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.
Claims Processor - Flex Benefits Aon PlcClaims Processor - Flex BenefitsMA$43,000–$50,000 / yearPosition Summary: The Claims Processor is responsible for accurate and timely processing of claims which includes claims for Flexible Spending Accounts (FSA), Health Reimbursement Arrangements (HRA), Retiree plans, Lifestyle Accounts, Parking and more. American Benefits Group (ABG) is one of the nation's leading employee benefit solution providers for Consumer Directed Health accounts, COBRA and Direct Billing services.
Claims Processor Flex Benefits NFP CorpClaims Processor Flex BenefitsMA$43,000–$50,000 / yearPosition Summary:The Claims Processor is responsible for accurate and timely processing of claims which includes claims for Flexible Spending Accounts (FSA), Health Reimbursement Arrangements (HRA), Retiree plans, Lifestyle Accounts, Parking and more. American Benefits Group (ABG) is one of the nation's leading employee benefit solution providers for Consumer Directed Health accounts, COBRA and Direct Billing services.
Senior Property Claims Adjuster (Complex, Large Loss Claims) HCC Life Insurance CompanySenior Property Claims Adjuster (Complex, Large Loss Claims)MARemoteThe Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e))(the "VCCLEA"), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. In this role, you will handle claims from initial investigation through resolution, applying advanced coverage knowledge and strong analytical judgment to deliver fair, timely outcomes while providing exceptional service to our insureds and partners.
Claims RepresentativeSr. Claims Representative - Auto Property Damage with Experience Plymouth Rock Management Company of New JerseyClaims RepresentativeSr. Claims Representative - Auto Property Damage with ExperienceBoston, MA$50,000–$80,000 / yearThe Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. Claim Investigation: Investigate auto accidents to assess liability by interviewing first- and third-party claimants, witnesses, investigating officers, and other relevant parties.
Complex Claims Director, Excess Claims American International GroupComplex Claims Director, Excess ClaimsBoston, MA$112,000–$138,500 / 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. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security-as well as your professional development-to bring peace of mind to you and your family.
Claims - CGL - Sr Technical Consultant Casualty Claims GTTClaims - CGL - Sr Technical Consultant Casualty ClaimsWorcester, MAFully responsible for the analysis, investigation, evaluation, negotiation and resolution of complex commercial claims requiring thorough investigations including telephone contacts with the involved parties; technical expertise and complex analysis. Responsible for all aspects of each claim, including informal hearings, arbitrations and claims litigation and maintaining a high level of productivity, confidentiality and customer service.
Claims Specialist - Rideshare Commercial Auto - Attorney Represented Bodily Injury Claims Adjuster Liberty Mutual Holding Company IncClaims Specialist - Rideshare Commercial Auto - Attorney Represented Bodily Injury Claims AdjusterBoston, 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: Boston, MA; Westborough, MA; Hoffman Estates, IL; Weatogue, CT; Indianapolis, IN; Plano, TX; Suwanee, GA; or Lake Oswego, OR; Las Vegas, NV; Chandler, AZ.
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, 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: Boston, MA; Westborough, MA; Hoffman Estates, IL; Weatogue, CT; Indianapolis, IN; Plano, TX; Suwanee, GA; or Lake Oswego, OR; Las Vegas, NV; Chandler, AZ.
Claims - Field Claims Representative Cincinnati Financial CorporationClaims - Field Claims RepresentativeBoston, MA$68,400–$91,200 / yearThis territory allows either an experienced or entry-level representative the opportunity to investigate and evaluate multi-line insurance claims through personal contact to ensure accurate settlements. Share your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person.
NewSupervisor, Medicaid Claims Reviewer Mass General BrighamSupervisor, Medicaid Claims ReviewerSomerville, Massachusetts$79,560–$115,720.80 / yearWorking 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 Review Specialist, DSNP Brigham and Women's HospitalClaims Review Specialist, DSNPSomerville, 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.
NewClaims Review Specialist, DSNP Mass General BrighamClaims Review Specialist, DSNPSomerville, MassachusettsRemote$17.71–$25.28 / hourThe ideal candidate brings hands‑on experience with SCO and One Care claims processing and demonstrated proficiency in QNXT or similar claims adjudication systems (e.g., Facets).Essential Functions: 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.
Auto PD - Adjuster Service Claims The Hanover Insurance Group IncAuto PD - Adjuster Service ClaimsWorcester, MADigital Fluency: Effectively uses digital tools and technology appropriately to find, evaluate, create, and communicate information understands how to navigate digital platforms, use software applications, and leverage technology for productivity and communication purposes. Customer Centricity: Makes customers/clients and their needs a primary focus of one's actions; shows interest in and understanding of the needs and expectations of internal and external customers; gains customer trust and respect; meets or exceeds customer expectations.
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.
NewClaims Research & Resolution Representative Humana IncClaims Research & Resolution RepresentativeMARemote$40,000–$52,300 / yearWork at Home Requirements: 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. Through our Humana insurance services and our 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.
Stop Loss Claims Resolution Consultant Sun Life Financial IncStop 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.
Claims Service Representative OnDek SolutionsClaims Service RepresentativeWorcester, MassachusettsWe 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.
NewSupervisor, Medicaid Claims Reviewer Brigham and Women's HospitalSupervisor, Medicaid Claims ReviewerSomerville, MA$79,560–$115,720.80 / yearWorking 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.