24 claims representative jobs found in Boston

Please note: The starting pay rate is projected to be $18.00 per hour with a 3% annual bonus target. Do you want to be part of a collaborative Customer Response team? In this role you will be responsible to facilitate, analyze and resolve customer issues through a variety of communication channels, including phone, email and chat. You will service a suite of absence products such as short-term disability, state disability, state paid family leave and Family Medical Leave Act. You will be initiating new absences for members as well as answering questions about current benefits and claims. At Guardian we foster a team culture where 'People Count," "We Do the Right Thing," and "We Hold Ourselves to Very High Standards". If this sounds like you, Guardian is seeking a Customer Care Representative to join our Member/Provider. Customer Response Unit. You are: A consummate professional with excellent verbal and written communication skills. You are self-motivated and goal...

At the MBTA, we envision a thriving region enabled by a best-in-class transit system. Our mission is to serve the public by providing safe, reliable, and accessible transportation. MBTA’s Core Values are built around safety, service, equity, sustainability, and culture. Each employee that works for the MBTA performs their roles based on our vision, mission, and values. This includes attendance, participation, and contribution in local safety committee meetings as needed. Job Summary The Safety Lead - IH (Industrial Hygiene) will assist with development, implementation, and oversight of assigned MBTA Safety Programs consistent with applicable OSHA and state worker safety standards. Duties & Responsibilities Act as an internal point of contact (POC) for MBTA’s industrial hygiene-related matters and act as a POC for the Massachusetts Department of Labor Standards (DLS) for industrial hygiene concerns. Act as a subject matter expert (SME) and interpretive authority for...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Prime Therapeutics. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Provider Educator - Remote in California Job Description Ensures providers and prescribers are aware of Plan policy and requirements for claims submissions and/ or prior authorization (PA) requests. Conducts outbound calls...

It Starts Here: Santander is a global leader and innovator in the financial services industry and is evolving from a high-impact brand into a technology-driven organization. Our people are at the heart of this journey and together, we are driving a customer-centric transformation that values bold thinking, innovation, and the courage to challenge what’s possible. This is more than a strategic shift. It’s a chance for driven professionals to grow, learn, and make a real difference. If you are interested in exploring the possibilities We Want to Talk to You! The Difference You Make : The Manager, Claims & Fraud Operations is responsible for leading and overseeing investigative teams responsible for identifying, mitigating, and preventing fraud-related losses while ensuring full compliance with regulatory, risk, and service level standards. This role provides strategic direction, operational oversight, and subject matter leadership across fraud investigations, SAR...

It Starts Here Santander is a global leader and innovator in the financial services industry and is evolving from a high-impact brand into a technology-driven organization. Our people are at the heart of this journey and together, we are driving a customer-centric transformation that values bold thinking, innovation, and the courage to challenge what’s possible. This is more than a strategic shift. It’s a chance for driven professionals to grow, learn, and make a real difference. If you are interested in exploring the possibilities We Want to Talk to You! The Difference You Make The Manager, Claims & Fraud Operations is responsible for leading and overseeing investigative teams responsible for identifying, mitigating, and preventing fraud-related losses while ensuring full compliance with regulatory, risk, and service level standards. This role provides strategic direction, operational oversight, and subject matter leadership across fraud investigations, SAR referral...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for GAP Solutions, Inc. (GAPSI). Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Position Objective: As a Junior Human Resource Specialist, apply HR skills in support of managers, program staff and customers on the full range of HR topics including but not limited to staffing, classification, processing, benefits, recruitment, compensation, SES programs, work life programs, policy and employee and labor relations. In support of the Dept. of Homeland Security (DHS), U.S. Immigration and Customs Enforcement (ICE), Office of Human Capital (OHC),...

Otsuka America Pharmaceutical, Inc. A customer engagement approach is designed to better deliver on patient, caregiver and HCP needs in an evolving healthcare environment. This model is built around where patients get their care-locally, with the intent to better serve patients, caregivers, and healthcare providers, delivering a higher quality experience that ultimately is focused on improving patient care. The local "ecosystem approach" creates a unified focus among account management, medical, patient access, marketing and market access to engage local healthcare systems and identify opportunities to improve the patient experience. Through this matrix model, customers will now experience more coordinated and seamless care with digital-enabled support to help bridge care gaps. Position Overview - Senior Medical Science Liaison As an integral member of the ecosystem team for Otsuka's ecosystem-based customer engagement model, the Senior Medical Science Liaison (MSL),...

Job Description Part-Time Remote Electrical Product Inspector - Product Certification, Massachusetts and surrounding area Intertek, a leading provider of quality and safety solutions to many of the world’s top-recognized brands and companies, is actively seeking a Part-Time Remote Electrical Product Inspector - Product Certification to join our Electrical team in Boston, Massachusetts and surrounding area . This is a fantastic opportunity to grow a versatile career in Electrical Product Certification industry. Intertek's Electrical business line applies more than 100 years of product testing expertise to quickly and efficiently help clients meet safety, performance, environmental and quality requirements for every market. Spanning a wide range of industries such as Medical, Lighting, Renewable Energy, HVACR, Appliances & Electronics, Hazardous Locations, Industrial Equipment, Life Safety & Security, IT & Telecom Equipment, Intertek's global network of...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Clarios. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. What You Will Do In this role, you will work remotely from your home in the greater Boston area. As an Account Territory Representative, you will travel mostly within the Northeast territory between our major markets that include Boston, Hartford, Albany, and Buffalo. You are the person that shows our national accounts how much we appreciate and support them. You will be their guide to promote retail sales of our products, reduce returns, train associates, check testing equipment,...

JOB Fall River Police Captain Sole Assessment Center with In Title ExperienceIf you currently have a Civil Service Online Account DO NOT create a new account to apply for this exam. Utilize the Government Jobs Help & Support to access your account. Online Employment Application Guide | Massachusetts Civil Service ApplicationsCandidates with multiple accounts may cause delays with properly recording your application and notifications from civil service such as notices to appear, or job opportunities. If you have questions, please email civilservice@mass.gov.This examination is being administered by the Human Resources Division (HRD) to create an eligible list from which to fill Police Captain vacancies in participating Massachusetts Police Departments. Candidates must take and pass this examination in order to be placed on the eligible list. Examination Date: May 2, 2026 Application Period Begins: March 20, 2026Application Deadline: April 10, 2026Examination Location:...

Job Summary: The Senior Manager, Clinical Technical Operations within Clinical Operations is responsible for supporting the implementation, integration, and optimization of technical systems and processes that support the planning, execution, and oversight of clinical trials. This role bridges the gap between clinical operations and technical functions, ensuring that digital tools, platforms, and data systems are effectively leveraged to drive operational efficiency, compliance, and data integrity. The Senior Manager will collaborate cross-functionally with Clinical, Data Management, IT, Quality, and external vendors to support system implementation, process automation, and continuous improvement initiatives. This role also includes oversight of technical service providers and may involve line management responsibilities. Key Responsibilities: Technical Systems Oversight - Support the implementation, configuration, and maintenance of clinical operations systems...

Job Summary: The Director of Patient Experience Data and Clinical Outcome Assessments (PED&COA) leads the strategic integration of patient-centered outcomes into assigned global assets and programs. This role encompasses early development, regulatory submissions, post-marketing studies, and life-cycle management, ensuring patient perspectives are embedded throughout the drug development process. As a key member of the Global Integrated Evidence & Innovation team, the Director (PED&COA) will develop and execute a scientifically rigorous, patient-focused global strategy for Patient-Centered Outcomes Research (PCOR). This role ensures alignment with FDA guidance on patient-focused drug development (PFDD), regulatory expectations, and health technology assessment (HTA) requirements, while advancing Otsuka's commitment to create innovative, high-quality products for better health worldwide. Job Description: Patient-Centered Outcomes Research (PCOR):...

Position Summary The Associate Director of MSAT (Manufacturing Science & Technology) - Analytical Sciences will serve as a scientific and technical leader supporting tech transfer, and commercial manufacturing of biologic drug substances and drug products. This role oversees analytical lifecycle management, method qualification/validation, comparability, control strategy implementation, and investigations. The ideal candidate brings deep expertise in biologics analytics, strong cross-functional leadership, and experience working with external contract manufacturing companies. Key Responsibilities Lead the analytical sciences function within MSAT to ensure robust support for commercial manufacturing of biologics (e.g., mAbs, fusion proteins). Drive analytical control strategy, specification setting, and lifecycle management in alignment with QbD principles. Oversee method performance monitoring and trending, analytical capability assessments, and...

Boston - Massachusetts - United States of America About The Role As a CBRE Lead Building Engineer, you will be responsible for monitoring complex building system operations and the performance of various areas including plumbing, electrical, painting, roofing, heating, and cooling. This job is part of the Engineering and Technical Services job function. They are responsible for providing support, preventive maintenance, and repairs on equipment and systems. What You’ll Do Assign work orders and estimate the time and materials needed to complete repairs. Maintain an inventory of adequate supplies and tools. Perform maintenance and repairs to advanced mechanical, plumbing, structural, furniture, fire, life safety, and control systems. Keep facility and building systems up to applicable standards as assigned. Comply with all applicable codes, regulations, governmental agency, and company directives related to building operations and work safety. Develop an...

Job Description: The Senior Manager of Field Training and Development, collaborates and communicates closely with the Team Leader in the Field Training and Development Department to develop and drive the achievement of department objectives and responsibilities. Leads in coordinating closely with peers to ensure that learning needs are identified, training programs are developed, and actively implements learning experiences that strengthen the capabilities of customer-facing field personnel to drive business growth. Works cross-functionally with Brand teams, Field Leadership, Medical, and other internal key stakeholders along with external vendors to ensure Field Training and Development programs/deliverables are in alignment with brand/company strategies to support the achievement of commercial business objectives. Key Functions: Collaborates and communicates with peers in Field Training and Development Department to achieve department...

Otsuka's internship program, Intern the Otsuka Way (InTOW), offers students a unique opportunity to gain hands-on experience and develop critical skills while contributing to meaningful projects. Interns will work alongside experienced professionals, learn about the complexities of the pharmaceutical industry, and gain insights into potential career paths. By combining practical experience with professional development, our program prepares interns for future success. Our internship program also includes instructor-led trainings, a leadership engagement series, as well as insightful lunch and learns. Application Deadline: Candidates are encouraged to apply within 10 business days of the posting date. The position may remain open past this window until a suitable candidate is selected. Interviews and offers: February through March 2026. Duration of internship: June 1, 2026, through August 10, 2026. Job Description ? The Data Governance & Data Integrity...

The Director, Medical Excellence & Operations (ME&O) Insights & Analytics will lead the development and execution of a global strategy for integrating and leveraging data-driven insights across multiple Global Medical Affairs (GMA) functions. This role will be responsible for managing the Manager, Medical Analytics and is pivotal in shaping how GMA uses analytics to optimize performance, enhance decision-making, and deliver measurable impact across therapeutic areas. The Director, Medical Excellence & Operations (ME&O) Insights & Analytics will report to the Senior Director, Medical Affairs Solutions & Analytics and will leverage strategic vision, operational excellence, and expertise in data integration to drive innovation and efficiency across functions such as Medical Information, Field Medical, Medical Strategy, and Medical Education. Preferred therapeutic experience includes Nephrology, Central Nervous System (CNS), and rare disease. Key...

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Marine Claims Major Loss Adjuster to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team. Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. How you will create an impact As a Major Loss Adjuster, you will be focused on handling all aspects of Motor Truck Cargo, Vehicle Physical Damage, Car Hauler Liability, Commercial Property, Contractors Equipment, and Warehouse legal Liability claims. This role is an ideal opportunity to...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Otsuka America Pharmaceutical Inc.. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Job Summary The Associate Director, Quality Operations will lead initiatives that drive operational excellence, enhance risk management practices, and optimize global quality system processes across a global quality organization. This role is instrumental in ensuring that quality operations are efficient, compliant, and aligned with strategic business goals. Job Description Operational Excellence Lead continuous improvement initiatives across...

Duties and Responsibilities Apply in-depth knowledge of Chapter 90 and 540 CMR regulations and RMV standards. Conduct administrative hearings on disputes, claims, and/or other matters involving the agency by interviewing witnesses, determining the admissibility of evidence and testimony, and rendering decisions based on laws, agency rules and regulations, and facts presented to ensure the agency adherence to legal requirements and equitable settlement of grievances. Coordinate assigned unit activities by scheduling hearings and conferences; drafting forms and form letters; attending meetings and conferences; revising agency office procedures; and maintaining agency activity records. Serve as a resource for internal and external departments to research and resolve inquiries. Research laws, regulations, policy, and standards to ensure compliance. Provide customer service in a professional, efficient and courteous manner. Determine the need for...

Job no: 529577 Position Type: Staff Full Time Campus: UMass Boston Department: Gerontology Institute Pay Grade: No Pay Grade Date opened: 20 Feb 2026 Eastern Standard Time Applications close: 20 Mar 2026 Eastern Daylight Time General Summary: The Staff Attorney of the Pension Action Center (PAC) within the Gerontology Institute is responsible for assisting clients in obtaining their pension benefits. The incumbent will respond to requests for assistance from the public; conduct and supervise the intake of clients’ cases; select, supervise and train volunteers and student staff; and engage in outreach activities. The incumbent will prepare pension claims and appeal letters on behalf of PAC clients. In addition, the incumbent will assist the PAC Director and PAC Development and Outreach Director with raising money, including grant writing and fundraising efforts to ensure the continuation of the project. Examples of Duties:...

Overview The Private Counsel Division and Strategic Litigation Unit of CPCS are seeking applicants for Summer 2026 internship positions across the Commonwealth. We are interested in law students (both with and without SJC Rule 3:03 Certification), graduate students, and undergraduate students for opportunities with these offices. We fight for equal justice and human dignity by supporting our clients in achieving their legal and life goals. We zealously advocate for the rights of individuals and promote just public policy to protect the rights of all. Our Values Courage • Accountability • Respect • Excellence We stand with our Clients and the Community in the fight for Justice. We are dedicated to providing zealous advocacy, community-oriented defense and protection of fundamental constitutional and human rights. Our staff across the Commonwealth embodies a diverse group of people from different backgrounds, experiences, abilities, and...

Otsuka's internship program, Intern the Otsuka Way (InTOW), offers students a unique opportunity to gain hands-on experience and develop critical skills while contributing to meaningful projects. Interns will work alongside experienced professionals, learn about the complexities of the pharmaceutical industry, and gain insights into potential career paths. By combining practical experience with professional development, our program prepares interns for future success. Our internship program also includes instructor led trainings, a leadership engagement series, as well as insightful lunch and learns. Application Deadline: Candidates are encouraged to apply within 10 business days of the posting date. The position may remain open past this window until a suitable candidate is selected. Interviews and offers: February through March 2026. Duration of internship: June 1, 2026, through August 10, 2026. Location: In Princeton 2-3 days a week Job Description ?...

Job Summary ?: Otsuka's internship program, Intern the Otsuka Way (InTOW), offers students a unique opportunity to gain hands-on experience and develop critical skills while contributing to meaningful projects. Interns will work alongside experienced professionals, learn about the complexities of the pharmaceutical industry, and gain insights into potential career paths. By combining practical experience with professional development, our program prepares interns for future success. Our internship program also includes instructor led trainings, a leadership engagement series, as well as insightful lunch and learns. Application Deadline: Candidates are encouraged to apply within 10 business days of the posting date. The position may remain open past this window until a suitable candidate is selected. Interviews and offers: February through March 2026. Duration of internship: June 1, 2026, through August 10, 2026. Job Description ? The Junior Scientist...