NewClaims Specialist II Liberty Mutual Holding Company IncClaims Specialist IIWestborough, 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. Manages litigated claims involving bodily injury and property damage exposures within the commercial lines of business, collaborating with insureds, claimants, attorneys, and other involved parties throughout the litigation and claims-handling process.
Engagement Lead - Risk Consulting- Forensic Accounting/Claims-Remote - US Marsh & McLennan Companies IncEngagement Lead - Risk Consulting- Forensic Accounting/Claims-Remote - USBoston, MARemote$112,600–$239,800 / yearAs an Engagement Lead - Forensic Accounting & Claims Services Consultant, you will act as a recognized subject matter expert, leading large-scale strategic projects, coaching team members, and solving complex client problems. Marsh Risk is a business of Marsh (NYSE: MRSH), a global leader in risk, reinsurance and capital, people and investments, and management consulting, advising clients in 130 countries.
Claims Representative - Subrogration Plymouth Rock Management Company of New JerseyClaims Representative - SubrogrationBoston, MA$50,000–$76,000 / yearAs a valued member of the team, you'll use your expertise in liability analysis, settlement negotiations, and process improvement to deliver exceptional recovery results, streamline workflows, and contribute to the continued success of our claims organization. About the Company: The 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.
Multi-Line Claims Adjuster - Massachusetts Provencher & Company, LLCMulti-Line Claims Adjuster - MassachusettsBoston, MAWe excel in providing professional, knowledgeable claims professionals to handle large losses, catastrophe claims, business interruption and daily property claims, as well as handle complete liability investigations, task assignments including scene investigations and property damage appraisals, construction defect claims as well as first party automobile claims for personal and commercial insurance policyholders. Experience in industry specific areas a plus, but not necessary: fire departments, agricultural, lumber mills, high value or historic buildings or Construction Defects, Automobile Liability, Subrogation Recovery investigations.
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.
Wind Engineer Karen Clark & CompanyWind EngineerBoston, MA$90,000–$100,000 / yearKCC catastrophe models currently cover tropical cyclones, extratropical cyclones, severe convective storms, floods, earthquakes, winter storms, and wildfires in over 50 countries. Karen Clark & Company (KCC) seeks a highly qualified Wind Engineer to join the Model Development Team to work on developing advanced catastrophe reference models.
Manager, Specialty Liability Claims (Primarily Home) American Family Insurance GroupManager, Specialty Liability Claims (Primarily Home)Boston, MARemote$88,000–$145,000 / yearThis experience is held in person at our Madison, WI Headquarters or one of our AmFam core locations to help you connect with our mission, meet key team members and build relationships that support your growth. In this primarily home-based role, you will spend 80% of your time (4+ days per week) working from home, proximate to one of our office locations (within approximately 35-50 miles).
Pharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistWaltham, MassachusettsSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
Claims Manager, SDI AXA SAClaims Manager, SDIBoston, MA$139,300–$219,300 / yearClaims Manager - SDI Chicago, IL | Hartford, CT | Exton, PA | New York, NY | Morristown, NJ| Boston, MA | USA As the SDI Claims Manager, you will play a pivotal role in leading a team that handles high-exposure Subcontractor Default Insurance (SDI) claims for some of the largest construction contractors in the industry. By combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business property, casualty, professional, financial lines and specialty.
Associate, Claims Receipt Processor Ametros Financial CorpAssociate, Claims Receipt ProcessorWilmington, MA$20–$23 / hourAmetros's team works closely with patients, insurers, employers, attorneys, brokers, medical providers, and Medicare to create a seamless experience for our clients. Ametros 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.
Senior Technical Claims Specialist, Construction Complex Liberty Mutual Holding Company IncSenior Technical Claims Specialist, Construction ComplexBoston, MAWe're seeking an experienced claims professional who thrives on challenging, high-exposure commercial casualty matters arising from construction operations - including complex Commercial General Liability (CGL) and Construction Injury/Liability claims (all litigated or high-exposure losses $500,000+). An experienced claims professional with a strong Commercial General Liability and/or Construction Liability background (preferably with claims $500,000 and above), sound judgment on complex coverage and liability questions, and the confidence to lead files, mentor others, and manage litigation strategy independently.
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.
Investigator Ethos Risk ServicesInvestigatorCambridge, MAFull timeCONDITIONS:While we aim to keep assignments within a 2-hour drive of your residence, occasional further travel and overnight stays (covered by the company) may be requiredMost surveillance cases start at 6:00AM. REQUIREMENTS:Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports.
Claims Consultant W. R. Berkley CorpClaims ConsultantBoston, MA$50–$70 / hourThe company offers a competitive compensation plan which for this role include: o Hourly: $50-$70/hr o This is a temporary role (not permanent) - estimated 3-6 months o Part time 20 - 25 hours a week The 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. Review, evaluate and, if necessary, respond in a reasonable and timely fashion to demands seeking payment of an insured's total applicable limits of liability, time-limited demands, offers of judgment, demands that Gemini settle a claim within its limits of liability and similar types of demands or offers.
NewSurveillance Investigator Allied UniversalSurveillance InvestigatorBoston, MassachusettsFull timeThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
Bodily Injury & Homeowners Liability Adjuster Allstate Insurance CompanyBodily Injury & Homeowners Liability AdjusterMA$53,500–$86,400 / yearAuto Insurance Claims, Case Management, Casualty Insurance, Casualty Management, Claims Administration, Claims Resolution, Claims Review, Commercial Liability, De-Escalation, Home Insurance, Homeowners Claims, Homeowners Insurance, Homeowners Insurance Claims, Insurance Policies, Liability Insurance, Liability Management, Litigation, Multitasking, Personal Injury Claims, Property & Casualty Insurance, Relationship Management, Tort Liability. Team members may have the opportunity to gain exposure to a variety of claim types and handling responsibilities, including extended handling, litigation, and homeowners liability claims, based on business needs, performance, and development goals.
Claims Consultant BerkleyClaims ConsultantBoston, Massachusetts$50–$70 / hourThe company offers a competitive compensation plan which for this role include: oHourly: $50-$70/hr oThis is a temporary role (not permanent) – estimated 3-6 months oPart time 20 - 25 hours a week The 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. Review, evaluate and, if necessary, respond in a reasonable and timely fashion to demands seeking payment of an insured’s total applicable limits of liability, time-limited demands, offers of judgment, demands that Gemini settle a claim within its limits of liability and similar types of demands or offers.
Multi-Line Claims Adjuster - Massachusetts Provencher & Company, LLCMulti-Line Claims Adjuster - MassachusettsBoston, MAWe excel in providing professional, knowledgeable claims professionals to handle large losses, catastrophe claims, business interruption and daily property claims, as well as handle complete liability investigations, task assignments including scene investigations and property damage appraisals, construction defect claims as well as first party automobile claims for personal and commercial insurance policyholders. Experience in industry specific areas a plus, but not necessary: fire departments, agricultural, lumber mills, high value or historic buildings or Construction Defects, Automobile Liability, Subrogation Recovery investigations.
Managed Care Services Representative Mass General BrighamManaged Care Services RepresentativeSomerville, MassachusettsThe 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. Managed Care Services Insurance Verification Representative is vital for the team and you will be serving as a liaison between the hospital, insurance companies, and patients to ensure proper coordination and reimbursement for healthcare services.
Managed Care Services Representative Brigham and Women's HospitalManaged Care Services RepresentativeSomerville, MA$21–$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. Managed Care Services Insurance Verification Representative is vital for the team and you will be serving as a liaison between the hospital, insurance companies, and patients to ensure proper coordination and reimbursement for healthcare services.