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The Claims Manager supports medical insurance customers (including administrators, MGUS, brokers) by confirming eligibility, determining insurance coverage, examining and resolving medical stop loss claims, documenting actions, maintaining quality customer service, ensuring compliance.
ExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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We have assignments available to help our insurance carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Commercial Claims Adjuster or Examiner positions. Handle General Liability / Bodily Injury, Property, Commercial Auto Liability and/or Physical Damage, Workers Compensation, Inland Marine, Professional / Management Liability, Business Interruption, Liquor Liability, Garage/Garagekeepers Legal Liability or Umbrella claims.
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Assists in processing paperwork associated with clinical care including: insurance claims, disability forms, and medical equipment forms. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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We welcome applicants involved across the entire pipeline of conducting observational health studies at scale, with a focus on faculty whose research areas include the use of real-world data such as health insurance billing and claims data, electronic health records, and disease/medication registries.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Knowledge of pre-claims requirements for dental/medical insurances, insurance processes, billing/healthcare compliance and insurance guidelines, rules, regulations and requirements.
$24 - $33.1 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Reviews and corrects all claims/charge denials and edits that are communicated via Epic, Explanation of Benefits (EOB), direct correspondence from the insurance carrier or others and uses information learned to educate PFS and office staff to reduce future denials and edits of the same nature.
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Self-funding can incur risks from catastrophic claims, and Medical Stop Loss insurance from Tokio Marine HCC is designed to protect employers from that risk. Medical Stop Loss provides an added layer of insurance protection to employers who choose to self-fund their health benefit plans.
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WHAT WE ARE SEEKING We have assignments available to help our insurance carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Commercial Claims Adjuster or Examiner positions.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Today, Rubenstein Law is recognized as a premier name in Personal Injury, representing clients in a variety of case claims, including auto injuries, slip and fall injuries, catastrophic injuries, premise liability, medical malpractice, child & birth injury, motorcycle accident cases, and traumatic brain injury (TBI) cases.
$39,520 - $41,600 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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In addition, Segal offers a comprehensive suite of benefits to include a non-contributory defined benefit pension plan, matching and discretionary contributions to a 401(k) profit sharing plan, medical and prescription benefits including contributions to a health savings account for eligible employees, dental benefits, life insurance, disability insurance, an Employee Assistance Program, wellness benefit reimbursements and rewards, and professional credential and tuition reimbursement.
$35Full-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Additional responsibilities may include: preparation of bid specifications; analyses of proposals; preparation of quarterly and annual financial reports; renewal analyses; benefit plan pricing; analyses of complex technical data with regard to health benefit plans; preparing budget projections; claims cost analyses; and preparing claims curves for retiree health valuations.
$60,000 - $70,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.
RemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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We offer an excellent benefits package including: Unlimited PTO Medical Insurance Dental Insurance Vision insurance 401(k) plan with a match Interested candidates should include a cover letter and resume.
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Berkshire Hathaway Specialty Insurance (BHSI) has an exciting opportunity for a Medical Stop Loss Claims Auditor with knowledge of employer group health insurance, managed care, and direct medical claims products.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Reporting directly to the Vice President of Claims of the Independent Agent Channel, the Director will oversee our MA and NH casualty and medical claim operations. In addition, to managing litigation, medical claims handling, adherence to our decision point and medical bill adjudication process.
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medical insurance claims jobs in Boston, MA
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