• Claims Research…

    Humana (Boston, MA)
    …and help us put health first** Join Humana's dynamic team as a Claims Research & Resolution Representative and make a meaningful impact every day! In ... and third-party collection services to facilitate timely and accurate resolution of complex medical claims . + Comprised of a group of calls/ claims /provider… more
    Humana (12/17/25)
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  • Service Representative - Provider Services…

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …Service Representative , you will resolve telephone and written Provider claims -related service inquiries. The Provider Services Representative responds to ... with an unparalleled consumer experience. As a Provider Service Representative , you will be at the heart of the...to corporate policies and guidelines, timely filing, account receivables, claims processing, etc. You'll be able to represent the… more
    Blue Cross Blue Shield of Massachusetts (12/11/25)
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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 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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