- Sedgwick (Boston, MA)
- …Best Workplaces in Financial Services & Insurance General Product and Liability Complex Claim Advisor - Multi-State Licensing Preferred - Hybrid - Sedgwick ... FUNCTIONS and RESPONSIBILITIES** + Proactively and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional… more
- Baystate Health (Springfield, MA)
- …setting in lieu of experience as a nurse, pharmacist or social worker ** Preferred Experience** Previous healthcare risk management or professional liability ... The Sr Director of Clinical Safety and Risk Management also collaborates with the Claims Managers in the operations of the system-wide claims program of the… more
- Zurich NA (Boston, MA)
- … claims employees to conduct individual work in their preferred location, while facilitating in-person connections and collaborative activities when meaningful ... supportive work environment. With measured oversight, you will lead and direct a Worker Compensation team of technical Claims Professionals in managing low to… more
- Travelers Insurance Company (West Bridgewater, MA)
- …to manage all claim activities on a timely basis. + Utilize Preferred Provider Network per jurisdictional guidelines. + Partner with Claim Professional to ... to work planning, coordination of quality medical care on claims involving disability and medical treatment as well as...to inquiries - oral and written. + Keep injured worker apprised of claim status. + In-person… more
- Sedgwick (Boston, MA)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker , attorney and supervisor. + Identifies ... Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker , employer, and medical providers, create a case management strategy to facilitate… more
- Prime Therapeutics (Boston, MA)
- …to elicit, define, and document the requirements for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements and IT ... and serve as subject matter expert and mentor for other members of Claims IT team, including cross-training assigned BSAs on system requirements phase of assigned… more
- Takeda Pharmaceuticals (Lexington, MA)
- …and review and approval of clinical data on file to support promotional claims . + Leads the Medical Review process, procedures, and documentation of Non-Promotional ... and Guidance documents and enforcement action letters as applicable to promotional claims and shares implications with Medical Reviewers to enhance the team's… more
- Takeda Pharmaceuticals (Boston, MA)
- …and business relevance **Minimum Qualifications/Requirements:** + BA/BS degree + Advanced degree preferred (PhD or Master's) + Minimum of 6+ years of relevant ... business analytics + Oncology experience required; US market experience highly preferred + Excellent communication skills and proven ability to collaborate… more
- Takeda Pharmaceuticals (Boston, MA)
- …others as appropriate) to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure that Takeda products have ... and adherence to quality standards. **Minimum** **Requirements/Qualifications:** + BSc degree, preferred ; BA accepted. + Advanced scientific degree (MSc, PhD, or… more
- Takeda Pharmaceuticals (Boston, MA)
- …others as appropriate) to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure that Takeda products have ... agility, efficiency and accuracy. **Minimum Requirements/Qualifications:** + BSc degree, preferred ; BA accepted. Advanced scientific degree (MSc, PhD, or PharmD)… more