• Claims Examiner - Job Service Rep I

    State of Massachusetts (Boston, MA)
    * Claims Examiner /Job Service Representative I| Department of Family & Medical Leave* The Program Integrity Claims Examiner /Job Service Representative I ... within the Department of Family Medical Leave (DFML). The Claims Examiner /Job Service Representative I will review...Examiner /Job Service Representative I, who reports to the Senior Manager of Benefit Operations & Program Integrity is… more
    State of Massachusetts (08/23/25)
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  • Lead Claims Examiner - Job Service…

    State of Massachusetts (Boston, MA)
    *Lead Claims Examiner /Job Service Representative II| Department of Family & Medical Leave* The Program Integrity Claims Examiner /Job Service ... the Department of Family Medical Leave (DFML). The Lead Claims Examiner /Job Service Representative II will review,...Examiner /Job Service Representative II, who reports to the Senior Manager of Benefit Operations & Program Integrity is… more
    State of Massachusetts (08/23/25)
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  • Senior Appeals Examiner

    CVS Health (Boston, MA)
    …recommend solutions. **Required Qualifications** + 1 plus years knowledge of plan documents, claims research, letter writing. + 1 plus years working with appeals, ... claims , or compliance. (and/ or) + 1 plus years experience working with documenting and interpreting Health Insurance plans. + Understand excel and word. + Able to… more
    CVS Health (10/15/25)
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  • Complex Claims Advisor | Commercial GL…

    Sedgwick (Boston, MA)
    …strong background in insurance coverage analysis? We're seeking an experienced attorney or senior level examiner with a strong background in insurance coverage ... Fortune Best Workplaces in Financial Services & Insurance Complex Claims Advisor | Commercial GL and Auto | Remote...analysis to support insurance carriers by evaluating claims and loss complaints, interpreting policy language, and drafting… more
    Sedgwick (09/25/25)
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  • Sr. Fraud Data Analyst

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …and Abuse activities as well as provide program-wide trend analysis. The Senior Data Analyst will use advanced analytics, predictive modeling, and proactive data ... analytic problems through communication and collaboration. + Knowledge of BCBSMA claims processing system is preferred. + Proficient analytical and report… more
    Blue Cross Blue Shield of Massachusetts (10/14/25)
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