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  • Documentation Claims Reviewer - Medicare

    HP - Hingham, MA 

    documentation for compliance and completeness. Processing claims using automated systems, following all established ... When necessary, providing complete documentation of claims payment decisions following established processes and...

    From HP - posted 5 days ago
  • CLAIMS SPECIALIST

    Adecco - Wellesley Hills, MA 

    opportunity for you!Job Summary:The Claims Processor / Claims Specialist works in the Claims Department, overseeing ... updates on claims, etc.Main Accountabilities: Data Entry of claims into system. Send acknowledgement letters to third...

    From Adecco - posted 7 days ago
  • Business Analyst (Health Plan Claims)

    Ikasystems - Southborough, MA 

    the payer business cycle from marketing and sales through claims administration and customer service to care and ... for Managed Healthcare Plans and Industries. Knowledge of claims processing in a health plan. Experience in a Rapid...

    From ikaSystems Corporation - posted 26 days ago
  • Product Marketing Associate - Claims Performance & Analytics

    McKesson - Newton, MA 

    the Financial Management product line- which includes the Claims Performance and Analytics solutions. This position reports to the Director, Product Marketing, Financial management and is responsible for executing and coordinating...

    From McKesson - posted 19 hours agoNEW
  • Claims Technical Assistant

    Arthur J. Gallagher & Co - Braintree, MA 

    one of the most progressive property/casualty third party claims service organizations in our industry and throughout ... our people. Position Summary: As a Technical Assistant in Claims Management, you will assist Branch and Area Managers...

    From Arthur J. Gallagher & Co - posted 4 days ago
  • Documentation Claims Reviewer - Medicare

    HP Careers - Hingham, MA 

    reviewing documentation for Medicare compliance and process claims appropriately in a production environment. Education ... documentation for compliance and completeness. - Processing claims using automated systems, following all established...

    From HP Careers - posted 5 days ago
  • Claims Generalist Trainee

    Progressive Insurance - Woburn, MA 

    intellect and investigative abilities to good use as a Claims Adjuster. As part of our Progressive Claims Team, ... training in the industry. You will attend a two week Claims Ownership Class where you learn about field claims...

    From Progressive Insurance - posted 5 days ago
  • Claims Regional Operations Manager - Lake Mary, FL, Westborough

    Liberty Mutual - Boston, MA 

    and compensation administration for branch office Claims management staff; works closely with Claims Managers ... practices within the claims field operations; knowledge of claims management practices, company operations and...

    From Liberty Mutual - posted 5 days ago
  • Claims Examiner - Workers Compensation

    Sedgwick Claims Management Services - Boston, MA 

    claims within evaluation. 3. Negotiates settlement of claims within designated authority. 4. Calculates and ... of claims management experience or successful completion of Claims Examiner II training required. BS/BA degree may...

    From Sedgwick Claims Management Services, Inc. - posted 2 days ago
  • Workers' Compensation Claims Examiner

    Insurance Recruiting Specialists - Boston, MA 

    Workers' Compensation Claims Examiner Location: Boston, MA Length of Assignment: Indefinite Compensation: DOE Required ... for handling moderate-to-complex Workers' Compensation claims from inception to close - Well-versed with handling...

    From Insurance Recruiting Specialists - posted 18 days ago
  • Multi Line Claims Admin

    Sun Life Financial - Wellesley, MA 

    group office assignments for all new claims. Sets up new claims in ULTERA and creates and assigns initial Eligibility ... -Filing -Telephone Usage -Setting up complete and partial claims -Assigning Eligibility Review Tasks -Supporting all...

    From Sun Life Financial - posted 17 days ago
  • Claim Submission Coordinator

    Public Consulting Group - Boston, MA 

    Excel, and submitting claim batches to multiple payers and claims clearinghouses.a This is a unique position as above ... payers and clearinghouses Generate and mail weekly paper claims Monitor weekly claim submission acceptance by...

    From Public Consulting Group - posted 4 days ago
  • Claims Advisor - Claims - Marsh

    Marsh - Boston, MA 

    We are seeking a Claims Advisor in our Boston Claims department. General Summary Responsible for providing ... administrator including guidance in direct reporting of claims * Evaluates coverage applicability on all Marsh...

    From Marsh Inc. - posted 18 hours agoNEW
  • Construction Scheduler / Claims Analysis

    Coast and Harbor Associates - Boston, MA 

    scheduler and claims analyst for work on construction claims. Candidates qualifications must include demonstrated ... schedules, Preparing schedule delay analyses, and Writing claims reports on behalf of owners. Candidates should have...

    From Coast and Harbor Associates, Inc. - posted 32 days ago
  • Medical Claims Auditor - Braintree

    Connolly - Boston, MA 

    experience NEED TO APPLY NOW! * Provider Auditor * Claims Resolution Specialist Responsibilities: * Investigate ... * Creation and development of new payment error projects/reports * Investigate medical claims on client claim systems, c...

    From Connolly, Inc - posted 35 days ago
  • Claim Specialist

    Advocator Group - Wakefield, MA 

    assigned caseload of Social Security Disability Insurance claims; *Ensuring that each claim filed with Social Security ... manner; and *Clearly documenting all actions and tasks in claims management system to ensure quality service and...

    From The Advocator Group, LLC - posted 28 days ago
  • Health Claims Specialist Instructor

    Salter School - Malden, MA 

    position of Instructor for the following programs: Health Claims Specialist (claims processing, medical coding, insurance procedures) The ideal candidate will possess formal training and industry accepted credentials in the area applying...

    From HigherEdJobs - posted 13 days ago
  • Claims Processor

    Medix - Boston, MA 

    with Medix to receive notices about new job openings and news within the healthcare industry. Please send your resumes for the following upcoming positions. 1. Pharmacy Technicians 2. Claims Processors 3. Customer Service Representatives...

    From Job Spider - posted 25 days ago
  • Senior Business Analyst - CLAIMS PROCESSING/ADJUDICATION EXPERIENCE

    Infoway Software - Quincy, MA 

    RIGHT CANDIDATE!!! Must have extensive healthcare payer and claims lifecycle experience, in particular with processing ... insurance claims operations, with a solid understanding of claims adjudication software and claims payment. 3 - 5 years...

    From BullhornReach.com - posted 107 days ago
  • NURSE REVIEWER OF MEDICAL CLAIMS

    Associates For Health Placement - Boston, MA 

    audit report results based on reviews of professional claims against medical record documentation using CMS risk adjustment guidelines. Supports and participates in quality improvement initiatives. Resource and educator to internal and...

    From ResumeSpider - posted 178 days ago