Senior Complex Healthcare Claims Specialist
CNA Insurance
CNA Insurance, a leading insurer, seeks an experienced claims professional to manage highly complex hospital and healthcare claims. The role involves coordinating all claim resolution activities, ensuring policy coverage, investigations, and timely disbursements within authority limits. You will work with customers, insureds, and internal partners to drive quality and service standards while mentoring junior staff and staying current with commercial insurance regulations. #J-18808-Ljbffr CNA Insurance
Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Senior Complex Healthcare Claims Specialist in Boston, MA vacancy
$78k - $106k
...markets. Suffolk manages some of the most complex and transformative projects in the country, serving clients across healthcare, life sciences, education, gaming,... ...office 5 days a week. Responsibilities The Claims Specialist under the supervision of the Director of...SuggestedTemporary workFor contractorsFor subcontractorWork at officeSuffolk
Boston, MA3 days ago- ...Description Looking for an amazing new claims opportunity? Senior Complex Construction Claims Specialist - Complex CGL & Construction Liability (Litigated, $500K+) Overview Liberty Mutual’s Specialized Claims group has an immediate opening on our Complex Construction Claims...SuggestedWork at officeLocal areaImmediate startRemote workHome office
Liberty Mutual Insurance
Boston, MA4 days ago $17.71 - $25.28 per hour
...Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are... ...growth opportunities, and much more. The D‑SNP Claims Review Specialist reviews and processes Senior Care Options (SCO) and One Care medical claims requiring...SuggestedHourly payFull timeWork at officeRemote workFlexible hoursShift work$116k - $165k
...is a market leader in insuring Allied Healthcare Providers, including nurses, nurse practitioners... .... In this Medical Malpractice focused Complex Claims Consultant position, you will be... ...claims are resolved and paid timely. Keeps senior leadership informed of significant...SuggestedFull timeWork experience placementWork at officeLocal areaFlexible hoursShift work$72k - $141k
...CNA is a market leader in insuring healthcare providers and facilities, including... ...these key customers. Our Healthcare Claims team is seeking Complex Claims Consultants to support... ...resolved and paid timely. Keeps senior leadership informed of significant risks...SuggestedFull timeWork experience placementWork at officeLocal areaFlexible hoursShift work- ...building conversion projects. Wise works with science & technology, healthcare, and institutional clients throughout the Greater Boston area.... ...compliance programs, SDI and wrap-up insurance programs, claims coordination, audit support, and insurance record management. Additionally...Contract workWork experience placementFor subcontractorWork at officeLocal areaFlexible hours
- CNA Insurance in Boston, MA seeks a skilled Claims Professional to manage a portfolio of highly complex commercial claims, ensuring policy coverage is verified and settlements are negotiated within authority limits. The role emphasizes analytical investigations, timely...
$18 - $25 per hour
Pathways Healthcare is a leading home health and hospice provider, focused on patient-centered care. The main office is located in Westwood, MA, with a schedule Monday-Friday, 8:30 AM-5:00 PM. This full-time billing role offers an hourly rate of $18.00-$25.00. Join a mission...Hourly payFull timeWork at officeMonday to Friday$89.89k - $134.84k
...to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point... ...judgment and raise issues to appropriate senior Underwriting leaders for resolution.Proficiency... ...factors, including the scope and complexity of the role; the skills, education, training...Full timeWork from home- A healthcare insurance firm in Boston seeks a Financial and Insurance Analyst to conduct financial analysis, reporting, and insurance evaluation. The role entails preparing financial data for stakeholders and ensuring compliance with regulations. Candidates should have...Full time
$18 - $25 per hour
Pathways Healthcare, LLC in Westwood, MA is hiring for a full-time billing role focused on home health and hospice claims. You will audit, prepare, and follow up on documentation to ensure accurate and timely billing while supporting patient care. The position follows...Hourly payFull timeMonday to Friday$67k
...Senior Claims Specialist Job Locations: US-TX-Plano | US-MA-Boston | US-GA-Suwanee | US-IL-Hoffman Estates Position Type: Full-Time Minimum Salary... ...claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes...Full timeWork experience placementWork at officeLocal areaFlexible hoursLiberty Mutual
Boston, MA1 day ago- ...dealership in Somerville, NJ, seeks a detail-oriented Warranty Administrator to support the service department. You will manage warranty claims, ensure accuracy, and help the team optimize processes to strengthen manufacturer relationships. The role requires high school...Work at office
Performance Ford of Somerville
Somerville, MA3 days ago $61k - $113k
...Salary Range: USD $61000.00 - $113000.00 Job Category: Claims Description The Claims Specialist works within a Claims Team, using the latest... ...manage an assigned caseload of routine to moderately complex claims from the investigation of the claim through resolution...Full timeWork experience placementWork at officeLocal areaLiberty Mutual Insurance
Boston, MA1 day ago$150k
...liability and workers’ compensation, along with claim services, providing expertise to meet... ...We are currently seeking a Claims Specialist. This individual would be responsible for... ...assigned property damage or severe GL and/or complex bodily injury claims within authority...Full timeBerkley Environmental (a Berkley Company)
Boston, MA1 day ago- ...work truly makes a difference in a safe, inclusive, and supportive environment. Summary: Coordinates and implements the construction claims management programs for all MWRA engineering and construction projects. Posting Period: 5/15/2026 - 5/29/2026 Location: Chelsea, MA...Contract workFor contractorsWork at officeRemote workMonday to Friday
MWRA
Chelsea, MA5 days ago - ...flexibility of remote work for focused tasks and projects. The Senior Claims Specialist works within a Claims Team, using the latest technology to... ...claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes...Work experience placementWork at officeLocal areaRemote work
Liberty Mutual Insurance
Boston, MA1 day ago $132.8k - $219.1k
...and where you do it. Job Category Claim Compensation Overview The annual base... ...number of factors, including the scope, complexity and location of the role; the skills,... ...Field Severity Support: Some Complex Claim Specialists may be responsible for all or some of...Local areaTravelers Insurance
Boston, MA3 days ago$100k
...to meet the unique coverage and claims-handling needs of businesses. The... ...Job Description Business Title(s): Senior Construction Defect Technical Claims Specialist Employment Type: Full-Time FLSA... ...role will be adjudicating our most complex construction defect claims for...Full timeLocal areaRemote workArgonaut Management Services, Inc
Boston, MA1 day ago- Berkley Environmental, a Berkley Company, seeks a Claims Specialist in the Boston area. The role involves reviewing and settling property damage or bodily injury claims with authority up to $150,000, requiring strong coverage analysis and litigation experience across multiple...Work at office
- Plymouth Rock Assurance is looking for enthusiastic, entry-level Auto Claims Representatives to join their Claims Department in downtown Boston. The role involves investigating, evaluating, and handling property damage claims for both first- and third-party scenarios....
- CNA Insurance is looking for a Complex Claims professional in Boston, MA, to manage legal malpractice claims. In this role, you will evaluate coverage, set reserves, and negotiate settlements as part of a dynamic team. The ideal candidate will have a strong background...Flexible hours
- ...work truly makes a difference in a safe, inclusive, and supportive environment. Summary: Coordinates and implements the construction claims management programs for all MWRA engineering and construction projects. Posting Period: 7/28/2026 to 8/28/2026 Location: Chelsea,...Contract workFor contractorsWork at officeRemote workMonday to Friday
- Liberty Mutual is hiring for an APD - Rideshare Commercial Claims Auto Physical Damage Adjuster in a hybrid setting. This role reviews, processes and settles commercial auto damage claims within authority limits, with a focus on rideshare-related losses and insured interactions...
- MarineMax Services Inc is seeking a Warranty Administrator to manage the end-to-end warranty claims process for our service facilities in Quincy, MA. You will work with service writers, parts personnel, and the accounting team to maximize reimbursements and ensure compliant...
- ...Brigham Health Plan Holding Company, Inc. is seeking a D-SNP Claims Review Specialist to adjudicate SCO and One Care claims with accuracy and... ...adjudication systems. The ideal candidate will have 1-2 years in healthcare claims processing, knowledge of ICD-10, HCPCS, CPT-4, and...Remote job
- A leading claims management company is seeking an experienced Claims Adjuster based in Quincy, Massachusetts, to handle workers' compensation claims. The ideal candidate will have a minimum of 5 years of experience, appropriate licenses across multiple states, and strong...Remote job
- Plymouth Rock Assurance is seeking an experienced Senior Claims Representative to manage complex homeowners property claims end-to-end within the Metro West Boston area. The role requires on-site inspections, vendor oversight, reserve management, and coverage/responsibility...
- ...Medical Center seeks an Orthopedic Surgery Workers' Compensation Specialist to provide clerical and administrative support for workers’... ...The role processes data, generates routine reports, and assists claim representatives and patients. Under supervision, you will maintain...
- CNA Insurance in Boston, MA is seeking a Claims Adjuster to manage commercial claims of low to moderate complexity. This role involves investigating, evaluating, and resolving claims while adhering to company protocols and standards. The candidate should possess strong...Flexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Complex Healthcare Claims Specialist. Be the first to apply!
Related searches
- claims specialist remote Boston, MA
- claims assistant workers compensation Boston, MA
- medical insurance claims specialist Boston, MA
- medical claims analyst Boston, MA
- senior claims specialist Boston, MA
- claims resolution specialist Boston, MA
- claim specialist Boston, MA
- claims processor Boston, MA
- claims analyst Boston, MA
- claim representative (remote) Boston, MA