199 claims jobs found

Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) . Job Description : Summary The Claims Representative handles complex and mid-to-high exposure bodily injury and property damage claims under Ryder's self-administered liability program. This position investigates and adjusts claims, as well as directs defense counsel, independent adjusters, experts, and other vendors in the claims-handling processes. Essential Functions Investigates and adjusts claims, as well as directs outside defense counsel, independent adjusters, experts, and other vendors in the claim-handling processes. Supervises outside vendors retained for investigations, cost containment, expert witnesses, and litigation management to ensure claims are being handled appropriately according to the applicable jurisdiction. Alerts the Claims Manager to changes and proposed changes in laws that could impact Ryder s...

Company : Highmark Inc. Job Description : JOB SUMMARY This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for building positive client relationships, providing education, and analyzing client claim losses as well as current issues regarding client activities; disseminates necessary information to the management. Follows up on pended claims in accordance with department standards. ESSENTIAL RESPONSIBILITIES Processes daily incoming Stop Loss claims including initial entry claims or subsequent claims as needed; provides counseling to clients and assists with client service programs. Evaluates various claims submitted by Third Party Administrators (TPAs) and Pharmacy Benefit Managers (PBMs) on behalf of self-funded clients for compliance with the following: underlying policy provisions, federal and state regulatory guidelines, and...

Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for screening, reviewing, evaluating online entry, correcting errors and/or performing quality control review and final adjudication of paper/electronic claims. Determines whether to return, deny or pay claims following organizational policies and procedures. Reviews processed claims and inquiries to determine corrective action including adjusting claims as necessary and takes the corrective action steps using enrollment, benefit and historical claim processing information; may coordinate benefits and interact with customers. Responsible for the timely and accurate completion of claims adjustments which could be a result of internal/external audits, member/provider phone calls, other insurance information received, appeals, and system changes, etc.; provides technical assistance in researching and resolving inquiries. ESSENTIAL RESPONSIBILITIES Receives and processes complex...

At Stewart, we know that success begins with great people. As a Stewart employee, you’ll be joining a company that was named a 2024-2025 Best Company to Work For by U.S. News & World Report, and a 2025 Top Workplace by USA Today. We are committed to helping you own, develop, and nurture your career. We invest in your career journey because we understand that as you grow, so does our company. And our priority is smart growth – by attaining the best people, investing in tools and resources that enable success, and creating a better home for all. You will be part of an inclusive work environment that reflects the customers we serve. You’ll be empowered to use your unique experiences, passion and skills to help our company and the communities we serve constantly evolve and improve. Together, we can achieve our vision of becoming the premier title and real estate services company. Stewart is a global real estate services company, providing title insurance, settlement,...

Job Description Summary Lead level role that investigates and maintains highly complex property claims. Determine liability, secure information, reviews coverages, arrange appraisals, and settles claims. Demonstrate experience to perform all areas of claim adjustment activities with the highest degree of competency and independence. You will work in the field and handle complex homeowner property field claims. You will preferably be located in Massachusetts but also open to candidates in Connecticut or Rhode Island. A fleet vehicle is provided with the position. You will report to a Large Loss Senior Manager. In this primarily field-based role, you will spend your time working in the field, directly interacting with customers. On occasion, you may be asked to travel to an office location for in person engagement activities such as team meetings, trainings, and culture events. Position Compensation Range: $88,000.00 - $145,000.00 Pay Rate Type: Salary Compensation...

At Stewart, we know that success begins with great people. As a Stewart employee, you’ll be joining a company that was named a 2024-2025 Best Company to Work For by U.S. News & World Report, and a 2025 Top Workplace by USA Today. We are committed to helping you own, develop, and nurture your career. We invest in your career journey because we understand that as you grow, so does our company. And our priority is smart growth – by attaining the best people, investing in tools and resources that enable success, and creating a better home for all. You will be part of an inclusive work environment that reflects the customers we serve. You’ll be empowered to use your unique experiences, passion and skills to help our company and the communities we serve constantly evolve and improve. Together, we can achieve our vision of becoming the premier title and real estate services company. Stewart is a global real estate services company, providing title insurance, settlement,...

Express Auto Damage Insurance Claim Rep (Hybrid or Remote) Date: Mar 24, 2026 Location: Webster MA or Work from Home, MA, US Company: MAPFRE Job Summary: Position is Hybrid, within a commutable distance to Webster, MA (2 days in office/3 days remote). Will consider remote. Schedule/Hours: Monday through Friday, 8:00 a.m. to 4:30 p.m. EST while in training. Once training is complete, regular work schedule will be 8:30 a.m. to 5:00 p.m. EST. Excellent opportunity to join our Claims, Physical Damage Department. In this role as Auto Damage Claim Rep, you will beresponsible for adjusting 1st party Express claims for Auto Physical Damage through screening losses, determining coverage exposures, and settlements. Communication - Assure written and verbal communications are timely, professional and empathetic. Customer Service - Deliver service to customers and agents aligned with contribution to the Departmental tNPS score Telephone Management -...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Coordinator, Provider Network will be a dynamic role that will encompass overall support of data operations supporting our NIA line of business in areas including auth...

School: Harvard School of Dental Medicine Department/Area: Oral Health Policy and Epidemiology Position Description We are seeking a research Data Analyst in the Department of Oral Health Policy and Epidemiology (OHPE). This position will work with Dr. Hawazin Elani and her team which undertakes a range of health policy projects focused on disparities in oral health. Specific responsibilities of this position include manage various datasets, estimate statistical models, report formats and other analysis considerations, determine and write statistical considerations and algorithms for protocol documents according to study design and appropriate statistical methods, manage and maintain documentation of files and analyses. This person will summarize and present findings as reports, tables, graphs, and models, and will collaborate on manuscripts, abstracts, and other publications documenting study findings. The person will be...

Job Description The Senior Incident Manager is a critical member of the Global Operations team, responsible for leading the end-to-end management of major incidents across a SaaS healthcare platform. This role operates with a high degree of autonomy, serves as a technical resource and mentor to peers, and drives continuous improvement across incident management processes. The ideal candidate brings deep technical expertise, strong written and verbal communication skills, and a proven ability to lead under pressure - from initial triage through post-incident review. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and...

School: Harvard School of Dental Medicine Department/Area: Oral Health Policy and Epidemiology Position Description We are seeking a research Data Analyst in the Department of Oral Health Policy and Epidemiology (OHPE). This position will work with Dr. Hawazin Elani and her team which undertakes a range of health policy projects focused on disparities in oral health. Specific responsibilities of this position include manage various datasets, estimate statistical models, report formats and other analysis considerations, determine and write statistical considerations and algorithms for protocol documents according to study design and appropriate statistical methods, manage and maintain documentation of files and analyses. This person will summarize and present findings as reports, tables, graphs, and models, and will collaborate on manuscripts, abstracts, and other publications documenting study findings. The person will be...

This role supports the Pricing & Eligibility team by helping ensure contract pricing data is accurate, customer eligibility is properly determined, and pricing and membership work is completed in line with vendor requirements and department timelines. The person in this role uses strong attention to detail, problem-solving ability, and communication skills to support pricing accuracy, audit readiness, and service for internal and external partners. Key Responsibilities Review and validate credit and rebill requests for completeness and accuracy. Provide customer service related to pricing and membership for internal and external partners. Capture and maintain required audit documentation. Determine appropriate member access to contract pricing based on required customer criteria. Review and complete assigned work in the queue according to department guidelines. Research supplier and customer pricing and membership claims and take...

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 Underwriter Sr - Remote Job Description The Senior Underwriter is responsible for achieving profit, growth, service and expense objectives through the financial analysis and pricing of Prime's book of business. Under minimal supervision, the Senior Underwriter serves as an expert consultant on matters pertaining to underwriting, performance guarantees and other financial considerations. Provides underwriting services to determine pricing and monitors accounts to ensure they remain on a profitable basis. Maintains and applies knowledge of pricing strategies in the PBM industry. Maintains a positive working relationship with Sales, Marketing and Client Engagement and other key business owners within Prime. Responsibilities...

Company : United Concordia Dental Job Description : JOB SUMMARY This job services United Concordia Dental's (UCD's) clients by recruiting, training and servicing quality dental networks in assigned territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development/renewal and financial reimbursement. Meet with dentists and office personnel to act as the intermediary between the organization and UCD. Respond to contractual and payment issues both internally and externally. Ensure compliance with contractual terms through regular on-site audits. Apply an active role in network management, training, monitoring and enforcement of company policies and procedures while increasing provider efficiencies. ESSENTIAL RESPONSIBILITIES Identify and initiate contact with prospective providers. Develop and follow up on leads in an established time frame, while incorporating a sound business plan strategy to support and...

Clinical Appeals Reviewer (Licensed Healthcare Professional) Fully Remote-United States Job Type Full-time Description Overview Tanaq Support Services (TSS) delivers professional, scientific, and technical services and information technology (IT) solutions to federal agencies in health, agriculture, technology, and other government services. TSS is a subsidiary of the St. George Tanaq Corporation, an Alaskan Native Corporation (ANC) committed to serving Federal customers while also giving back to the Tanaq native community and shareholders. About the Role We are seeking a Clinical Appeals Reviewer to support a contract with our federal client. The Clinical Appeals Professional performs complex (senior-level) work. Provides dissatisfied parties with the opportunity to present documentation to demonstrate why an appeal should be allowed. Provides an independent second level determination based on the documentation, facts, laws, regulations, and guidelines....

Summary Interpretive Park Rangers develop and present educational programs including guided walks and presentations and working with audiences in a variety of park settings. Open to the first 65 applicants or until 04/24/2026 whichever comes first. All applications submitted by 11:59 (EST) on the closing day will receive consideration. Learn more about this agency This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Career transition (CTAP, ICTAP, RPL) Federal employees whose job, agency or department was eliminated and are eligible for priority over other applicants. Clarification from the agency This position is being filled under the Field Unit Local Hiring Authority and is open to U.S. citizens and nationals who meet all eligibility requirements, including permanent and exclusive residency within the defined vicinity of the field unit as described in this announcement. Under this...

External candidates: In order for your application to be correctly processed please sign-in before you apply Internal candidates: Please go to Workday and click "Find Jobs" link under Career Thank you for considering opportunities with us! Job Title Commercial Casualty Litigation Adjuster II - Remote Requisition Number R7661 Commercial Casualty Litigation Adjuster II - Remote (Open) Location Colorado - Home Teleworkers Additional Locations Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maryland - Home...

Consultant, US Market Access Strategy - Rare Disease Anywhere Type: Contract Category: Global Medical Affairs Industry: Life Sciences Workplace Type: Remote Reference ID: JN -042026-106273 Date Posted: 04/05/2026 Shortcut: http://careers.eliassen.com/TmEods Description Recommended Jobs Description: Remote Our client seeks a consultant to drive US market access strategy and launch readiness for a rare disease asset. The role advises on payer analytics, value narrative development, and field enablement to support access decisions across commercial and government channels. The consultant will translate evidence and data into strategic recommendations and partner across functions to ensure integrated launch planning. Due to client requirements, applicants must be willing and able to work on a w2 basis. For our w2 consultants, we offer a great benefits package that includes Medical, Dental, and Vision benefits, 401k with...

Job Description General Summary: Are you a data scientist with experience in natural language processing, generative AI, machine learning, and advanced analytics, and looking to apply your expertise in a collaborative and intellectually stimulating environment? Are you passionate about the future of healthcare? Our enterprise data science team is looking for a Boston- or London-based data scientist with experience in using generative AI methods to solve complex business problems and a passion for addressing business needs through data analysis and solutions. You will work on a highly collaborative team of data scientists, engineers, and strategists to deliver analytical insights and data products that drive value and impact for our highest priority business needs. You’ll work side-by-side with internal partners to apply advanced analytics and generative AI to complex, high-value business problems and digital solutions to deliver measurable decisions and outcomes that...

Who We Are Applied Materials is a global leader in materials engineering solutions used to produce virtually every new chip and advanced display in the world. We design, build and service cutting-edge equipment that helps our customers manufacture display and semiconductor chips - the brains of devices we use every day. As the foundation of the global electronics industry, Applied enables the exciting technologies that literally connect our world - like AI and IoT. If you want to push the boundaries of materials science and engineering to create next generation technology, join us to deliver material innovation that changes the world. What We Offer Salary: $68,000.00 - $93,500.00 Location: Gloucester,MA You'll benefit from a supportive work culture that encourages you to learn, develop, and grow your career as you take on challenges and drive innovative solutions for our customers. We empower our team to push the boundaries of what is possible-while learning...

Job Description General Summary: Are you a data scientist with experience in natural language processing, generative AI, machine learning, and advanced analytics, and looking to apply your expertise in a collaborative and intellectually stimulating environment? Are you passionate about the future of healthcare? Our enterprise data science team is looking for a Boston- or London-based data scientist with experience in using generative AI methods to solve complex business problems and a passion for addressing business needs through data analysis and solutions. You will work on a highly collaborative team of data scientists, engineers, and strategists to deliver analytical insights and data products that drive value and impact for our highest priority business needs. You’ll work side-by-side with internal partners to apply advanced analytics and generative AI to complex, high-value business problems and digital solutions to deliver measurable decisions and outcomes that...

Under the direct supervision of the Revenue Cycle Director, the Revenue Cycle Supervisor is responsible for overseeing and optimizing revenue-related operations. This role involves in-depth analysis of both incoming and outgoing revenue streams, as well as the preparation of advanced, complex technical and analytical reports, including key performance indicators for the assigned team. The Revenue Cycle Supervisor will directly manage one of the following teams: Accounts Receivable, Claims Submission, Site Coordination, or Payment Posting. The primary objective of this role is to enhance the efficiency, quality, and financial performance of the Revenue Cycle function. What you will do: Supervises daily activities of the denial and follow-up team to ensure timely and effective claim resolution by conducting regular team meetings, provides performance feedback (Individual One on One), trains and mentors staff on payer guidelines, denial codes, appeal processes, program...

Req ID 2026-31797 Dept Law Department Position Regular Full-Time Location Law Law Salary Min 117,371.63 Salary Max 153,024.95 Union EXM Openings 1 Posting End Date 9/9/2026 Contact Email kristen.coveney@boston.gov Overview : The City of Boston seeks an Assistant Corporation Counsel (“ACC”) to represent the City, its officials, and its departments. The ACC will advise City leaders on a variety of municipal law matters; represent the City in civil actions, arbitrations, administrative hearings, mediations, and negotiations; investigate claims and complaints by or against the City and recommend actions to be taken; draft ordinances; conduct negotiations with third parties; and perform other duties as assigned. The ACC will be expected to perform high-quality work on increasingly complex matters supported by the supervision of Senior ACCs and the relevant Law Department Legal Advisor. Responsibilities...

This Paralegal, Corporate role will assist with the day to day functions of the Bright Horizons’ Legal Department. This role is ideal for a paralegal with a strong paralegal background who thrives in a fast-paced, cross-functional environment. You will be responsible for conducting legal research, drafting legal documents, supporting litigation and case management, completing corporate compliance filings and other corporate functions as well as assisting with the day-to-day functions of the Bright Horizons’ Legal Department. This Hybrid role requires in-person (3 days a week) work at our Newton, MA headquarters. Bright Horizons is a leading education and care company that helps employees thrive at work and at home by partnering with employers to offer high-quality child care, elder care, and educational support. Our workplace reflects this commitment—with collaborative environments, meaningful benefits, and a culture that supports both career growth and personal...