2w
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Claims Representative, Auto
Virginia Beach or Seven Hills or Rhode Island or Indiana or Texas or Delaware or Kentucky or South Carolina or Florida or West Virginia or Maryland or North Carolina or Ohio or District of Columbia or Illinois or New Jersey or Iowa or Tennessee or Pennsylvania or New Hampshire or Maine or Michigan or Wisconsin or Virginia or Georgia or Massachusetts or Connecticut
$50k-$55k/yr OnsiteFull Time
Experience processing auto/property damage and lower-level injury claims; familiarity with personal/commercial lines, ability to assess damage and negotiate claims, strong communication and PC skills, secure state adjuster licenses as required.
Microsoft Office
1w
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Stage-Gate & Claims Coordinator
Agawam, Massachusetts, United States
$55k-$75k/yr OnsiteFull Time
2+ YOEBachelor's degree or equivalent experience; 2+ years in project coordination, claims administration, operations or product support; experience with stage-gate processes and reporting; strong analytical and cross-functional coordination skills.
Microsoft SharePoint, Microsoft Teams, Microsoft Planner
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
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
1mo
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Process Manager, Commercial Casualty Claims - Remote
California or South Carolina or Louisiana or Washington or Virginia or Utah or Texas or Tennessee or Pennsylvania or Oregon or Oklahoma or Ohio or Michigan or New York or West Virginia or New Jersey or Missouri or Massachusetts or Wisconsin or New Hampshire or New Mexico or Nevada or Kansas or Georgia or North Carolina or Montana or Arkansas or Maine or Maryland or Delaware or Rhode Island or Kentucky or Mississippi or Indiana or Alabama or Illinois or Idaho or District of Columbia or Colorado or Arizona or Florida or Iowa or Nebraska or Vermont or South Dakota or Connecticut or Minnesota or United States
$137k-$182k/yr RemoteFull Time
10+ YOE5+ MgmtBachelor's degree or equivalent, 10+ years in financial/business analysis or process design, 5+ years supervisory experience, project management skills, experience with business process analysis and budgeting, proficiency with Visio, MS Project and Excel.
Microsoft Visio, Microsoft Project, Microsoft Excel
2w
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Expert Claims Review Business Analyst
St. Louis or Missouri or New Jersey or Massachusetts or Florida or Texas
$71k-$90k/yr HybridFull Time
4+ YOEBachelor's degree,4+ years business analysis/process engineering,healthcare/payment integrity experience preferred,SQL preferred,strong analytical and communication skills,SAFe certifications preferred,no visa sponsorship available.
SQL
1mo
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Senior Analyst Claim Reporting and Special Services
Hartford or Arkansas or Idaho or Texas or Georgia or Montana or Iowa or Wisconsin or Oregon or Washington or New York or Connecticut or Nebraska or Rhode Island or Tennessee or Kentucky or Ohio or West Virginia or Maryland or Massachusetts or South Carolina or Missouri or Utah or Arizona or South Dakota or Pennsylvania or New Hampshire or Vermont or Minnesota or New Mexico or Michigan or California or Maine or North Dakota or Kansas or Indiana or New Jersey or Nevada or Louisiana or Mississippi or Oklahoma or Alabama or Virginia or Illinois or North Carolina or Colorado or Florida or Wyoming or Delaware or United States
$47k-$112k/yr HybridFull Time
2+ YOE2+ years processing claims through ACAS, knowledge of Aetna claim and provider systems, project coordination and root-cause analysis skills, data analysis ability, strong communication and composure under pressure.
Aetna claim and provider systems, ACAS, USQA reporting, Microsoft Excel, Microsoft Word, Microsoft Access
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
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.
4w
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Warranty Administrator
West Springfield, Massachusetts, United States
OnsiteFull Time
Accurately code and process warranty claims, maintain warranty documentation and records, identify and dispose warranty parts, reconcile warranty receivables, and coordinate with service, parts, and accounting departments.
1mo
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Medical Collections Specialist
Lexington, Massachusetts, United States
$23-$28/hr OnsiteFull Time
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.
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
4w
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Warranty Administrator
West Springfield, Massachusetts, United States
OnsiteFull Time
Perform warranty claim coding and entry, process and review warranty paperwork, identify warranty parts, reconcile warranty receivables, maintain service and customer records, and coordinate with service/parts/accounting departments.
1mo
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Workers Compensation Manager
Springfield, Massachusetts, United States
$90k-$110k/yr OnsiteFull Time
5+ YOEMinimum 5 years' experience in workers' compensation, claims management, or healthcare operations; strong knowledge of workers' compensation processes and regulations; leadership and relationship-management skills; EMR proficiency (Athena a plus).
Electronic Medical Records (EMR), Athena EMR
1mo
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A&G Clinical Specialist
New York or West Virginia or North Dakota or Wisconsin or Indiana or Virginia or Texas or Tennessee or South Carolina or Pennsylvania or Ohio or Nevada or New Jersey or North Carolina or Minnesota or Maryland or Massachusetts or Florida or Delaware or Connecticut or New Hampshire or Arizona or Vermont or Alabama or Maine or Wyoming or Montana or South Dakota or Nebraska or New Mexico or Washington or Michigan or Hawaii or Oklahoma
$73k-$120k/yr RemoteFull Time
LPN or RN required; experience in clinical practice and appeals & grievances, claims processing, utilization review preferred. Knowledge of Utilization Review guidelines, InterQual or Medicare guidance; proficiency with Microsoft Word and Excel.
Microsoft Word, Microsoft Excel, Macess, InterQual
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