Claims Reviewer jobs - Stoughton, MA

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Apr 23 Medical Claims Auditor Connolly Boston, MA

Medical Claims Auditor Medical Claims Auditor (Claim Resolution Specialist) Job ... Inpatient/Outpatient/Physician Claims. Certified Professional / Hospital Coder... more

Apr 21 Multi-Line Claims Admin Sun Life Financial Wellesley, MA

group office assignments for all new claims. Sets up new claims in ULTERA and ... after appropriate training. *LI-DS1 Job : Claims - Life & Disability Primary... more

Apr 08 Director of Claims Operations Judge Healthcare Boston, MA

claims call center activity and accuracy of claims payment.Assist in analyzing the claims ... for claims processing.Understanding of claims recovery/recoupment practicesPrior... more


of claims payment. Assist in analyzing the claims management system and recommend ... for claims processing. Understanding of claims recovery/recoupment practices Prior... more

Apr 01 Senior Architect-Healthcare Claims Pegasystems Cambridge, MA

The Principal Solution Architect contributes to bookings growth and customer success through early and continuous design guidance and technical leadership to Framework development... more

Mar 23 Insurance Claims Representative TCMA Milford Regional Medical Center Milford, MA

and development of our employees. Insurance Claims Representatives for Tri-County Medical ... for all aspects of claims management. Claims management includes electronic and... more

Mar 13 Claims Senior Adjuster FM Global Norwood, MA

salvage, restoration of production, claims preparation and subrogation. Manage and ... When a loss is settled, he/she forwards the claims with his/her recommendations for paymen... more

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Apr 22 Claims Reviewer Neighborhood Health Plan Boston, MA

The Claims Reviewer is responsible for the adjudication of claims adhering to NHP current ... The reviewer will adjudicate the claims by reviewing hospital and/or physician contracts,... more

Apr 17 Decision Review Officer U.S. Department of Veterans Affairs Boston, MA

authorization, rating, and/or appeals of claims for disability compensation, disability ... accomplish post-decision review of claims. * Ability to conduct professional... more

Mar 27 Government Programs Reviewer Blue Cross Blue Shield of Ri - Prod Providence, RI

informational errors as necessary. Review claims data to validate member risk scores; ... of experience in medical claims review or claims processing Proven analytic experience... more

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