Claims Specialist Jobs in Boston, MA

Build impactful relationships with payors and PBMs while managing credentialing processes and optimizing workflows to enhance profitability and compliance in specialty pharmacy services. Lead initiati...

Drive operational excellence in claims management, leading teams to achieve superior customer experiences and implement strategic initiatives for growth and improvement in property and liability claim...

Lead the charge in managing complex auto claims, resolving intricate injury and liability issues while mentoring junior staff. Contribute to process improvements and leverage your expertise in casualt...

Drive operational excellence by leading a large Auto Claims team, ensuring effective claims handling, compliance, and superior customer service while fostering talent development and cross-functional...

Deliver exceptional claim management for complex EPL and D&O cases, overseeing resolution strategies and ensuring outstanding customer service while collaborating with senior leadership and maintainin...

Shape the future of patient care by leveraging your nursing expertise to enhance documentation accuracy, improve care coordination, and drive risk adjustment initiatives in a remote setting for Massac...

Join us to lead strategic operations for a dynamic team, driving efficiency and process improvements. You will oversee budgeting, staff development, and policy changes, ensuring alignment with broader...

Deliver critical data integrity solutions by validating and reconciling data across systems. Collaborate with development teams using SQL and Python to enhance data quality, while ensuring compliance...

Lead a high-performing team managing complex claims. Drive strategic operations, enhance performance, and mentor staff while collaborating with diverse stakeholders and achieving organizational goals...

Lead the charge in optimizing clinical appeals processes, ensuring compliance and high-quality outcomes. Manage a skilled team while collaborating with stakeholders to enhance operational effectivenes...

Lead the charge in managing insurance program renewals and coverage placements for diverse clients. Collaborate with brokers and analyze data to deliver strategic recommendations that enhance risk man...

Shape the future of claims management by providing strategic oversight and guidance for contingent claims. Ensure quality decision-making through monitoring and advisory support in small claims matter...

Contribute to critical Medicare auditing processes, analyzing data to support reimbursement accuracy. Engage in special projects, mentor junior staff, and work independently to enhance auditing standa...

Join a dynamic team and manage complex commercial claims with high exposure. Utilize your expertise to ensure quality resolutions while maintaining excellent customer service and compliance within bro...

Join our team to analyze complex Medicare cost reports and reimbursement processes. You will work independently under minimal supervision, gaining advanced experience in auditing while contributing to...

Investigate and confirm facts of complex automobile accidents, determining coverage and liability. Adjust and negotiate claims while mentoring junior staff to ensure fair and efficient resolutions to...

Drive excellence in managing complex auto injury claims. Utilize strong analytical skills to address coverage, liability, and damages while mentoring junior staff. Collaborate across Northeastern stat...

Join our dynamic Casualty Underwriting team to cultivate profitable partnerships with wholesale brokers, leveraging your extensive E&S industry experience to deliver innovative solutions and enhance r...

Lead billing operations while ensuring accuracy, compliance, and team efficiency. Optimize workflows, enhance customer service, and manage the integration of systems in a collaborative environment foc...

Lead the charge in North America Specialty Reserving by managing a team, ensuring accurate reserve results, and collaborating with diverse stakeholders to standardize processes globally and enhance re...

Transform the Customer Cash Receipts Unit by managing $14B in transactions, ensuring accurate processing and compliance. Lead a high-performing team, drive improvements, and act as a subject matter ex...

Contribute to enhancing casualty claims quality and consistency through thorough audits, performance evaluation, and process improvements. Collaborate with teams to uncover insights, ensure compliance...

Lead the charge in optimizing underwriting operations and staff management, ensuring successful achievement of company objectives while developing strategies for risk acceptability and profitability a...

Empower patients by overseeing complex pharmacy reimbursement cases, coordinating timely actions, and ensuring seamless communications among stakeholders. Drive quality improvements and mentor colleag...

Join a team that's dedicated to driving high-quality outcomes in specialty casualty claims, overseeing complex issues and litigated matters while enhancing team performance and ensuring compliance acr...