Managing Director Strategic Claims Oversight - Healthcare Severity CNA Financial CorpManaging Director Strategic Claims Oversight - Healthcare SeverityBoston, MA$97,000–$189,000 / yearDevelops and maintains collaborative working relationships with internal and external business partners including Operations, Underwriting, Actuary and Risk Control and regularly shares claims outcomes, trends, legal developments and other relevant business updates. Responsible for the ongoing management of staff by attracting talent, setting clear direction, providing appropriate guidance, managing performance, recognizing contributions, and developing capabilities.
Patient Accounts Representative Boston Children's HospitalPatient Accounts RepresentativeBoston, MA$20.63–$31.46 / hourThis role is responsible for managing patient accounts, verifying insurance information, submitting accurate claims, resolving billing issues, and ensuring timely communication with patients, families, payers, and internal departments. The Patient Accounts Representative works closely with physician offices, service sites, and ancillary departments to support accurate billing and account resolution.
Public Adjuster P-RI Cedar Valley ExteriorsPublic Adjuster P-RIRhode IslandJob Summary: We are seeking a skilled and experienced Public Adjuster to advocate for policyholders in the negotiation and settlement of property insurance claims. If you are a detail-oriented professional with a passion for helping policyholders navigate the complexities of insurance claims, we encourage you to apply for this rewarding opportunity as a Public Adjuster.
Workers' Compensation Claims Specialist (REMOTE - ME, CT, PA, RI) Holmes MurphyWorkers' Compensation Claims Specialist (REMOTE - ME, CT, PA, RI)Rhode IslandRemoteWe do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members. Through inclusion and belonging initiatives, titled Uniquely United, not only do we offer employees a paid Diversity Day time-off option, but we also have a Uniquely United Committee, Employee Resource Groups, and development programs to advance our culture of belonging.
Remote Claims Representative 630810 Metro Public AdjustmentRemote Claims Representative 630810Rhode IslandRemoteAccepting applications form Rhode Island, Connecticut, New Hampshire, Vermont, Maine, New York and New Jersey in the United States only. If you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session.
Claims Representative, Auto | PIP Sedgwick Claims Management Services, Inc.Claims Representative, Auto | PIPRI$55,000–$60,000 / yearSkills: knowledge of medical terminology and appropriate application of deductibles and limits, familiarity with Bodily Injury (BI)/Casualty adjusting, oral and written communication skills, PC literate, including Microsoft Office products, and organizational skills required. PRIMARY PURPOSE OF THE ROLE: To evaluate auto claims involving injured parties and manage first party medical treatment to determine eligibility under a personal injury protection and/or medical payment benefits.
Starr Associates Program - Claims Starr International Co IncStarr Associates Program - ClaimsBoston, MA$68,000–$78,000 / yearThe Associates Program complements your department work by offering professional development opportunities, including direct exposure to senior leadership, technical training, and a comprehensive understanding of key functions throughout the organization. The 2027-2028 Starr Global Associates Program is a dynamic, accelerated training program designed to identify, cultivate, and retain high-potential college graduates.
Claims Review Specialist, Medicare Advantage Mass General BrighamClaims Review Specialist, Medicare AdvantageSomerville, MassachusettsRemote$17.71–$25.28 / hourThe ideal candidate brings hands‑on experience with Medicare Advantage claims processing and demonstrated proficiency in QNXT or similar claims adjudication systems (e.g., Facets).Principal Duties and Responsibilities: Adjudicate claims to pay, deny, or pend as appropriate in a timely and accurate manner according to company policy and desktop procedure. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills.
Claims Consultant W. R. Berkley CorpClaims ConsultantBoston, MA$50–$70 / hourThe company offers a competitive compensation plan which for this role include: o Hourly: $50-$70/hr o This is a temporary role (not permanent) - estimated 3-6 months o Part time 20 - 25 hours a week The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Review, evaluate and, if necessary, respond in a reasonable and timely fashion to demands seeking payment of an insured's total applicable limits of liability, time-limited demands, offers of judgment, demands that Gemini settle a claim within its limits of liability and similar types of demands or offers.
Surveillance Investigator Allied UniversalSurveillance InvestigatorWarwick, Rhode IslandThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
Contents Restoration Crew Leader in MA and RI FRSTeam of New EnglandContents Restoration Crew Leader in MA and RIEast Taunton, MA$20–$25 / hourFull timeThis is an on-the-road position a nd plays a critical role in managing project documentation, adjuster communications, estimate preparation, and data management throughout the contents restoration process. At Frsteam of New England, we help families and businesses recover after fire, water, mold, and other property losses by restoring their valuable contents and belongings.
Claim Professional Development Program Internship (CPDP Intern) The Travelers Companies IncClaim Professional Development Program Internship (CPDP Intern)West Bridgewater, MA$25–$26 / hourThe Travelers Claim Intern program provides qualified candidates an excellent opportunity to gain first-hand business experience, receive valuable on-the-job training, contact clients, determine coverage, scoping of losses and completing damage estimates. The actual hourly rate for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
Claim Professional Development Program Internship (Cpdp Intern) The Travelers CompaniesClaim Professional Development Program Internship (Cpdp Intern)West Bridgewater, MA$25–$26 / hourThe Travelers Claim Intern program provides qualified candidates an excellent opportunity to gain first-hand business experience, receive valuable on-the-job training, contact clients, determine coverage, scoping of losses and completing damage estimates. The actual hourly rate for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
Claims Review Specialist, Medicare Advantage Brigham and Women's HospitalClaims Review Specialist, Medicare AdvantageSomerville, MARemote$17.71–$25.28 / hourWorking with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success.
Contents Restoration Crew Leader in MA and RI FRSTeamContents Restoration Crew Leader in MA and RIEast Taunton, Massachusetts$20–$25 / hourCrew Leader FRSTeam of New England Position: Contents Restoration Job Coordinator & Crew Leader $52,000-$80,000 per year including base and incentives About Us We are a leading C ontents Restoration Company dedicated to restoring and preserving our clients’ valued belongings after fire, water, and mold losses . There is nothing like the feeling of bringing back a family's personal belongings, whether it's a favorite baby blanket or stuffed animal or a game console to pass the time in a hotel someone is staying in as temporary housing while their home is being restored.
Investigator Ethos Risk ServicesInvestigatorProvidence, RIFull timeCONDITIONS:While we aim to keep assignments within a 2-hour drive of your residence, occasional further travel and overnight stays (covered by the company) may be requiredMost surveillance cases start at 6:00AM. REQUIREMENTS:Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports.
Managed Care Services Representative Mass General BrighamManaged Care Services RepresentativeSomerville, Massachusetts$21–$28.30 / hourSite: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success.
Auto Adjuster I, II or Sr. Allstate Insurance CompanyAuto Adjuster I, II or Sr.RI$50,000–$74,350 / yearAuto Collision (Inactive), Auto Collision Repair, Auto Insurance, Auto Insurance Claims, Automobile Accidents, Automobile Liability, Case Management, Claims Administration, Claims Resolution, Claims Review, Customer Service, De-Escalation, Insurance Administration, Insurance Claims, Insurance Coverage, Insurance Policies, Investigative Skills, Multitasking, Negotiation, Task Organization, Time Management. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
Claims Specialist II - Rideshare Commercial Auto - Attorney Represented Bodily Injury Claims Adjuster Liberty Mutual Holding Company IncClaims Specialist II - Rideshare Commercial Auto - Attorney Represented Bodily Injury Claims AdjusterBoston, MADetermines amounts owed, evaluates settlement value, negotiates with plaintiff counsel and other parties, and authorizes settlements and payments within assigned authority; recommends or issues denials when appropriate. The Claims Specialist works within a Claims Team, using the latest technology to manage a caseload of commercial rideshare, also known as Transportation Network Company (TNC), claims from initial investigation through resolution.
NewCommercial No Fault PIP/ Med Pay Adjuster - Claims Specialist II Liberty Mutual Holding Company IncCommercial No Fault PIP/ Med Pay Adjuster - Claims Specialist IIWestborough, MAAssesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate. You will be required to go into the office twice a month if you reside within 50 miles of one of the following offices: Westborough, MA; Boston, MA; Weatogue, CT; Indianapolis, IN; Hoffman Estates, IL; Lake Oswego, OR; Chandler, AZ; Las Vegas, NV; Plano, TX; or Suwanee, GA.