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.
Project Manager Dane Street, LLCProject ManagerBoston, MARemoteWe process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We are seeking a highly organized and results-driven Project Manager to lead and manage cross-functional strategic initiatives that support organizational growth and operational excellence.
Licensed Vocational Nurse-LPN LancesoftLicensed Vocational Nurse-LPNPlease note: Actual location may vary., RIRemote$26Position Summary: We are seeking experienced LPN/LVN candidates with prior authorization experience in a specialty medical office (MDO), PBM, or clinical setting. This role requires the ability to work in a high-volume, metrics-driven environment while maintaining strong clinical judgment, accuracy, and efficiency.
NewNew Hampshire Licensed Pharmacy Technician - Prior Authorizations Shields Health SolutionsNew Hampshire Licensed Pharmacy Technician - Prior AuthorizationsManchester, NHRemote$20–$22 / hourKeywords: Remote Pharmacy Technician, Certified Pharmacy Technician, PTCB, NHA, Medication Access, Prior Authorization, Patient Support, Pharmacy Insurance, Specialty Pharmacy, Financial Assistance, Pharmacy Operations, Medication Adherence, Healthcare Customer Service, Remote Healthcare Jobs, New Hampshire Pharmacy Technician License. Solid computer skills are required, including proficiency in Microsoft Office tools (Outlook, Teams, Word, Excel, and PowerPoint) for communication, documentation, and data management, as well as, navigating the internet and web-based platforms.
Customer Success Manager - P&C Claims Shift TechnologyCustomer Success Manager - P&C ClaimsBoston, MARemote$120,000–$140,000 / yearProvide performance updates to project teams and executive-level client leaders (regular business reviews or summaries) focused on adoption trends, business impact, risk areas, and next steps for deeper engagement. Assess clients' Anti-Fraud, Claims and Underwriting management strategies and recommend ways Shift products can improve outcomes through increased adoption or configuration changes.
Senior Casualty Claims Specialist - Northeast Liberty Mutual Holding Company IncSenior Casualty Claims Specialist - NortheastWestborough, MARemoteThe full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
Workers Compensation Claims Adjuster | NY Jurisdictional Knowledge & NY Licensing Required | Dedicated Public Entity Client & Capped Caseloads Sedgwick Claims Management Services, Inc.Workers Compensation Claims Adjuster | NY Jurisdictional Knowledge & NY Licensing Required | Dedicated Public Entity Client & Capped CaseloadsMARemote$80,000–$90,000 / yearPRIMARY PURPOSE OF THE ROLE To analyze New York Workers Compensation Lost-Time claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Forensic Engineer - Mechanical The Vertex Companies, LLCForensic Engineer - MechanicalBraintree, MARemote$146,000–$348,000 / yearFull timeThe salary ranges for this role are as follows: $146,000 - $348,000 USD annually (Geographical Tier AA - Sample Locations: NY Metro, San Franscisco, San Jose, Seattle) $134,000 - $322,000 USD annually (Geographical Tier A - Sample Locations: Irvine CA, Middlesex NJ, Tacoma WA, Boston, Alexandria) $123,000 - $295,000 USD annually (Geographical Tier B - Sample Locations - Baltimore, Chicago, Anchorage, Portland) $112,000 - $268,000 USD annually (Geographical Tier C - Sample Locations - Atlanta, Charlotte, Cincinnati, Miami) $107,000 - $255,000 USD annually (Geographical Tier D - Sample Locations - Mississippi, Mobile AL, Bowling Green KY, Tulsa) Time away matters—so we provide a generous paid time off program, including vacation, sick time, and paid holidays (with prorated options for eligible part-time employees). Responsible for supporting assigned manager in meeting or exceeding the defined annual budget for the entire practice area (including proactive creation of work product to meet or exceed defined utilization targets, oversight of execution of profitable technical assignments, and communication with clients as assigned or requested).
Senior Construction Defect Technical Claims Specialist Argo Group International Holdings IncSenior Construction Defect Technical Claims SpecialistMARemote$137,496–$164,934 / yearBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
Guidewire Developer-Claimcenter Kemper Corp.Guidewire Developer-ClaimcenterBoston, MARemote$89,000–$148,100 / yearAlpharetta, Georgia, Birmingham, Alabama, Boston, Massachusetts, Chicago, Illinois, Cleveland, Ohio, Columbus, Ohio, Downers Grove, Illinois, Jacksonville, Florida, P&C-Ingram Rd-San Antonio-TX, Remote-CT, Remote-GA, Remote-IL, Remote-IN, Remote-OH, Remote-PA, Remote-TX, Remote-VA, Richardson, Texas, Tampa, Florida. You will work on Guidewire ClaimCenter and its surrounding middleware (Java/SpringBoot, AWS SQS/SNS, AWS Lambdas, AWS PostgreSQL, etc…).
Forensic Engineer - MechanicalNEW The Vertex Co IncForensic Engineer - MechanicalNEWMARemote$146,000–$348,000 / yearResponsible for supporting assigned manager in meeting or exceeding the defined annual budget for the entire practice area (including proactive creation of work product to meet or exceed defined utilization targets, oversight of execution of profitable technical assignments, and communication with clients as assigned or requested). Effectively coordinate with other team members as requested or assigned, able to provide technical work product review, and monitor own progress on assigned tasks or projects, and ensure work product produced by self is consistently high quality.
NewPatient Business Representative Brigham and Women's HospitalPatient Business RepresentativeFoxborough, MARemote$19.81–$28.30 / hourThe 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. The Patient Business Rep (PBR) functions as a financial counselor and registrar and is responsible for the in-depth evaluation of financial history for both uninsured and underinsured patients for the purpose of determining eligibility for government and pharmacy financial assistance programs.
Licensed Vocational Nurse-LPN Apidel TechnologiesLicensed Vocational Nurse-LPNRemote, RIRemoteContractorThe Licensed Practical Nurse is a graduate of a school of Practical or Vocational Nursing, approved by the State Agency and/or accredited by the National League for Nursing (Accrediting Commission (NLNAC)) at the time the program was completed by the applicant. 1. Do you currently hold an active, unrestricted LPN/LVN license Yes No. 2. Do you have 2%2B years of RECENT hands-on prior authorization experience (not scheduling, DME, surgery or procedure referrals, or intake) Yes No.