NewAuto Claims Adjuster RandstadAuto Claims AdjusterWorcester, MA$55,000–$62,000 / yearYour Day-to-Day Impact Own the Process: You will actively manage a pending inventory of 80 to 120 moderately complex service claims from intake to resolution, taking on an average of 5 new claims daily. What You Bring to the Table Experience: You typically bring 2 to 3 years of front-line auto claim-handling, investigation, and phone queue experience, including third-party handling and liability determinations.
NewClaims Examiner I Beyond Risk Management IncClaims Examiner IBeverly, MAAssist with case reserve management: Help set and monitor case reserves for assigned claimants, research medical conditions and treatment plans, and document reserve rationale with support from management. Pitch in where needed: Assist with logging new claim submissions, notifications, claims reporting, cross-training opportunities, high-volume periods, and special projects assigned by management.
NewClaims Auditor - Workers Compensation (Temporary/Project Based) Alan Gray LLCClaims Auditor - Workers Compensation (Temporary/Project Based)Boston, MAThe auditor will apply his or her experience and training, along with specific account instructions and pertinent regulations, to evaluate all aspects of claim handling, including coverage determinations, negotiations, internal and external communications, and the notation and documentation contained in the files under review. Depending on experience and ability, the position may require project management responsibilities where the individual will direct and oversee audits and manage assigned auditors.
NewClaims Monitoring Counsel MG+M The Law FirmClaims Monitoring CounselBoston, MARemoteThe Consulting Group is at the forefront of emerging issues facing design professionals, including the use of AI, alternative construction delivery models such as Progressive Design Build, and project specific risk and insurance frameworks. Experience in one or more of the following practice areas: complex civil litigation preferably in the construction arena, claims management, interaction with insurers, involvement in the design or construction industry.
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.
NewAgency Sales Coordinator Combined InsuranceAgency Sales CoordinatorBrockton, MAThe company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. Work for CombinedCombined Insurance, a CHUBB company and leader in the voluntary benefits industry, is seeking talented Agency Coordinators to help us build on our recent exciting growth.
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.
MMIS Business Analyst The Computer Merchant, LtdMMIS Business AnalystQuincy, MA$60–$65 / hourContractorThe Business Analyst (BA) will work on our established Provider Reimbursement and Claims processing functional areas to support the development, testing and implementation of projects and enhancements to meet the business objectives of the MassHealth (Massachusetts Medicaid) program specifically projects to support the member community. * While an hourly range is posted for this position, an eventual hourly rate is determined by a comprehensive salary analysis which considers multiple factors including but not limited to: job-related knowledge, skills and qualifications, education and experience as compared to others in the organization doing substantially similar work, if applicable, and market and business considerations.
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.
Claims Quality Control Auditor (44912) Neighborhood Health Plan of Rhode IslandClaims Quality Control Auditor (44912)Smithfield, RIResponsibilities include, but are not limited to the following: Review Neighborhood's claim process functions, including auto adjudicated and manually processed claims and issues, based on provider and health plan contractual agreements and claims processing guidelines. This Master IA will be created from results of the weekly Claims Adjustment Committee meeting and be used by adjusters from each delegate to reprocess claims according to the respective configuration changes in each system.
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. Job Description: The opportunity: 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.
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.
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.
Claims Svc Rep. TPI Global SolutionsClaims Svc Rep.Worcester, MAGuided by your manager, you will provide general assistance to agents, insureds, and claimants, matching their needs with our services using provided scripts to assist you in serving our customers. " Proficiency in using and toggling between multiple computer applications, dual screens, and MS Office Suite products (Word/Excel, Outlook, SharePoint, Teams); Independent use of provided resources.
Claims Service Representative OnDek SolutionsClaims Service RepresentativeWorcester, MAWe are actively seeking Claims Service Representatives to join a premier, nationally recognized Property & Casualty insurance provider at their customer service center in the Worcester, MA area. Guided by your team and structured support, you will deliver empathetic service, handle claims intake, and help policyholders get back on their feet.
Claims Casualty Adjuster AAAClaims Casualty AdjusterLincoln, Rhode Island$33.43–$44.53 / hourClaims Casualty Adjuster Job Summary The Claims Casualty Adjuster handles low to moderate-complexity claims involving material damage, property, and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. 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.
Claims Senior Property Adjuster AAAClaims Senior Property AdjusterLincoln, Rhode Island$31.10–$41.42 / hourClaims Senior Property Adjuster Job Summary 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. 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.