- Usaa (Boston, MA)
- …(Associate in General Insurance), CPCU (Chartered Property Casualty Underwriter), AIC (Associate in Claims ), or SCLA ( Senior Claims Law Associate) or ... us special and impactful. The Opportunity As a dedicated Property Adjuster Specialist , you will work within defined guidelines and framework, investigate, evaluate,… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and ... to enhance provider satisfaction and member access to care. Reporting to the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account… more
- Harbor Health Services, Inc. (Mattapan, MA)
- …those upon request of utilization or finance department. Works with UM RNs and Senior Medical Director to deny claims when appropriate. Attends IDT meetings on ... additional Holidays and much more! Role: Reporting to the Senior Director of Health Plan Operations, the Director of...about QI efforts. Working with the Appeals and Grievances Specialist , maintains oversight of the Grievances and Appeals process,… more
- HUB International (Wilmington, MA)
- …maintain their own unique, regional culture. We currently have an opportunity for a ** Senior Claims Specialist ** . **Overview** : Responsible for servicing ... : + Provides advocacy for small, middle market, and high-profile clients by reporting claims . + Participate in the claim after hours program as part of the servicing… more
- Zurich NA (Boston, MA)
- …New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, or Vermont. The Senior Workers Compensation Claims Specialist will handle multi-party ... Sr. Claims Specialist (Workers Compensation, NE Region) 129546 Zurich is looking for an accomplished Workers Compensation Sr. Claims Specialist for or… more
- Oracle (Boston, MA)
- …your career in this exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to engineering ... clinical validation) to lead the appeals initiative to review denied claims , create write-ups for appeals packets, identify trends/improvement opportunities to… more
- Beth Israel Lahey Health (Charlestown, MA)
- …a difference in people's lives.** Under oversight of the Department Manager, the Senior Specialist Patient Financial Services - Hospital Billing will be ... of senior level Accounts Receivable tasks. The Senior Specialist will be responsible for the...posting. * Gathers all necessary documentation needed to have claims reprocessed/adjudicated * Informs and/or transfers to management of… more
- CVS Health (Boston, MA)
- …both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from standard practices to ... and timely support. + Acts as a subject matter expert on Quality Specialist workflows, policies, systems requirements, and enhancements as well as daily operations… more
- USAA (Boston, MA)
- …(Associate in General Insurance), CPCU (Chartered Property Casualty Underwriter), AIC (Associate in Claims ), or SCLA ( Senior Claims Law Associate) or ... special and impactful. **The Opportunity** As a dedicated Property Adjuster Specialist , you will work within defined guidelines and framework, investigate, evaluate,… more
- Philips (Cambridge, MA)
- …important member of the Philips North America MRI Clinical Science team, the Senior MRI Clinical Scientist will collaborate with medical doctors and physicists of ... in North America. + Will be the expert MRI specialist in an assigned technical or clinical application area,...IP for product development and generate evidence to support claims through scientific publications. + Be hands-on, be able… more
