The Manager of Network Pharmacy Claims and Accounts Receivable oversees the daily operations of the Healthcare Revenue Cycle team to ensure appropriate and maximum cash collected. At least 5 years of direct experience in insurance of healthcare reimbursement, collections, billing, and claims verific...
The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine to moderately complex claims from the investigation of the claim through resolution. Assesses policy coverage for submitted claims and notifies the insured of any issues; determine...
We are a leading financial services provider committed to making decisions easier and lives better for our customers and colleagues around the world.From our environmental initiatives to our community investments, we lead with values throughout our business.To help us stand out, we help you step up,...
Our client, an insurance company located in Boston, is seeking an experienced Senior Claims Representative to join the team. Responsibilities include investigating homeowner liability claims, assessing policy coverage, negotiating settlements, and ensuring compliance with industry standards. Candida...
The Claims Review Specialist processes claims that do not auto adjudicate through the claim system adhering to Mass General Brigham Health Plan current administrative policies, procedures, and clinical guidelines. Manually enter claims into claims processing system as needed. Job Description - Claim...
Develop and implement new claims strategies that improve the efficiency and effectiveness of the claims process. Reporting directly to the Vice President of Claims, the Director will oversee our MA and NH casualty and medical claim operations. The Director will have oversight of four casualty and tw...
With more than $1Billion won for our clients in 20 years of business, we are an ever-growing firm with extensive experience handling first-party claims such hail storms. ...
Working in our downtown Boston location (across the street from South Station), Claims Representatives investigate, evaluate and create a disposition of the first and third party auto property damage claims. Auto Claims Representatives-Property Damage. Plymouth Rock is looking for energetic, driven ...
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?. INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!. Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry ...
Berkshire Hathaway Specialty Insurance (BHSI) has an exciting opportunity for a Technical Architect who possesses extensive technical and delivery skill to support our Boston based Claims IT team. Minimum 4 to 6 years’ experience with implementation of Duck Creek Claims Product. ...
Hancock leads the way in claims resolution services by complete nationwide coverage, fast, full-services claims inspections, and superior quality and accuracy. Our proven process is your assistance of high-quality claims support from rapid catastrophe response to direct inspections. Successful Techn...
Experience designing and leading claims management programs. Experience in partnering with Legal, TPA and Insurers for effective claims litigation management. Demonstrated knowledge of best practices in claims management. Collaborate with In-House Legal with respect to litigated claims and settlemen...
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...
As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations c...
Claims Representative - Auto Liability. To analyze and process low to mid-level auto and transportation claims. Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Perf...
Advanced technical and product specific expertise, claims resolution skill and knowledge of insurance and claims principles, practices and procedures. Manages highly complex investigations of claims, including coverage issues, liability, compensability and damages. Manages all types of investigative...
Previous experience with insurance claims preferred. ...
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...
Ability to work in adverse conditions (post loss insurance claims). ...
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. Establishes and maintains working relati...
In this role, the Complex Claims Director will have a unique opportunity to handle and adjust all facets of Contractor’s Professional Liability claims in a highly collaborative team environment, dedicated to best in class claims handling. A minimum of 5 years’ experience handling professional liabil...
Focusing on the accurate and timely processing of content claims, via the use of edjuster’s claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system – exclaim. Work with Central Claims Processing to organize/direct the resources (claims...
To analyze high-level Workers Compensation 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. New England Claims Examiner - Workers Compensatio...
Join us as a Complex Claims Director to grow your experience in Claims. Our 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. The Comple...
If you are an experienced claims professional with Commercial Excess Claims experience, this is the role for you!. Liberty Mutual has an immediate opening for an Excess and Coverage Senior Technical Claims Specialist as part of our Excess, Coverage and Specialized Claims Unit. If you have experience...