Complex Claims Specialist - Professional Liability (Real Estate) CNA Financial Corp.Complex Claims Specialist - Professional Liability (Real Estate)Boston, MA$54,000–$103,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
Complex Claims Consulting Director - Healthcare Severity & Excess Team CNA Financial Corp.Complex Claims Consulting Director - Healthcare Severity & Excess TeamBoston, MA$97,000–$189,000 / yearCNA is a market leader in insuring Healthcare providers and entities including Allied Healthcare Facilities, Aging Services and Allied Healthcare Providers, including nurses, nurse practitioners, physical therapists, counselors, pharmacists, massage therapists, and more than 100 other categories of medical service providers. This role is responsible for analyzing complex coverage matters, driving claim resolution, managing complex litigation including risk transfer opportunities, advising leadership on legal and claim risks, and partnering with Underwriting and other business units on emerging trends and portfolio management.
NewPharmacy 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.
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.
Claims Consultant -Life Sciences Or Cyber/Technology E&O (Hybrid) Intact InsuranceClaims Consultant -Life Sciences Or Cyber/Technology E&O (Hybrid)Boston, MA$143,000–$167,000 / yearSpecial consideration will be given to candidates who have personally litigated life sciences matters as attorneys and possess firsthand experience developing litigation strategy, managing scientific and expert evidence, conducting depositions, participating in trial preparation, and evaluating product liability and professional liability exposures from both the litigation and insurance claims perspectives. The ideal candidate will possess substantial Technology Errors & Omissions claims experience and a deep understanding of E&O coverage, including the ability to analyze complex professional liability exposures, contractual liability issues, performance disputes, and technology-related loss scenarios.
NewClaims Service Specialist IV - Commercial Lines Bodily Injury ArbellaClaims Service Specialist IV - Commercial Lines Bodily InjuryQuincy, MassachusettsOur current reasonable and good faith estimate of the annual salary range for this position is approximately $85,000 - 105,000 based on a variety of factors including, but not limited to, relevant skills and experience, educational background and certifications, performance and qualifications, market demand for the role and other organizational needs. Interprets and evaluates medical reports to determine if they are applicable to the claim; monitors legal and medical billings and investigates for proper charges and pays accordingly.
Claims Supervisor 1 Concord General Mutual Insurance CompanyClaims Supervisor 1Westborough, MassachusettsSupervisory responsibilities include but not limited to: training and developing associates and conducting performance appraisals; planning, assigning, and directing work to meet Company objectives; ensure that associates consistently meet Company service expectations; addressing complaints and resolving problems; e. For those assigned a fleet vehicle: drive an automobile, possess a valid driver’s license, and maintain a driving record consistent with the Company’s underwriting guidelines for coverage.
Property Claims Specialist Ursus, Inc.Property Claims SpecialistAndover, MA$30–$32.47 / hourExcellent written communication: capable of presenting work and writing work reports, scope of work, and contractual documentation; Excellent verbal communication: able to verbalize in clear, concisely, and tactful communication with senior executive management, clients, peers, and team members. The position is responsible for the day-to-day activity of property loss and business interruption claims, communication of loss incidents, interaction/coordination with Operations and Maintenance groups, claims submission, preparation and coordination with claims consultants, financial tracking and reporting for accounting, and status reporting on recovery.
Process 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.
Claims Manager, Risk Management Starr CompaniesClaims Manager, Risk ManagementBoston, MAThe Claims Manager, Risk Management will be responsible for: Active oversight of claims currently managed by a Third Party Administrator as well as direct handling of an active inventory of primary and excess claims related to policies written out of the Risk Management Profit Center in various jurisdictions. At Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex.
General Liability Claims Consultant CNA Financial Corp.General Liability Claims ConsultantBoston, MA$72,000–$141,000 / yearThis individual contributor role operates under broad authority to manage commercial claims of high complexity and exposure within the Commercial Auto/General Liability/ Construction Auto and General Liability line(s) of business. Performs a combination of duties in accordance with departmental guidelines: Manages highly complex investigations of claims, including coverage issues, liability, compensability and damages.
Claims Manager CB Consulting GroupClaims ManagerBoston, MassachusettsIdeal candidates are attorneys with 2 years of experience in civil litigation, OR paralegals with 5+ years of experience with civil litigation (bonus if there is exposure to toxic tort litigation). This role begins in office, but generous flexibility comes after an initial ramp-up period.
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.
Claims Supervisor GpacClaims SupervisorWoburn, MA90000–110000GPAC (Growing People and Companies) is an award-winning search firm specializing in placing quality professionals within multiple industries across the United States since 1990. This role offers the opportunity to lead a high-performing team, influence process improvements, and make a direct impact on operational excellence in a supportive, forward-thinking environment.
Director of Claims GpacDirector of ClaimsWoburn, MA110000–130000GPAC (Growing People and Companies) is an award-winning search firm specializing in placing quality professionals within multiple industries across the United States since 1990. This role offers the opportunity to lead a high-performing team, influence process improvements, and make a direct impact on operational excellence in a supportive, forward-thinking environment.
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.
Property Claims Specialist MindlanceProperty Claims SpecialistAndover, MAThe position is responsible for the day-to-day activity of property loss and business interruption claims, communication of loss incidents, interaction/coordination with Operations and Maintenance groups, claims submission, preparation and coordination with claims consultants, financial tracking and reporting for accounting and status reporting on recovery. Competent judgment is required to study previously established, often partially relevant guidelines, plan for various interrelated activities and coordinate such activities related to assigned responsibilities.
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.
NewSr. Claims Counsel Sompo International Holdings LimitedSr. Claims CounselBoston, MA$125,000–$175,000 / yearOur business, your impact, our opportunity: What you'll be doing: Direct handle primary & excess Casualty claims involving emerging risks, potential long-term exposure, or significant coverage issues. Below is a summary of our current comprehensive U.S. benefit programs: Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution.
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.