Madison or Atlanta or Boston or Denver or Hopkins or Keene or Phoenix or St Joseph
$88k-$145k/yrRemoteFull Time
American Family Insurance: Provides insurance for vehicles, homes, businesses, and lives.
Requires claims leadership, property and casualty insurance knowledge, complex loss handling, claim processes, policy coverage expertise, a driver's license, acceptable driving record, and state claims licensing as required.
CarrierNYSE: CARR: Provides HVAC, building automation, and refrigeration solutions globally.
2+ YOEHigh school diploma/GED and 2+ years in warranty claims processing or hydronics, or associate degree and 1+ year. SAP and Microsoft Office, especially Excel, preferred.
Claims Management Program Analyst (O-4 Billet) Non-Supervisory
Salt Lake City or Seattle or Phoenix or Los Angeles or San Francisco or Denver or Washington or Miami or Atlanta or Chicago or Indianapolis or New Orleans or Boston or Minneapolis or Kansas City or Albuquerque or New York or Oklahoma City or Portland or Austin
$1-$150k/yrOnsiteFull Time
ICE: Enforces immigration laws and provides medical care to detainees.
3+ YOEMinimum 3 years professional experience with at least 2 years in program management/healthcare management or medical claims; knowledge of claims processes, ICD-10/CPT/DRG/CMS coding, EHRs, and Microsoft Office/SharePoint; must be USPHS IHSC officer.
Microsoft Office, Sharepoint, Electronic Health Records
Bethlehem or Pittsfield or New York City or Boston
$59k-$96k/yrHybridFull Time
Guardian Life: Provides life, disability, dental, and vision insurance products.
Extensive Individual Claims experience, quality assurance/audit or process improvement background, training delivery experience, advanced Microsoft Excel skills, strong analytical and communication abilities.
Senior Analyst Claim Reporting and Special Services
Woonsocket, Rhode Island, United States
$47k-$112k/yrHybridFull Time
Qureos: AI-powered recruitment platform automating candidate sourcing and screening.
2+ YOE2+ years processing claims in ACAS, knowledge of Aetna claim/provider systems, data analysis, project management, strong communication and ability to meet turnaround objectives.
3+ YOEHandle complex environmental/asbestos/latent claims, coordinate defense counsel, set reserves, process payments, and communicate with stakeholders. BA/BS required, 3+ years claims experience preferred, CPCU/adjuster license a plus.
Microsoft Word, Microsoft Excel, Microsoft Office, TEAMS
Costco WholesaleNASDAQ: COST: Operates membership-only warehouse clubs selling a variety of goods.
Supporting pharmacists by filling and dispensing prescriptions, assisting members at the counter, stocking inventory, processing insurance claims and invoices, and maintaining confidentiality and safety.
Boston Children's Hospital: Providing comprehensive pediatric healthcare and medical research services.
2+ YOEHigh school diploma or GED and 2+ years of physician or medical billing experience. Requires payer-process knowledge, electronic claims processing, authorization knowledge, accuracy, organization, communication, and problem-solving.
Safety InsuranceNASDAQ: SAFT: Sells property and casualty insurance to individuals and businesses.
College degree or commensurate experience, claims handling experience preferred, strong organization and communication skills, ability to determine coverage, liability, and process payments.
Passion Dental: Dental support organization operating multi-specialty dental practices.
Knowledge of dental/medical billing, Excel/Word/email, claims processing, account reconciliation, customer service with insurers; 1 year dental office or billing experience preferred; willing to train.
Microsoft Excel, Microsoft Word, E-mail, Internet, Eaglesoft, Carestack
Senior Project Manager, Construction Administration
Boston, Massachusetts, United States
$104k-$130k/yrHybridFull Time
Massachusetts School Building Authority: Funds and manages public school facility improvements in Massachusetts.
Thorough knowledge of construction industry, project supervision, construction regulations, document review, cost estimating, contract compliance monitoring, commissioning, claims processing; responsible for hiring, training and supervising staff.
KabaFusion: Provides clinical home and alternative site pharmaceutical infusion services.
1+ YOEHigh school diploma, 1+ year working with insurance payors (billing/collections), knowledge of HCPCS/CPT/ICD-10 coding, HIPAA compliance, and familiarity with payor claim/appeal processes.
Hartford or Northbrook or Chicago or Scottsdale or Woonsocket or Irving or Arkansas or Texas or Alabama or Arizona or Illinois or Connecticut or Rhode Island or Tennessee
$66k-$146k/yrHybridFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
5+ YOE5+ years compliance/legal experience in healthcare/insurance/finance, knowledge of APCD and claims processing, experience with HMOPPO/Medicare products, pharmacy operations, and regulatory reporting; bachelor’s or equivalent experience.
Tempus Unlimited: Provides community-based support services for people with disabilities.
Process and reconcile claims, investigate denials, maintain A/R spreadsheets, work with internal and external stakeholders, strong Excel and data entry skills, high school diploma required, familiarity with billing portals and confidentiality (HIPAA).
Microsoft Excel, Microsoft Outlook, Microsoft Word, CRM, Mass Health Provider On-Line Service Center
Financial Services Business Consulting, Insurance - Property & Casualty Senior (New York, NY, US, 10001-8604)
Boston or Chicago or Charlotte or Columbus or New York City
$117k-$203k/yrHybridFull Time
EY: Global firm providing audit, tax, and professional consulting services.
6+ YOE3+ MgmtBachelor's degree and 6 years relevant experience in P&C insurance; 5+ years across P&C lines; 3+ years claims process excellence or supervisory experience; proficiency with PowerPoint and Excel; willingness to travel up to 50%.
Monterey Park or Vandenberg AFB or Lakewood or Hartford or Washington or Atlanta or Chicago or Louisville or Boston or Kansas City or Manchester or Oklahoma City or Philadelphia or El Paso or Fort Worth or Houston or San Antonio or Chesapeake or Norfolk or Spokane or Tacoma
$75k-$121k/yrOnsiteFull Time
General Services Administration: Centralized procurement and property management for federal government agencies.
1+ YOEOne year specialized experience (GS-09 equivalent) coordinating vehicle accident reporting/repairs, analyzing fleet operations, and processing third-party claims; ability to prepare reports and briefings; must be U.S. citizen and meet background investigation requirements.
Orthopedic Surgery Workers Compensation Specialist
Boston, Massachusetts, United States
$25-$37/hrOnsiteFull Time
Boston Medical Center: Provides specialized medical care and academic healthcare training.
3+ YOEAssociates in business/legal required (Bachelors preferred). Minimum 3 years clerical/insurance experience and 1 year work comp adjuster/case manager experience preferred. Knowledge of workers' compensation laws, claims processing, scheduling, and strong communication and analytical skills.
Arbella Insurance Group: Provides property and casualty insurance to individuals and businesses.
Undergraduate student; basic computer and data-entry skills; time management, organization, attention to detail; ability to process payments, request reports, and provide administrative support.