NewClaim Operations Supervisor (Hybrid) Atlantic Specialty Insurance CompanyClaim Operations Supervisor (Hybrid)Canton, MA$87,000–$101,000 / yearSome of the Claim Operations Supervisor responsibilities include but are not limited to: Supervise and lead a team of claim operations staff, prioritizing and assigning work, providing guidance, training and support to ensure high performance and productivity. In return, we promise you support, opportunities and performance-led financial rewards in a flexible work environment where you can: Shape the future: Help us lead an insurance transformation to better protect people, businesses and society.
Claims Processor Global Channel ManagementClaims ProcessorWestford, MassachusettsReview incoming membership documents (Microsoft Excel and Word) to confirm accuracy in formatting and validity of data; includes communicating when updates are needed for successful membership enrollment and/or submission for processing. Monitor team shared Outlook mailbox for incoming membership documents sent from clients, brokers or Third Party Administrators.
NewDental Office Receptionist HADAR DENTAL LLCDental Office ReceptionistLexington, MA$18–$22 / hourPrimary responsibilities will include answering phones, greeting patients, maintaining appearance and order of the dental office, patient scheduling, patient and records management, insurance and billing procedures, data entry, researching and preparing insurance estimates. You must have working knowledge of computers for word processing, scheduling, insurance claims processing and records management.
NewAssociate, Claims Receipt Processor Ametros FinancialAssociate, Claims Receipt ProcessorMassachusettsAmetros, a subsidiary of Santander Bank N.A., is changing the way individuals navigate healthcare by providing them with the tools and support necessary to make educated decisions on how to spend their medical funds. Ametros's team works closely with patients, insurers, employers, attorneys, brokers, medical providers, and Medicare to create a seamless experience for our clients.
NewClaims Review Specialist, DSNP Mass General BrighamClaims Review Specialist, DSNPSomerville, MassachusettsRemoteWorking 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.
Senior Program Manager / Project Manager - Medicaid Claims CVS HealthSenior Program Manager / Project Manager - Medicaid ClaimsMassachusettsResponsible for implementing best practices, facilitating workstreams through change, and ensuring effective delivery of projects and initiatives that enhance provider experience. Lead enterprise delivery of multiple, highly complex business process and technology initiatives aligned to the Medicaid program, supporting all lines of business.
NewProcess Consultant, Stop Loss Claims Sun Life FinancialProcess Consultant, Stop Loss ClaimsWellesley Hills, MA$60,400–$90,600 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. The Process Consultant, Stop Loss Claims is accountable for process governance, end-to-end documentation strategy, and continuous improvement that strengthens quality, compliance, scalability, and risk management within Stop Loss Claims Operations.
Stop Loss Claims Resolution Consultant Sun Life FinancialStop Loss Claims Resolution ConsultantWellesley Hills, MA$54,100–$81,200 / yearThis role combines deep technical expertise as a Stop Loss Health Claims Analyst with responsibility for managing end-to-end inquiry resolution, including research, claim determination support, documentation review, and clear customer communication. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation.
Senior Manager, Stop Loss & Health Claims Sun Life FinancialSenior Manager, Stop Loss & Health ClaimsWellesley Hills, MA$68,200–$102,300 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
NewPersonal Lines Processor Woodrow CrossPersonal Lines ProcessorNewburyport, MassachusettsAuditing new business to make sure workflow has been completed correctly (quote sheets, signed applications, completed checklists, etc.). A Personal Lines Processor is primarily responsible for processing documents related to personal lines insurance and providing administrative support to the Producers and Account Managers.
Complex Claims Director, Management Liability American International GroupComplex Claims Director, Management LiabilityBoston, MA$122,000–$150,000 / yearYou will be responsible for handling all aspects of complex directors & officers claims, including securities class actions, high exposure employment practices liability and fiduciary liability matters, from inception through conclusion brought against publicly traded, privately held and not-for-profit insureds. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience.
Remote Claims Representative 630810 Metro Public AdjustmentRemote Claims Representative 630810Woonsocket, RIRemoteAccepting 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.
NewClaims Consultant, Life Sciences CNAClaims Consultant, Life SciencesBoston, Massachusetts$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex commercial claims with large exposures that require a high degree of technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to complex manage litigation and authorizing payments within scope of authority.
General Liability Claims Consultant CNA Financial Corp.General Liability Claims ConsultantBoston, MA$72,000–$141,000 / yearThis individual contributor role operates under broad authority to manage commercial claims of high complexity and exposure within the Commercial Auto/General Liability/ Construction Auto and General Liability line(s) of business. Performs a combination of duties in accordance with departmental guidelines: Manages highly complex investigations of claims, including coverage issues, liability, compensability and damages.
Senior Property Adjuster (Commercial Property Claims) - Boston, MA Eagle MartinSenior Property Adjuster (Commercial Property Claims) - Boston, MAFoxborough, MAPHYSICAL ACTIVITIES AND REQUIREMENTS: In addition to the working conditions and associated physical activities and requirements above, the incumbent may be required to climb, balance, stoop, kneel, crouch, crawl, reach, stand, walk, push, pull, lift, finger, grasp, or feel, especially in the course of investigating and assessing property damage; these requirements may include the need to lift weights of up to 50 pounds, including a ladder. The work requires close visual acuity, with or without correction, to prepare reports containing words, symbols, and numerical figures; the incumbent is required to view a computer terminal, use a keyboard, read printed documents, make detailed visual inspections, perceive color, perceive depth, and have a sufficient field of vision to carry out all inspection and related duties.
Sr. Claims Analyst, Health And Risk Solutions Sun Life FinancialSr. Claims Analyst, Health And Risk SolutionsWellesley Hills, MA$68,200–$102,300 / yearYou will also play a key role in managing internal and external relationships, supporting new hire training, and coaching and mentoring Health and Risk Solutions Claim Analysts and Overpayment Specialists. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation.
Claims Appraiser - Auto Estimatics State FarmClaims Appraiser - Auto EstimaticsAndover, MA$69,398.62–$91,000 / yearWith the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you! Additional Details: Employees must successfully complete all required training, including applicable proficiency, licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s).
Assistant Vice President, Excess Claims American International GroupAssistant Vice President, Excess ClaimsBoston, MA$175,000–$225,000 / yearOur Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency.
NewProcess Consultant, Stop Loss Claims Sun LifeProcess Consultant, Stop Loss ClaimsWellesley, MaineThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. The Process Consultant, Stop Loss Claims is accountable for process governance, end-to-end documentation strategy, and continuous improvement that strengthens quality, compliance, scalability, and risk management within Stop Loss Claims Operations.
Property Claims Specialist Ursus, Inc.Property Claims SpecialistAndover, MA$30–$32.47 / hourExcellent written communication: capable of presenting work and writing work reports, scope of work, and contractual documentation; Excellent verbal communication: able to verbalize in clear, concisely, and tactful communication with senior executive management, clients, peers, and team members. The position is responsible for the day-to-day activity of property loss and business interruption claims, communication of loss incidents, interaction/coordination with Operations and Maintenance groups, claims submission, preparation and coordination with claims consultants, financial tracking and reporting for accounting, and status reporting on recovery.