- BrightSpring Health Services (Taunton, MA)
- Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist , where you'll play a key role in ensuring our long-term care and senior living clients receive the pharmaceutical… 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 ... to fully remote applicants residing in Maine. The Senior Workers' Compensation Claims Specialist will manage multi-party commercial claims of moderate to… 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** ... + Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on the claim; manages… 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 ... 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
- Carrington (Providence, RI)
- **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
- Zurich NA (Providence, RI)
- Managed Care, Claims Vendor Management Sr Specialist 118916 Zurich North America is seeking a Managed Care, Claims Vendor Management Senior Specialist to ... anywhere in the United States. **About the Role** As a Senior Specialist in Managed Care and Claims Vendor Management, you will play a key role in administering… more
- Crawford & Company (Boston, MA)
- Excellence In Everything We Touch Position Summary The role of Content Claims Specialists is a multi-faceted role, which focuses primarily in the following four key ... areas of edjuster's content claims handling operations: + Acting/operating as a third party,...Focusing on the accurate and timely processing of content claims , via the use of edjuster's claims … 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 ... proofs are needed to make a reasonable and logical claims determination based off the information available. . Collaborates...conduct information gathering to be able to articulate the claims decision upon the completion of an evaluation, as… more
- Zurich NA (Providence, RI)
- … Specialist 118919 Zurich is currently looking for a CROP Design and Development Specialist for our Crop Claims division. This position may work out of one ... of the following North American offices: 100% Virtual. Develops support and supplemental material (user guides, tip sheets, self-support/on-the-job guides, release notes) for larger learning solutions and initiatives. Works with Program Managers and more… more
- USAA (Providence, RI)
- …makes us so special! **The Opportunity** As a Insurance Property Adjuster Specialist , you will work within established guidelines and framework to investigate, ... evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will...in compliance with all state regulatory requirements. Property Adjuster Specialist focus on using technology and desk adjusting for… more
- Tufts Medicine (Burlington, MA)
- …responsibilities may be assigned. 1. Serves as an experienced business specialist and technology generalist responsible for aligning technology solutions with ... business needs per the strategic direction set forth by leadership and key stakeholders. 2. Develops detailed understanding of application functionality by attending training and/or reading documentation. 3. Serves as an intermediary between internal groups… more
- Beth Israel Lahey Health (Burlington, MA)
- …not just taking a job, you're making a difference in people's lives.** The Billing Specialist role specializes in high dollar claims , aged claims and denied ... resolve denials to uncover root cause and accurately appeal claims to ensure successful initial submission. The Billing ...claims to ensure successful initial submission. The Billing Specialist will be responsible for charge and claim review… more
- MAPFRE Insurance (Webster, MA)
- Claim Specialist , Casualty (Hybrid) Date: Dec 14, 2024 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
- Northeast Family Services (Warwick, RI)
- Northeast Family Services is currently seeking a Billing Specialist to join their growing team! This position REQUIRES you to be able to access our Warwick RI or ... are currently looking for a passionate and dedicated Billing Specialist to join our team. The Billing Specialist...variety of daily tasks, including preparing clean and timely claims submissions, resolution of denials from payers, posting of… 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
- Robert Half Accountemps (Dedham, MA)
- …offering a contract to permanent employment opportunity for a Medical Billing Specialist in Dedham, Massachusetts. This role is crucial within the Healthcare/NHS ... * Prepare and submit daily and monthly billing and claims to insurances for all service venues. * Interact...claim information from various departments to prepare or correct claims . * Follow up on all claims ,… more
- Tufts Medicine (Lowell, MA)
- …the delivery of support services or activities, typically under supervision. A specialist level role that requires very advanced knowledge of operational procedures ... eligibility verification, claim edits, payer follow-up, correspondence review, corrected claims , appeals, reimbursement verification, and remittance research for assigned… 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
- Deloitte (Boston, MA)
- Manager/ Specialist Master, Operations and Technology Transformation, Guidewire Data Architect What we do Our Operations and Technology Transformation team (OTT) ... on January 31, 2025 Work you'll do As an OTT Insurance Transformation Manager/ Specialist Master, you will bring technical expertise to deliver effective solutions to… more