Healthcare Utilization & Claims Specialist
VITALCARE MEDICAL PRACTICE
VITALCARE MEDICAL PRACTICE seeks a Full-Time Utilization Management Claims Specialist in Hopkinton, MA. This role includes reviewing and evaluating healthcare service claims, ensuring accuracy and compliance. The ideal candidate has strong medical coding skills and experience in healthcare. Enjoy comprehensive benefits such as holiday pay, medical, dental, vision, 401K matching, and more. Join a committed team promoting a positive work environment. #J-18808-Ljbffr VITALCARE MEDICAL PRACTICE
- ...not by profit. VitalCore Health Strategies, (VCHS), an industry leader in Correctional Healthcare, has an opening for a Full-Time Utilization Management Claims Specialist at the Regional Office in Hopkinton, MA! Looking for a rewarding career in the field of...SuggestedFull timeTemporary workWork experience placementWork at officeFlexible hoursDay shift
- VitalCore Health Strategies is hiring a Utilization Management Claims Specialist in Hopkinton, MA. The specialist will review and evaluate off-site healthcare service claims ensuring accuracy and compliance. Responsibilities include collaborating with teams for efficient...SuggestedFull time
$67k - $126k
...USD $67000.00 - $126000.00 Job Category: Claims Description If you're looking for a... ...to road construction losses, underground utility strikes, and major liability exposures tied... ...moving, and meaningful. The Senior Claims Specialist works within a Claims Team navigating...SuggestedFull timeFor contractorsWork experience placementFor subcontractorWork at officeLocal areaRemote work$54.1k - $81.2k
...management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in... ...Opportunity: This position is responsible for reviewing claims, interpreting and comparing contracts, dispersing reimbursement...SuggestedContract workWork at officeLocal areaFlexible hours$110k - $120k
...integrity. Acadia is rated A+ (Superior) by A.M. Best and an A+ claim paying ability rating by Standard & Poor’s. At Acadia, we value... ...claim fairly. Control file‑related expenses through efficient utilization and monitoring of outside vendors. Inform other departments of...Suggested- Sun Life Financial in Wellesley, Massachusetts, is seeking a Claims Processor to review and determine eligibility for Stop Loss claims... ...focuses on ensuring accurate documentation and compliance with healthcare regulations. Sun Life values inclusivity and offers...Flexible hours
$100k - $110k
...underwriting authority, evaluates new and renewal information to determine risk acceptability terms/conditions to be quoted, and priced. Utilizes various underwriting tools to: determine acceptable risk characteristics; determine accurate exposure classifications; set...Full time- ...Senior Claims Resolution Specialist At Liberty Mutual, we show up for people in their toughest moments, and we show up for our employees with the same commitment. Our Complex Casualty Claims Team is expanding, and we're seeking a Senior Claims Resolution Specialist...Currently hiringWork at officeLocal areaRemote workHome officeRelocation package
$75k - $95k
...create financial security by helping individuals and businesses make a new start when a loss occurs.**Job Description**This Senior Claims Specialist - Bodily Injury handles bodily injury and general liability claims through their life-cycle including - but not limited to -...Local area$46k - $84k
Senior Claims Representative Job Locations: US-AZ-Chandler | US-TX-Plano | US-IL-Hoffman Estates | US-MA-Westborough Position ID: 20... ...parties, analysis of reports, researching past claim activity, utilizing evaluation tools to make damage and loss assessments. Extensive...Full timeWork at officeLocal areaFlexible hours- A leading insurance provider is seeking a Senior Claims Specialist to handle bodily injury and general liability claims. The role requires over 5 years of claims adjustment experience, with responsibilities including investigation, evaluation, and negotiation of claims....
- ...IS IT TIME FOR A CAREER CHANGE? 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 with endless opportunities...
- A leading claims adjusting firm in Massachusetts is looking for Independent Insurance Claims Adjusters to help individuals and businesses recover from disasters. The role offers a flexible and rewarding career path with comprehensive training designed to equip both seasoned...Flexible hours
- ...Analyst Claims Service This position is for an entry-level professional individual contributor in Claims Service, who works under... ...fit/personality requirements): Ability to research answer and utilize resources to solve issues Good Communication ProoveIt...Contract workWork at officeLocal areaRemote workFlexible hoursShift work
$60k - $75k
A regional insurance provider in Westborough, MA is looking for a Branch Claims Representative. In this entry-level role, you will investigate and settle insurance claims under general supervision. You will need a Bachelor's degree and at least one year of claims experience...$46k - $84k
Liberty Mutual is seeking a Senior Claims Representative in Westborough, MA to join its growing claims team. This hybrid role involves investigating and processing commercial insurance claims, requiring proactive customer interaction and claims management. Ideal candidates...Flexible hours$60k - $75k
A regional insurance provider in Westborough is seeking a Branch Claims Representative. The role involves investigating and settling entry-level insurance claims, developing knowledge of insurance products, and providing service to agents and insureds. Applicants should...- A regional property casualty insurer is seeking a candidate for a position focused on commercial liability claims. Responsibilities include investigating claims, negotiating settlements, and providing exceptional customer service while ensuring compliance with company...
$60k - $75k
...Branch Claims Representative A career at Concord Insurance Group is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Description The Branch Claims...Work at officeLocal area$80k - $110k
...integrity are two of the main reasons why Independent Agents place business with us. Acadia is rated A+ (Superior) by A.M. Best, with an A+ claim paying ability rating by Standard & Poor's. At Acadia, we value our employees, our customers and our communities. Employees...Full timeTraineeshipImmediate start$50k - $60k
...employment opportunity employer. Responsibilities The Claims Correspondence Analyst will serve as a first point of contact... ...High school diploma Prior experience in claims processing, healthcare administration or customer service strongly preferred Strong...Full timeWork at officeRemote work$70k - $80k
...Stop Loss Claims Analyst Berkley Accident and Health is a risk management company that designs innovative solutions to address the... ...Prior experience handling first dollar payer insurance (medical healthcare claims) ~ Experience with medical billing practices, CPT...Full timeWork at officeRemote work- Sun Life Financial is seeking a Senior Underwriter, Stop Loss in Nashville, TN. This role involves evaluating and pricing Stop Loss insurance, managing documentation, and partnering with sales teams. The ideal candidate has 4+ years of Medical Stop Loss underwriting experience...
$85.2k - $127.8k
...services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide.Visit our website...Local areaFlexible hours$75k - $77.5k
Amwins’ Underwriter Development Program (UDP) at Amwins Access is a 2.5-year intensive training track designed to fast-track your career as a Production Underwriter—combining strategic sales with technical underwriting. This role is highly sales-driven, measured on performance...Work experience placementWork at office- A leading insurance firm is searching for a Senior Underwriter based in Marlborough, Massachusetts. The role involves building relationships, driving premium growth, and evaluating risk for Independent Agencies. Candidates should have a Bachelor’s degree and 5+ years in...
- A leading firm in the insurance industry is seeking to fill a Production Underwriter position through their Underwriter Development Program. This 2.5-year intensive training will equip candidates with strategic sales and technical underwriting skills, measurable performance...
- ...potential due to catastrophe, severity, and/or frequency. May rate policies or check previously rated policies for proper rating. Utilizes knowledge of automated systems to develop information for new or renewal policies. Prepares quotations for agents and answers...Full time
$50k - $60k
A risk management company in Marlborough, MA, is seeking a Claims Correspondence Analyst. This role serves as the first point of contact for claims inquiries, handling tasks related to EOR requests, claim status, and general questions. Ideal candidates possess strong communication...- ...A leading claims adjusting firm is seeking Independent Insurance Claims Adjusters to join their team. This flexible career path offers the opportunity to help individuals and businesses recover from disasters while ensuring competitive compensation. The company provides...Flexible hours
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