3w
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Senior Manager, Claims Services
Hartford or Baltimore or Portland or Wellesley Hills or Kansas City or Milwaukee or Nashville or United States
$68k-$102k/yr HybridFull Time
5+ YOEPrior people management in high-volume claims or data operations, working knowledge of claims data and processes, advanced Microsoft Excel, Microsoft Word and PowerPoint proficiency, strong analytical and communication skills; bachelor's degree and 5–7 years preferred.
Microsoft Excel, Microsoft Word, PowerPoint
2mo
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Claims Examiner - Job Service Rep I (Long-Term Seasonal)
Boston, Massachusetts, United States
$62k-$87k/yr HybridFull Time
Entry-level claims examiner with strong communication, data entry, and confidentiality skills; experience with Microsoft Office and ability to learn claims processes.
Microsoft Office
1mo
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Claims Resolution Representative Hybrid Warrick, RI
Warwick, Rhode Island, United States
$31k-$44k/yr HybridFull Time
3+ YOE3+ years general experience preferred; experience with healthcare/insurance or billing helpful. Requires policy interpretation, data entry, prior authorization and claims processing skills, and proficiency with Microsoft Outlook/Word/Excel.
Microsoft Outlook, Microsoft Word, Microsoft Excel
3d
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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/yr OnsiteFull Time
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
2mo
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Product Manager, Claims Pricing & Financial Operations
Southborough or Southborough
$110k-$170k/yr HybridFull Time
5+ YOE5+ years in product management related to payer claims, pricing, and healthcare operations; Bachelor's degree; strong communication; familiar with CMS rules; hands-on with claims processes.
Jira/Confluence, MS Word, MS Excel, MS PowerPoint
1mo
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Quality & Training Specialist, Claims (Hybrid)
Bethlehem or Pittsfield or New York City or Boston
$59k-$96k/yr HybridFull Time
Extensive Individual Claims experience, quality assurance/audit or process improvement background, training delivery experience, advanced Microsoft Excel skills, strong analytical and communication abilities.
Microsoft Excel
3w
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A/R Specialist
Woburn or Scarborough or Concord or Canton or Connecticut or Florida or Maine or Massachusetts or Maryland or New Hampshire or North Carolina or Ohio or Rhode Island or Texas or Vermont
$21-$23/hr RemoteFull Time
3+ YOE3+ years processing third-party health insurance claims; knowledge of Medicare/Medicaid and payer rules; familiarity with electronic claims processing, CPT/ICD9/HCPC coding, HIPAA; strong written/verbal communication and MS Word/Excel skills.
Microsoft Word, Microsoft Excel
1w
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Account Manager (JD Preferred)
Boston, Massachusetts, United States
$85k-$100k/yr OnsiteFull Time
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
3mo
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DRG Ops Analyst
St. Petersburg or Plano or Boston or Morristown or Atlanta
$54k-$68k/yr HybridFull Time
2+ YOEHS diploma; 2+ years healthcare experience; strong communication, typing, and MS Office; knowledge of claim processing or medical billing a plus.
Microsoft Office, Adobe Acrobat
1w
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Commercial Auto Adjuster
Boston, Massachusetts, United States
$55k-$100k/yr HybridFull Time
College degree or commensurate experience, claims handling experience preferred, strong organization and communication skills, ability to determine coverage, liability, and process payments.
1mo
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Senior Project Manager, Construction Administration
Boston, Massachusetts, United States
$104k-$130k/yr HybridFull Time
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.
2w
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Dental Billing Specialist
Marlborough, Massachusetts, United States
$20-$30/hr OnsiteFull Time
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
1w
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Compliance Manager
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/yr HybridFull Time
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.
SAS, SQL, ACL, Microsoft Excel, Microsoft Office
2w
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Pharmacy Network Auditor
Boston or United States
$74k-$110k/yr HybridFull Time
5+ YOE5+ years retail pharmacy or PBM experience, pharmacy audit experience, strong claims processing and NCPDP knowledge, URAC/CMS familiarity, proficiency with reporting tools, excellent communication and analytical skills.
Microsoft Word, Microsoft Excel
2d
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SNAP Program Manager
Westborough, Massachusetts, United States
$70k-$85k/yr OnsiteFull Time
2+ YOELeadership and operational management of SNAP E&T programs, staff supervision, budgeting, federal/state claiming, compliance, process improvement, proficiency with MS Office; Bachelor's or 2 years relevant experience.
MS Office Suite
1w
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SENIOR EMPLOYMENT & TRAINING INTERVIEWER
Providence, Rhode Island, United States
$55k-$61k/yr OnsiteFull Time
Assess clients' employment and training needs, conduct fact-finding and eligibility interviews, refer clients to programs, and process unemployment/temporary disability insurance claims; ability to use computer systems and follow laws/regulations.
2w
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Billing Management Associate
Stoughton, Massachusetts, United States
$21/hr HybridFull Time
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
1mo
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Senior Business Analyst
Atlanta or Boston or Hartford or New York City or Connecticut
$100k-$130k/yr HybridFull Time
5+ YOE5+ years P&C business analysis experience, strong insurance domain knowledge (rate/quote/bind, claims), Agile delivery experience, stakeholder facilitation, process mapping, and proficiency with Jira/Confluence/Visio/Lucidchart.
Duck Creek, Guidewire, Majesco, Jira, Confluence, Visio, Lucidchart
1mo
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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/yr HybridFull Time
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%.
Microsoft PowerPoint, Microsoft Excel
1w
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Orthopedic Surgery Workers Compensation Specialist
Boston, Massachusetts, United States
$25-$37/hr OnsiteFull Time
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.
Microsoft PowerPoint, Microsoft Word
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