• Claims Research & Resolution…

    Humana (Boston, MA)
    …part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve ... the resolution to a pending call.** The Claims Research & Resolution Representative 2 works with insurance companies, providers, members, and… more
    Humana (01/10/26)
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  • Job Service Rep I (Revenue - Wage Processing)

    State of Massachusetts (Boston, MA)
    …able to work, available for work and looking for a job. The Job Service Representative I performs customer service and issue resolution by assisting employers or ... ensure compliance with access control procedures. Reviews user information by conducting research and verifying information in order to mitigate fraud. Review and… more
    State of Massachusetts (11/18/25)
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  • Appeals and Grievance Analyst

    Point32Health (Canton, MA)
    …regulatory requirements + Manage the collection of documents and records (medical, claims , administrative) needed to fully research the appeal or complaint ... works collaboratively with the member and/or the member's authorized representative and must demonstrate superior customer service and benefit interpretation… more
    Point32Health (01/10/26)
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  • Strategic Accounts Receivable Specialist

    WATTS (Andover, MA)
    …Specialist is responsible for the efficient, effective, productive, and accurate resolution of accounts receivable for an assigned territory while maintaining good ... Management Services (CDMS/dispute management) and overall customer satisfaction for resolution . Will assist and/or lead in performing various accounting, audit… more
    WATTS (10/29/25)
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  • Provider Specialist

    Fallon Health (Worcester, MA)
    …ancillary provider inquiries and requests for services associated with the resolution of provider complaints relating to operational concerns, policy and procedures ... and subsidiaries. Understand Fallon Health policies and facilitate and the research required to resolve provider issues. Work collaboratively with internal… more
    Fallon Health (01/07/26)
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  • Appeals and Grievances Analyst

    Point32Health (Canton, MA)
    …regulatory requirements + Manage the collection of documents and records (medical, claims , administrative) needed to fully research the appeal or complaint ... works collaboratively with the member and/or the member's authorized representative and must demonstrate superior customer service and benefit interpretation… more
    Point32Health (12/09/25)
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