (Woburn, MA)
- **Provider Contract/Cost of Care Consultant ** **We are offering a $5,000 sign-on bonus for this position.** **Location:** This position will work a hybrid I model ... our Pulse Point locations. The **Provider Contract/Cost of Care Consultant ** will provide analytical support to the Cost of...will make an impact:** * Focuses efforts on lowering claims costs, improving the quality of care, and increasing… more
- Lincoln Financial Group (Boston, MA)
- …Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for reviewing, ... analyzing, and interpreting medical information available for disability claims . In this role you will act as a...and solutions across four core businesses - annuities, life insurance , group protection and retirement plan services. As of… more
- Guardian Life (Boston, MA)
- **Position Summary** The Network Strategy & Delivery Consultant will be an integral part of the Dental Network Strategy & Strategic Partnerships team within the ... Group Benefits Product and Digital organization. As a leading dental insurance carrier, the growth and ongoing management of Guardian's network of over 138,000… more
- Evolent (Boston, MA)
- …SAS, SQL, or similar analytical software to analyze clinical authorization and healthcare claims data + Using analytical tools to integrate various data sources to ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more
- Travelers Insurance Company (Boston, MA)
- …and providing expertise in adjusting large, complex Boiler and Machinery first party claims both in the United States and on occasion, internationally. In addition, ... marketing and communication activities with a variety of groups including, primary insurance carriers and in some cases, their large customers. **What Will You… more
- Prime Therapeutics (Boston, MA)
- …of work experience in an insurance broker position + Must be a Certified Insurance Consultant (CIC) with the state of Connecticut + Must be eligible to work ... and costs, and assist in selecting the most suitable insurance plan. They also handle policy renewal, claims... insurance plan. They also handle policy renewal, claims , and provide ongoing support and advice to ensure… more
- Deloitte (Boston, MA)
- …in Deloitte's Business Tax Services Insurance practice. What you'll do As an Insurance Tax Consultant within the Business Tax Services group, you will be a ... in the insurance industry across business functions such as underwriting, claims , IT, finance and accounting + Coordinating with the client's tax and finance… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …through, especially for those with known risk factors. Serves as an expert consultant and/or supervisor to PACE providers (Program of All-Inclusive Care of the ... standards in a timely fashion. Serves as an expert consultant and provides ongoing psychopharmacologic care to SCO (Senior...the required steps to ensure the generation of clean claims - completing documentation, submitting encounters on time, and… more
- Robert Half Legal (Boston, MA)
- …potential risks. * Support claims services with outside broker and consultant . * Coordinate internally regarding insurance and risk management matters and ... professionals, including medical, vision, dental, and life and disability insurance . Hired contract/temporary professionals are also eligible to enroll in… more
- Children's Hospital Boston (Boston, MA)
- …the direction of the supported applications. + Acting as a business partner/ consultant , proactively engaging with the client and key stakeholders to understand their ... and integrations is preferred + Professional billing or Professional billing claims EPIC certification is required Boston Children's Hospital offers competitive… more