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claims in Boston

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  1. Supervisor, Claims Operations at Senior Whole Health LLC

    Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within...

  2. R.N. MDS Director at Medway Country Manor Skilled Nursing & Rehabi

    Reviewing skilled documentation on a regular basis to ensure the documentation supports the claim. Our 120 bed privately owned and operated skilled nursing and...

  3. VP, Talent Acquisition at PixarBio Corporation

    Handles all Workers' Compensation claims and manages the annual benefit open enrollment process. Advises new and existing employees on benefit eligibility,...

  4. Sr Business Intelligence Analyst at SHCN

    Subject Matter Expert related to the processing and synthesis of claims data in support of settlement operations....

  5. Clinical Administrative Coordinator - Waltham, MA at UnitedHealth Group

    Claims and/or healthcare insurance experience. UnitedHealth Care Community & State is part of the family of companies that make UnitedHealth Group one of the...

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    1. CLAIMS REPRESENTATIVE

      Process claim files for payment from Workmen’s Compensation, Automobile, Property and Casualty, and Health Insurers.  Contact Attorneys to maximize client reimbursements for services and recover all monies properly owed to our clients.Identify viable payer(s) and obtain all necessary documentation to properly process the claim for payment including, when applicable, IBs, UBs, Medical Records, ...

    1. DCU Insurance Services Consultant at Digital Federal Credit Union

      Service existing accounts, including claims, to enhance member satisfaction. Complete new business applications, change requests, cancellations, billing and...

    1. Entry Level Claims Representative

      Complete Staffing Solutions, Inc. is looking for a new Claims Specialist to join one of our best clients! The Claims Specialist will be following up on unpaid or denied works compensation and motor vehicle with the end goal of liquidating claims in a timely manner. You will be responsible to ensure that claims are being billed correctly and that insurance carriers have the necessary ...

    1. Insurance - Personal Lines Account Executive at Tonry Insurance Group

      Assist clients with reporting and settling claims. Our Quincy location has an open position for an Account Executive with prior experience to service and grow...

    1. Construction Defect Insurance Claims Examiner - Lowell, MA

      Investigate, evaluate, reserve, negotiate and resolve assigned serious and complex construction defect claims. Shall: *** Develop strategies and negotiate claims to timely conclusion. *** Review and analyze construction contracts and documents and legal pleadings in order to identify coverage. *** Evaluate liability and damages. *** Identify and pursue all recovery opportunities * ...

      No PartTime
      No Contract
      No Internship
      No Freelance
      No Telecommute

    1. Medical Billing Specialist - Flexible Hours at Walden Behavioral Care

      Perform insurance claim follow-ups for insurance denials and appeals. Communicate directly with insurance companies to check the status of claim submissions....

    1. Claims Examiner - Commercial General Liability - Manchester, NH

      Responsible for the day to day handling of large, complex Commercial General Liability claims according to established Best Practice Standards and Regulations. Activities: *** Ensure and confirm or deny coverage. *** Establish appropriate case reserves. *** Identify subrogation opportunities. *** Settle claims. High growth visible position with top company. Salary $90,000 to $130 ...

      No PartTime
      No Contract
      No Internship
      No Freelance
      No Telecommute

    1. Senior Resolution Manager (Claims Adjuster Senior) at Arthur J. Gallagher & Co

      5 or more years related claims experience required. Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course...

    1. Workers' Compensation Claims Auditor

      We are looking for an individual with appropriate (5-10 years) workers' compensation claims supervisory experience and demeanor to conduct insurance audits of North American Carriers, Self-funded Governmental Entity Pools, MGAs, Lloyd’s Coverholders and Claims TPAs and their compliance with Delegated Binding Authority and TPA Agreements. Travel during parts of up to two weeks per month is ...

    1. Resolution Manager (Claims Adjuster) at Arthur J. Gallagher & Co

      Documents and communicates all claim activity timely and effectively and in a manner which supports the outcome of the claim file....

    1. Pharmacy Claims Auditor

      Purpose:We currently have full time openings for experienced Certified Pharmacy Technicians for a Pharmacy Claims Auditor. It is Integrated Pharmacy Solutions' goal to have a Pharmacy Claims Auditor to conduct client audits.Primary Function:The Pharmacy Claims Auditor will perform audit duties. Such duties shall include, but not be limited to preparing for and conducting on-site pharmacy ...

    1. Senior Field Property Adjuster at Capstone ISG Inc

      With little direction and more complex claims under the general direction of the Claims Manager or Supervisor....

    1. Claims Counsel - A&E Defects Professional Liability - Lawrence, MA

      Seeking 3+ years experience investigating and handling Architectural and Engineering design and workmanship defect claims to resolution. Required Track Record: *** Investigating claims. *** Determining need to retain outside defense counsel and coordinating ongoing activities.. *** Evaluating liability and establishing settlement and expense reserves. *** Negotiating with claimants, ...

      No PartTime
      No Contract
      No Internship
      No Freelance
      No Telecommute

    1. Prior Authorization Specialist I at BMC Health Net

      Experience with Health Plan Utilization / Claims departments. Job Description Responsible for screening prior-authorization and coordination of specialized...

    1. Construction Defect - Insurance Claims - JD - Waltham, MA

      Seeking and 3+ years experience handling construction defect related claims of moderate to high value and complexity. Juris Degree preferred. Activities: *** Reviewing complaints. *** Responding to arbitration demands. *** Conducting coverage analysis. *** Determining exposure and setting reserves. *** Resolving claims. Our world class facilities coupled with our exceptional ...

      No PartTime
      No Contract
      No Internship
      No Freelance
      No Telecommute

    1. Account Executive at Magellan Health

      Develops strong relationships with internal matrix partners that support achievement of strategic alignment (IT, Finance, Product Development, Claims, Legal etc...

    1. Insurance Claims Examiner - Construction Defect- Nashua, NH

      Handle design and workmanship construction defect claims issues for national insurer. Responsibilities include: *** Conducting investigations, recommending reserves, monitoring, documenting, settling and closing claims *** Accurately determining the scope, nature, and extent of the loss. *** Manages the litigation process through the retention of counsel. *** Adheres to the line of ...

      No PartTime
      No Contract
      No Internship
      No Freelance
      No Telecommute

    1. Passenger Service Agent (Italian Speaker) at Aviation Port Services

      Travel document verificationPassenger count verification Baggage Check-in and monitoring Baggage Claim resolution Assistance of passengers with special needs...

    1. Pollution & Health Hazard - Claims Specialist & Coverage Attorney

      Join a rapidly growing insurance company with offices across the US and work with a highly trained, diverse team of professionals. Everyone brings their 'A' game every day, from upper executives to associate staff members. Exceptional compensation package consists of generous base salary plus annual bonus opportunities for earning potential to $115,000. Full benefits package including ...

      No PartTime
      No Contract
      No Internship
      No Freelance
      No Telecommute

    1. Call Center Representative at Staffing Now

      Entering claims into CRM. Document all communications on claims. Notify supervisors of escalated or security issue claims....

    1. Specialty & Complex Claims Coverage Analyst - Toxic Tort - Lowell, MA

      Seeking Specialty & Complex Claims professional with expertise in evaluating toxic tort cases who can: *** Manage and investigate claims. *** Evaluate policies and define coverage limits. *** Review coverage, review loss notices, establish and evaluate reserves. *** Evaluate liability and damages. *** Identify suspicious claims and recovery opportunities. Requires experience with ...

      No PartTime
      No Contract
      No Internship
      No Freelance
      No Telecommute

      1. Paralegal Personal Injury Firm at Thornton Law Firm LLP

        Contact defendants regarding approval of claims and verify payment schedule. Thornton Law Firm seeks a paralegal....

      2. Manager of Finance Analytics at New England Quality Care Alliance

        Support key financial processes, such as settlement reconciliations, forecasting, through routine analysis of provider-specific and cost and revenue claims...

      3. Body Shop Estimator/Licensed Damage Appraiser at Haskins Automotive

        Processes insurance claims; Haskins Automotive is seeking a full-time experienced Licensed Damage Appraiser for IMMEDIATE hire....

      4. MSP Help Desk Technician at SeamlessIT, Inc.

        But who would claim that solving technology problems isn’t fun? We're a growing Managed Services Provider (MSP) working with small and medium size businesses in...

      5. Healthcare Services Coordinator – Waltham, MA at UnitedHealth Group

        Experience with medical terminology, benefits management, claim and/or healthcare insurance is required. UnitedHealth care Community & State is part of the...