Claims Investigation Services Senior Consultant Sun Life FinancialClaims Investigation Services Senior ConsultantWellesley Hills, MA$72,500–$108,800 / yearJob Description: The Senior Consultant, Claims Investigation Services (CIS) is responsible for department quality control and audit responsibilities in addition to leading complex investigations involving suspected fraud, abuse, misrepresentation, provider misconduct, and other irregular claim activity across Sun Life U.S. Supplemental Health products, including Accident, Critical Illness, Cancer and Hospital Indemnity. 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.
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.
Sr. Claims Analyst, Health and Risk Solutions Sun Life Financial IncSr. 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.
Senior Personal Lines Bodily Injury Claims Professional Plymouth Rock Management Company of New JerseySenior Personal Lines Bodily Injury Claims ProfessionalBoston, MA$86,000–$118,000 / yearIn this role, you'll manage sophisticated First- and Third-Party Bodily Injury claims, partnering with internal teams, defense counsel, vendors, and other experts to develop claim strategy and drive thoughtful, effective resolutions. Complex Claim Investigation - Conduct thorough coverage, liability, and injury investigations, obtain statements, and evaluate the facts needed to reach timely, well-informed claim decisions.
Senior Claims Specialist Liberty Mutual Holding Company IncSenior Claims SpecialistBoston, MAResponsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements and managing an inventory of commercial property/casualty claims involving bodily injury or property loss.
Senior Coverage Counsel Fortegra FinancialSenior Coverage CounselBoston, MAThis role will partner closely with Underwriting, Product, Regulatory, Reinsurance, Operations and business leadership to advise on complex risk issues, craft and interpret policy and contract language, assess claim and coverage positions, and support the development, distribution and administration of insurance and warranty products. This is a hands-on insurance and warranty product development and legal construct-focused role for an attorney who understands how insurance products work in practice - from policy language, exclusions, and coverage determinations to state insurance considerations, product structures, claims disputes, and specialty program operations.
Senior Claims Examiner, Lawyers and Financial Advisors Professional Liability Markel Group IncSenior Claims Examiner, Lawyers and Financial Advisors Professional LiabilityBoston, MA$78,000–$134,090 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.
Senior Claims Examiner- Property Hiscox LtdSenior Claims Examiner- PropertyBoston, MA$85,000–$95,000 / yearThe 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. With strong growth across the US business, the Claims team is focused on delivering profitability while reinforcing Hiscox's strong brand built on a long history of outstanding claims handling.
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