- WM (Boston, MA)
- …and staff in identifying and quantifying risk of loss, and controls " claims cost" through the management, control and evaluation of expenditures associated with ... be assigned. + Designs, implements and manages systems for effective claims handling with consideration given to reporting procedures, investigation, evaluation,… more
- Ryder System (Boston, MA)
- …position leads an internal staff of approximately 40; this consists of professional Claims Managers, Supervisors, Senior Office Manager , Claims Analysts, and ... Director assisting with all aspects of the operations + Leads and directs claims managers, office manager , and supervisors as well as a team of 40+ claims … more
- WelbeHealth (Boston, MA)
- … team for corrections + Provide feedback to the Oversight & Monitoring Manager on claims processing errors, quality improvement opportunities, and configuration ... Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate… more
- East Boston Neighborhood Health Center (Revere, MA)
- …Management All Locations: 300 Ocean Avenue - Revere Position Summary: Position Summary: The Claims Analyst, under the direction of the Manager of PACE Claims ... * Coordinating with IT to enhance and refine the claims adjudication process. * Coordinating with the Manager of PACE Claims to proactively review referrals… more
- Fallon Health (Worcester, MA)
- …+ Seeks intermittent assistance from Team Subject Matter Experts (SMEs), the Trainer and Claims Manager to ensure accuracy of adjudicating claims and to ... **Overview** **The Claims Examiner position is a hybrid role working...Facebook, Twitter and LinkedIn. **Brief Summary of purpose:** The Claims Examiner should have thorough claim processing knowledge at… more
- US Tech Solutions (Canton, MA)
- …**th** **2026** **Overview** + Under the general direction of the Quality Program Manager (s), the Medical Claims Research Specialist(s) will review medical ... Follow internal workflows to complete daily project tasks + Conduct claims and provider research using claims reports + Document and track claims research… more
- Boston University (Boston, MA)
- …by Dentaquest and Skygen/Scion. The incumbent will assist the Billing and Claims Manager with effectively managing the BUGSDM Accounts Receivable, in ... other state Medicaid programs. This position requires processing of claims and pre-authorizations on a daily basis from GSDM...appropriate. In addition, provide reporting on denials to the Manager and Senior Manager , ie frequency of… more
- 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 is ... for supporting processes within the Department of Family Medical Leave (DFML). The Claims Examiner/Job Service Representative I will review claims escalated by… more
- Zurich NA (Boston, MA)
- …organizations. **This role will be filled at either the** **Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate ... Senior Professional Liability Claims (Attorney), Claims Construction 129572 **Zurich North America is expanding its nationwide Construction Professional… more
- HUB International (Wilmington, MA)
- …own unique, regional culture. We currently have an opportunity for a **Senior Claims Specialist** . **Overview** : Responsible for servicing assigned accounts on a ... for small, middle market, and high-profile clients by reporting claims . + Participate in the claim after hours program...Help mentor team associates and training as assigned by Manager / Director + Attend claim reviews/ meetings with the… more