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Claims Examiner Jobs in Massachusetts

17 jobs

This position may be either office-based or work from home. Summary: The Claims Examiner will be responsible for initial claims adjudication and claims recertification for LTC insurance policyholders by determining continued benefit eligibility; documenting actions; and maintaining quality customer service. Duties and Responsibilities: Ensures services are completely documented and coincides w...
Join a rapidly growing insurance company with offices across the US and work with a highly trained, diverse team of professionals. Everyone brings their 'A' game every day, from upper executives to associate staff members. Exceptional compensation package consists of generous base salary plus annual bonus opportunities for earning potential to $115,000. Full benefits package including medical, vi...
Attractive compensation, job satisfaction, enjoyable company and work atmosphere. Well trained team members, excellent work-life balance and generous benefits. Competitive salary and end of year bonus opportunities. Matched 401(k) and pension plan, paid time off from start, tuition reimbursement and continued education assistance. Opportunities to advance into higher leadership position within the...
Seeking Specialty & Complex Claims professional with expertise in evaluating toxic tort cases who can: *** Manage and investigate claims. *** Evaluate policies and define coverage limits. *** Review coverage, review loss notices, establish and evaluate reserves. *** Evaluate liability and damages. *** Identify suspicious claims and recovery opportunities. Requires experience with claims inve...
Seeking 3+ years experience investigating and handling Architectural and Engineering design and workmanship defect claims to resolution. Required Track Record: *** Investigating claims. *** Determining need to retain outside defense counsel and coordinating ongoing activities.. *** Evaluating liability and establishing settlement and expense reserves. *** Negotiating with claimants, third par...
Seeking and 3+ years experience handling construction defect related claims of moderate to high value and complexity. Juris Degree preferred. Activities: *** Reviewing complaints. *** Responding to arbitration demands. *** Conducting coverage analysis. *** Determining exposure and setting reserves. *** Resolving claims. Our world class facilities coupled with our exceptional staff make this...
Are you looking for a position that offers advancement opportunities, great benefits and recognition for a job well done? Join MAFPRE Insurance! MAPFRE Insurance is a forward thinking insurance company offering friendly service from over 2,000 professionals focused on taking care of you and your family. For decades, MAPFRE Insurance has been protecting families and their possessions with quality ...
Commercial Insurance Senior Underwriter Chubb is the world’s largest publicly traded property and casualty insurance insurer. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. The company is distinguished by its extensive product...
Job Description: Stephenson+Brook, a risk management consulting firm with offices in Salem, MA and New York, NY, is looking for a risk manager with expert consulting and business skills. This fast-paced position requires the ability to multi-task as you will be responsible for the management of multiple accounts involving worker's compensation claims and client relations. Follow through from onse...
Homesite Insurance, a fast growing homeowners insurance company, is seeking an experienced Quality Assurance Analyst who will help ensure product quality and customer satisfaction. Responsibilities/Essential Functions: Under the direction of the Quality Assurance Manager, the Quality Assurance Analyst will execute the following: Conduct internal quality assurance claim audits and telephony qual...
Responsibilities: Review of new STD documents Sets up new STD claims in Ultera and CHESS claim systems. Assignment of Eligibility Tasks to the appropriate claims examiner based on pre-determined criteria Ability to identify complex diagnoses and to label these claims accordingly Monitors and reports on new claim inventory levels Able to meet production goals on a consistent basis Abili...
Homesite Insurance, a fast growing homeowners insurance company, is seeking an experienced Quality Assurance Analyst who will help ensure product quality and customer satisfaction. Responsibilities/Essential Functions: Under the direction of the Quality Assurance Manager, the Quality Assurance Analyst will execute the following: Conduct internal quality assurance claim audits and telephony qual...
Senior Underwriter ( Job Number: 310100 ) Description Commercial Insurance Senior Underwriter Chubb is the world’s largest publicly traded property and casualty insurance insurer. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clie...
Description Review of new STD documents Sets up new STD claims in Ultera and CHESS claim systems. Assignment of Eligibility Tasks to the appropriate claims examiner based on pre-determined criteria Ability to identify complex diagnoses and to label these claims accordingly Monitors and reports on new claim inventory levels Able to meet production goals on a consistent basis Ability to maint...
Review of new STD documents Sets up new STD claims in Ultera and CHESS claim systems. Assignment of Eligibility Tasks to the appropriate claims examiner based on pre-determined criteria Ability to identify complex diagnoses and to label these claims accordingly Monitors and reports on new claim inventory levels Able to meet production goals on a consistent basis Ability to maintain a high le...
The U.R. Nurse gathers demographic and clinical information on prospective, concurrent, and retrospective in-patient admissions and out-patient treatment, certifies the medical necessity and assigns an appropriate length of stay. REQUIRED EDUCATION/TRAINING Must be currently licensed as a Registered Nurse in the state of employment with a minimum of 4 years clinical experience. Must be computer ...
Description *****Position available in Wellesley,MA or Windsor,CT***** Review of new STD documents Sets up new STD claims in Ultera and CHESS claim systems. Assignment of Eligibility Tasks to the appropriate claims examiner based on pre-determined criteria Ability to identify complex diagnoses and to label these claims accordingly Monitors and reports on new claim inventory levels Able to m...