52 Results for

Claims Processor Jobs in Holbrook, MA

Jobs

New!

Quincy, MA6 days ago

$100,000–$140,000 Per Year
Full-time

CONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.

Norwood, MA9 days ago

$94,000–$152,000

Depending on the experience level, the incumbent is assigned Property Damage and Business Interruption losses, of varying degrees of size and complexity generally in excess of $500,000 and often in excess of $1,000,000 within the Operations geographical area of coverage, or as otherwise directed by the Operations Claims Manager. In addition, the incumbent retains, manages, and controls internal and external consultants, as needed such as Cause & Origin investigators, Building and Machinery Appraisers, Forensic Accountants to aid in the measurement of the losses.

New!

Lincoln, RI1 day ago

$31.10–$41.42 Per Hour

The position requires a higher degree of discretion and independent judgment in analysis and problem-solving to manage losses effectively. This position supports the Property Claims operation by handling claims reported on Homeowner policies written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements.

New!

Lincoln, RIToday

$31.10–$41.42 Per Hour

Handle administrative functions, update database production reports, document and update claim files via company systems, i.e. CACS, HUON, HOC, GUIDEWIRE, etc. This position supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of property and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements.

New!

Lincoln, RI5 days ago

$35.94–$47.87 Per Hour

The Claims Senior Medpay Adjuster handles moderate to high complexity Auto claims matters involving material damage, property and / or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. Update database production reports, document and update claim files via company systems, i.e. CACS, HUON, HOC, GUIDEWIRE, etc.

New!

Lincoln, RI5 days ago

$70,304–$80,100 Per Year

The Claims Senior Auto Adjuster supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property damage, and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include liability investigation, coverage evaluation, claims resolution and negotiation strategies of moderate complexity claims in compliance with established company technical and customer service best Practices.

New!

Lincoln, RI5 days ago

$25.48–$28.03 Per Hour

This entry-level position supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property damage, and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include liability investigation, coverage evaluation, and claims resolution and negotiation strategies of lower complexity claims in compliance with established company technical and customer service best practices.

New!

Lincoln, RI5 days ago

$38.64–$51.46 Per Hour

Demonstrate proficiency with assessment of personal property, property damage, coverage, loss of use, arbitration responses, damage evaluations, and claims technology and tool usage. Communicate and interact with a variety of individuals, including members, insureds, claimants, and vendors, as well as coordinating with internal and external departments.

New!

Providence, RI1 day ago

The Manager ensures investigative quality, regulatory timeliness, and effective collaboration with law enforcement, internal stakeholders, and peer institutions while continuously strengthening fraud detection and prevention controls. This role provides strategic direction, operational oversight, and subject matter leadership across fraud investigations, SAR referral governance, regulatory adherence, and loss recovery efforts.

New!

Lincoln, RI5 days ago

$120,500–$160,800 Per Year

The primary functions include effective loss and expense management, employee development and succession planning, training, staffing, performance measurements and continuous improvement. With our national brand recognition, long-standing reputation since 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team.

New!

Providence, RI6 days ago

$77,120–$147,390 Per Year

Collects evidence of potential fraud through field or remote interviews and thorough searches of investigative databases, internal resources, Internet resources, public records, and forensic tools. Within defined guidelines and framework, protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance fraud-related laws and regulations and policies and procedures.

New!

Boston, MA4 days ago

$63,590–$121,530 Per Year

Auto Appraiser, you will within defined guidelines and framework responsible for the investigation, negotiation, evaluation and appraisal of vehicle damage claims for both repairable and total loss vehicles to ensure estimate accuracy in compliance with state laws and regulations. Responsible for reviewing additional damages received from repair facilities to either complete a supplement or triage to field provider method of inspection.

New!

Providence, RI4 days ago

$76,400–$137,520 Per Year

Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.

Chelsea, MA9 days ago

$1,895.49–$2,787.72 Per Week

Office machines as normally associated with a professional office environment, including the use of telephones, personal computers, word processing and other software, email, videoconference applications, copiers, scanners and fax machines. While performing duties of this job, the employee is regularly required to use hands to finger, handle, feel or operate objects, including office equipment, or controls and reach with hands and arms.

Marlborough, Massachusetts13 days ago

$50,000–$60,000 Per Year

Respond promptly and professionally to incoming requests regarding: EOR requests, claim status requests/updates and general claim questions from Account Management, Sales, Brokers, Policyholders and Third-Party Administrators. The key to Berkley’s success is our nimble approach to risk – our ability to quickly understand, think through, and devise a plan that addresses each client’s challenges, coupled with the strong backing of a Fortune 500 company.

Boston, Massachusetts9 days ago

The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Gallagher's Claims and Risk Consulting team includes more than 100 safety and risk control professionals across the country with in-depth knowledge of current and emerging regulations, safety and health management, and operational exposures.

BJ's Club Support Center Marlborough, MA30+ days ago

The scope includes: ensuring injured team members receive the best possible care, provides oversight of third party claims administrator (TPA) to achieve optimal financial results; partnering with clubs/DC’s and internal partners to ensure that the workers’ compensation benefits are administered according to State regulations; provide training on workers’ compensation benefits; liaising with all external stakeholders including insurance carriers and outside counsel; accurately setting and monitoring the claim reserves; and proactively monitoring claim best practices and new risk management initiatives to reduce claim severity and costs. This includes ensuring TPA best practices are executed; responding to TPA requests for team member information; providing wage information, consults with outside counsel, processes claim billing and funding requests.

Waltham, MA30+ days ago

Full-time

Required Qualifications: 7+ years of experience in Agile Way of Working 10+ years of experience in Commercial Claims & Claims Payment workflows Payment SME with deep expertise in insurance claims payment processing Pega CBA Certified or experience in Pega Payment workflows (preferred) AGILE Certified Product Owner Strong SQL and RDBMS knowledge Preferred Skills: Familiarity with One Inc Payment Hub Experience with Treasury, Payment Channels, Disbursements, and Master Data Management in Insurance Strong communication and interpersonal skills Ability to multitask, prioritize deadlines, and work independently Experience: 10+ years Certification: Agile Certified Product Owner, Pega CBA (preferred) Key Responsibilities: Lead Requirements Workshops Independently facilitate sessions with business and IT stakeholders.

Providence, RI30+ days ago

Highly developed communication skills successfully demonstrated in effectively working with a wide variety of people in both individual and team settings. Demonstrated problem-solving and inductive reasoning skills which manifest themselves in creative solutions for operational inefficiencies.

Quincy, Massachusetts30+ days ago

Remote

The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. As a key member of our experienced Claims Adjuster team, you will: Investigate, evaluate, and resolve complex indemnity/lost time workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution.

Providence, Rhode Island30+ days ago

Remote

The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. As a key member of our experienced Claims Adjuster team, you will: Investigate, evaluate, and resolve complex indemnity/lost time workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution.

Providence, RI30+ days ago

Remote

$223,800–$313,100 Per Year

The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or care management. The Medical Director’s work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management.

New!

Canton, MA6 days ago

Remote

Experience with subrogation and claim recovery workflows is a strong plus, including familiarity with concepts such as eligibility and coverage verification, identification of third-party liability, lien and recovery processes, payment posting, overpayment identification, and reconciliation of recoveries against claim-level financials. Meanwhile, from a regional perspective, both The Boston Globe and Louisville Business First also recognized our unwavering commitment to upholding an internal culture of inclusivity, enjoyment, and empathy for our valued employees by listing The Phia Group in their respective lists for the Top Places to Work in 2025.

Charlestown, MA30+ days ago

Remote

This role requires strong experience with Epic, healthcare registration workflows, and claims processing, along with the ability to multitask efficiently while delivering accurate and timely service. Key Responsibilities:Perform remote patient registration for behavioral health services. About the Client: A leading healthcare organization providing comprehensive clinical and behavioral health services, with a strong focus on patient access, quality care, and operational excellence.

Billerica, MA30+ days ago

This role focuses on high-volume clerical and administrative tasks that help ensure accurate and timely processing of medical billing and patient account information. Candidates should be comfortable working with both digital systems and manual processes, including frequent handwritten notes.

New!

Randolph, MA1 day ago

$60,000–$70,000 Per Year

Our capabilities span fleet maintenance and repair, school and commercial bus sales and service, truck and trailer equipment—including towing, refrigerated transport, yard trucks, and specialty vehicle builds—as well as a full Parts & Tools operation supporting daily maintenance needs. With twelve locations, OEM partnerships, factory-trained technicians, and extensive parts inventories, we provide complete lifecycle support for the vehicles and equipment that keep businesses and municipalities moving.

Boston, MA30+ days ago

$80,000–$85,000

Requires lifting and carrying equipment and supplies weighing up to 35 pounds; requires pushing and pulling equipment and supplies weighing up to 35 pounds; requires walking and standing; requires frequent sitting more than 75% of the workday; requires the ability to negotiate stairs; requires visual acuity and manual dexterity to operate equipment. Through innovative home- and community-based services, Vitra supports aging adults, people with disabilities, and individuals with complex care needs— supported by a Nurse, and Case Manager, Vitra ensures clients receive compassionate, personalized, and dignified care.

Brockton, MA30+ days ago

$22–$24 Per Hour

A Physician Orders Support Coordinator is also responsible to submit orders via fax or doctor’s alliance platform to PCP’s office, obtaining signed orders for a new and current patient Brockton HHA patients, upload the orders into Axxess and tracking the order's status. Job Summary:A Home Health Physician Orders Support Coordinator (POSC) primarily handles the efficient processing and management of physician orders for home health services, ensuring timely compliance and accuracy.

Boston, MA30+ days ago

With its strong 55+ year heritage and deep industry expertise, Capgemini is trusted by its clients to address the entire breadth of their business needs, from strategy and design to operations, fueled by the fast evolving and innovative world of cloud, data, AI, connectivity, software, digital engineering and platforms. The ideal candidate will have 10+ years of P&C insurance product management or consulting experience, strong expertise in personal lines pricing, underwriting, and compliance, and familiarity with technology platforms like Guidewire, Duck Creek, and Majesco.

Needham, MA30+ days ago

You will work closely with the Director of Finance and Clinical Director throughout the year to help manage and develop budgets, track financial status, and perform reconciliations. Manage all accounting/bookkeeping functions, including bill payments, invoicing, accounts receivable, claims reconciliation, general ledger maintenance, and management reporting.

Boston, MA16 days ago

Collaborates with management and peers to ensure all required information is obtained for resolution of charge edits, claim edits, denials, and appeals in a timely manner, while adhering to government/payer regulation and department policy/procedures. With limited supervision, responsible for the timely and accurate submission of all charges and claims as assigned and required to bring issue/problem identification and investigation through to an accepted/successful resolution.

New!

Framingham, Massachusetts6 days ago

$90,000–$110,000 Per Year

As a Reimbursement Manager within our Revenue Cycle department, you will play a pivotal role in leading our Accounts Receivable team towards achieving our Revenue Cycle Key Performance Indicators for denial management, cash collections, bad debt, and DSO objectives. Review and improve processes to increase staff and system efficiency to ensure achievement of Revenue Cycle Key Performance Indicators (Minimize upfront claim rejections and denials, bad debt write-offs, reduce DSO and increase daily cash collections).

New!

Brockton, MA3 days ago

Our mission: Through the talents of an experienced and diverse workforce, OCES supports the independence and dignity of older adults and individuals with disabilities by providing essential information and services that promote healthy, safe living which positively impacts our community. As a leader in our mission- driven non-profit, you will manage a team of claims analysts, resolve complex disputes, and optimize workflows to improve financial performance and reduce denials.

Providence, RI30+ days ago

Remote

$117,600–$161,700 Per Year

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. + Works with the Test Lead to develop plans of action for testing new technology products, including identifying areas to be tested and designing targeted test strategies.

Providence, RI30+ days ago

Remote

$65,000–$88,600 Per Year

Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Boston, MA13 days ago

The Specialist works both independently and collaboratively with the billing team to manage daily workflows, resolve complex claims, and support overall revenue cycle operations. This role ensures that billing issues are fully investigated and resolved, while maintaining a high level of accuracy and productivity.

Boston, MA30+ days ago

Communicate effectively with physicians and pharmacy network providers to ensure that the needs of the provider and plan member are addressed in a courteous, helpful and timely manner. This role involves a high volume of daily contacts with members, physicians, and pharmacies to address medication-related issues, promote adherence, and ensure appropriate medication utilization.

Providence, Rhode Island30+ days ago

Compensation Type: Hourly Highgate Hotels: Highgate is a leading real estate investment and hospitality management company with over $15 billion of assets under management and a global portfolio of more than 400 hotels spanning North America, Europe, the Caribbean, and Latin America. Assist the Director of Human Resources with key responsibilities, which includes new hire administration, employee relations, training and communications with both hotel departments and Highgate corporate offices.

Boston, MA28 days ago

Augmentative and Alternative Communication Specialist (AAC Specialist) is responsible for contributing to business growth by increasing awareness, developing networks, providing information on multiple product solutions to potential clients. As North America’s largest provider of mobility products and services, we deliver personalized solutions from manual and power wheelchairs to medical supplies and other assistive technologies that support health, independence, and everyday participation.

Providence, Rhode Island30+ days ago

$147,000–$179,600 Per Year

We are dedicated to building a diverse, inclusive and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyway. For Atlanta GA, Maryland, Boca Raton FL, North Carolina, Detroit MI, Connecticut, Rhode Island, Rochester MN, this ranges from $154,400.00-$188,600.00 plus benefits and retirement program.

Burlington, MA30+ days ago

Provides exceptional customer service to internal and external customers; resolves any patient requests in a timely and accurate manner; escalates complaints accordingly; maintains frequent phone contact with patient, provider and pharmacy staff; and clarifies prescription orders with pharmacist and/or clinician as appropriate. Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving.

Boston, MA30+ days ago

Cerebral, Inc. is a management services organization that provides health information technology, information management system, and non-clinical administrative support services for various medical practices, including Cerebral Medical Group, PA and its affiliated practices (CMG), who are solely responsible for providing and overseeing all clinical matters. By combining Resilience Lab's Methodology & clinically-led training Institute with Cerebral's extensive reach, clinical network, and care capabilities, we are creating a national model for high-quality, integrated, and accessible behavioral health care.

Boston, MA30+ days ago

Remote

$78,400–$107,800 Per Year

The Manager, Fraud and Waste works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

Boston, MA30+ days ago

$165,000–$180,000 Per Year

We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.

Boston, MA30+ days ago

Remote

Full-time

Applied experience with GenAI and Intelligent Document Processing to automate document-heavy workflows, with hands-on exposure to prompt design, model iteration, and the ability to explain AI outcomes to both technical and business audiences. You serve as a trusted technical and business advisor, guiding prospects through complex, document-heavy workflows and helping them see a clear path from manual operations to scalable, AI-driven execution.

Providence, RI30+ days ago

Prepares and supports budget process forecasting and financial/operational analyses activities for Brown University Health Pharmacy LLC; 340B contract pharmacy arrangements; consolidated service center; and affiliate inpatient pharmacies at Rhode Island Hospital The Miriam Hospital Newport Hospital Bradley Hospital Morton Hospital and Saint Anne�s Hospital. Prepares Brown University Health Pharmacy LLC monthly financial reports and collaborates with Brown University Health accounting department to produce monthly financial statements.

Providence, RI30+ days ago

Takes APC Operating Room bookings and initiates all charge vouchers for out-patient procedures In Emergency Department registration notifies appropriate security agency of emergency treatments resulting from assaults gunshot wounds animal bites accidents and the like according to Rhode Island State Department of Health regulations. Summary: General supervision but according to established credit policies and procedures interviews and registers patients for Emergency/Trauma Center or Ambulatory treatment by obtaining demographic third-party insurance and related financial information entering same to on-line computer system.

Charlestown, MA30+ days ago

Handles payer 277 rejections on accounts with the highest level of complexity and resubmits claims through Epic Billing system or other means of submission (i.e., email, fax, payer portal, certified mail) and provides trends to management for payer outreach and/or internal billing system updates to ensure timely filing and reimbursement. Skills, Knowledge & Abilities: · Demonstrates excellent attention to detail and prioritization of accounts · Demonstrates strong working knowledge of Epic Hospital Billing Follow Up and Denial workflows, considered as Subject Matter Expert (SME) to team and other colleagues.

Charlestown, MA30+ days ago

Remote

Under oversight of the Department Manager & Supervisor, the Patient Financial Services Specialist – Hospital Billing will be responsible for efficient & timely billing and collections of hospital outstanding balances on inpatient and outpatient accounts receivable of higher complexity within assigned work queues for a large multi-facility healthcare system with future expansion anticipated to maximize reimbursement to the health system. Handles payer 277 rejections on accounts with higher level of complexity and resubmits claims through Epic Billing system or other means of submission (i.e., email, fax, payer portal, certified mail) and provides trends to management for payer outreach and/or internal billing system updates to ensure timely filing and reimbursement.

Providence, RI30+ days ago

Process all necessary online adjustments or changes as needed such as adding/deleting insurance information insurance priority changes balance transfers demographic changes contractual allowances any other routine patient accounting adjustment not requiring supervisory approval. Summary: Under the general direction of the Director Contracting Analytics and Modeling perform all duties necessary to properly identify and process recovery of revenue for Contract Management and Managed Care denials for Brown University Health and its Rhode Island affiliates.

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Claims Processor Jobs in Holbrook, MA

Jobs

Claims Examiner MedMalDiedre Moire Corp.

Claims AdjusterFM

Claims Senior Property AdjusterACSC Management Services Inc

Claims Medpay AdjusterACSC Management Services Inc

Claims Senior MedPay AdjusterACSC Management Services Inc

Claims Senior Auto AdjusterACSC Management Services Inc

Claims Auto AdjusterACSC Management Services Inc

Claims Complex Property AdjusterACSC Management Services Inc

Manager, Claims & Fraud OperationsSantander Holdings USA Inc

Claims Unit Manager - AutoACSC Management Services Inc

SIU Investigator - Multi-Line (Desk)USAA

Sr. Auto Appraiser - FieldUSAA

Property Adjuster Specialist - FieldUSAA

Claims Management Specialist (Construction)Massachusetts Water Resources Authority

Claims Correspondence AnalystBerkley

Claims AdvocateGallagher

Sr. Workers Comp Claims SpecialistBJs Wholesale Club

Business Analyst - Commercial Claims Payment SMEMacpower Digital Assets Edge LLC

Claims Follow Up RepBrown University Health

Senior Workers Compensation Claims Adjuster - CT, NH, VT, RI, MAGallagher

Senior Lost Time Workers Compensation Claims Adjuster - CT, NH, VT, RI, MAGallagher

Medical Director - Claims ManagementHumana

Sr. Software Engineer (Healthcare/Claim Recovery) - RemoteThe Phia Group

Patient Access RepresentativeGTT

Clerical AssistantConnexion Systems + Engineering

Body Shop EstimatorDeVivo Companies

Compliance SpecialistVITRA Health

Scheduler - Home Health Care In BrocktonBrockton Home Health Care Agency LLC

Senior P&C Insurance Product Management SpecialistCapgemini

Medical Office Manager - Billing & CredentialingCrawford Thomas Recruiting

Senior Associate, Physician Billing (hybrid)Boston Children's Hospital

Reimbursement ManagerHealthDrive

Health Insurance Billing ManagerOld Colony Elder Services

Medicaid State Technology LeadHumana

Encounter Data Management ProfessionalHumana

Physician Billing SpecialistBoston Children's Hospital

Pharmacy Coordinator SeniorHighmark Health

HR CoordinatorGraduate Providence

Augmentative and Alternative Communication SpecialistNumotion

Senior Scheduler (Nationwide)Gilbane Building Company

In-Clinic Medication Access SpecialistBeth Israel Lahey Health

Join Our Provider Network (Licensed Therapists)Cerebral

Manager, Fraud and WasteHumana

Managing Director, , Actuarial ServicesEvolent

Solutions ConsultantIndico Data

Pharmacy Bus Operations Financial SpclstBrown University Health

Patient Accts Rep Amb EDBrown University Health

Patient Financial Services Senior Specialist - Hospital BillingBeth Israel Lahey Health

Patient Financial Services Specialist (Hospital Billing) RemoteBeth Israel Lahey Health

Revenue AnalystBrown University Health

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