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33 claims representative jobs found

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MA
Full time
 
Customer Service Rep - First Notice of Loss (Work from Home or Hybrid)
MAPFRE Webster, MA, USA
Summary Here at MAPFRE we pride ourselves on our employees' talent, commitment and ability to innovate with purpose. We recognize the value that our Customer Service team brings to MAPFRE and are looking to hire individuals who embody these qualities every day! As one of our Customer Service Representatives, you will play a vital role in delivering an exceptional customer experience to our customers and agents. If you are passionate about working with customers and ensuring they have the best experience possible through real-life interactions, this is the perfect position for you! CALL CENTER BILLING or FIRST NOTICE OF LOSS EXPERIENCE PREFERRED Bilingual (Spanish/English) skills are preferred Schedule/Hours : Monday through Friday, 8:00 a.m. to 4:30 p.m. (EST) while in training (approximately 6-7 weeks). Once training is complete, regular work schedule will be a flex schedule: Monday through Friday, 8:30 a.m. to 6:00 p.m (EST) . This position requires some...

Mar 30, 2026
MA
Customer Service Rep - First Notice of Loss (Work from Home or Hybrid)
MAPFRE Webster, MA, USA
S ummary Here at MAPFRE we pride ourselves on our employees’ talent, commitment and ability to innovate with purpose. We recognize the value that our Customer Service team brings to MAPFRE and are looking to hire individuals who embody these qualities every day! As one of our Customer Service Representatives, you will play a vital role in delivering an exceptional customer experience to our customers and agents. If you are passionate about working with customers and ensuring they have the best experience possible through real-life interactions, this is the perfect position for you! CALL CENTER BILLING or FIRST NOTICE OF LOSS EXPERIENCE PREFERRED Bilingual (Spanish/English) skills are preferred Schedule/Hours : Monday through Friday, 8:00 a.m. to 4:30 p.m. (EST) while in training (approximately 6-7 weeks). Once training is complete, regular work schedule will be a flex schedule: Monday through Friday, 8:30 a.m. to 6:00 p.m (EST) ....

Mar 30, 2026
Eo
Benefits and Eligibility Representative
EO of HHS PayRollGen Admin Worcester, MA, USA
MASSHEALTH Operations (MHO) is seeking a dynamic customer service-focused professional for the role of Benefits and Eligibility Representative. The selected candidate will work in a productive, fast-paced call center environment, utilizing technology and client management software to review, evaluate and determine applicant eligibility for medical assistance in accordance with MassHealth policy and procedures. Ideal candidates will display exceptional customer service and demonstrate an ability to successfully navigate a direct client-contact relationship. Duties and Responsibilities (these duties are a general summary and not all inclusive): Interview those requesting benefits; help them complete eligibility forms and submit required verifications in order to obtain and validate demographic and financial information. Evaluate submitted documents from those individuals under age 65 living in the community to ensure accuracy and completeness and to support the...

Mar 28, 2026
MA
Express Auto Damage Insurance Claim Rep (Hybrid or Remote)
MAPFRE MA, USA
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 -...

Mar 28, 2026
Eo
Benefits and Eligibility Representative-Springfield
EO of HHS PayRollGen Admin Springfield, MA, USA
MASSHEALTH Operations (MHO) is seeking a dynamic customer service-focused professional for the role of Benefits and Eligibility Representative. The selected candidate will work in a productive, fast-paced call center environment, utilizing technology and client management software to review, evaluate and determine applicant eligibility for medical assistance in accordance with MassHealth policy and procedures. Ideal candidates will display exceptional customer service and demonstrate an ability to successfully navigate a direct client-contact relationship. Duties and Responsibilities (these duties are a general summary and not all inclusive): Interview those requesting benefits; help them complete eligibility forms and submit required verifications in order to obtain and validate demographic and financial information. Evaluate submitted documents from those individuals under age 65 living in the community to insure accuracy and completeness and to support the initial...

Mar 28, 2026
SE
Data Modeler (Consulting)
SolomonEdwards Boston, MA, USA
About Us SolomonEdwardsGroup, LLC ("SolomonEdwards") is a full-service professional services firm offering financial, operational, and technology consulting and operations support. We work with some of the world's most prominent companies to help them envision and achieve a better future. We know that our consulting services are only as meaningful as the people and talent behind them, and we are committed to recruiting incredibly talented, committed, and collaborative individuals who can help us deliver exceptional client service. For more information, visit SolomonEdwards Position Summary: We are seeking a Data Modeler to join a leading healthcare organization with operations supporting data-driven clinical, pharmacy, and business decision-making. This consultant will design, build, and maintain data models that transform complex healthcare data into actionable insights, analytics, and business intelligence solutions that support strategic planning and improved patient...

Mar 23, 2026
KP
JOB DESCRIPTION
KeyPoint Partners, LLC Burlington, MA, USA
Burlington, MA SUMMARY: Responsible for the day-to-day aspects of facility management & maintenance issues related to a commercial real estate portfolio. This individual works in tandem with the Owners, the Property Management team, the accounting team, leasing, facilities staff and construction to provide a full range of timely services to tenants and clients. Local travel required. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. • Develops and maintains excellent tenant/owner relationships. Develops building cleaning specs, market standards, and helps to negotiate all service contracts. Uses industry knowledge to implement appropriate risk management practices. Analyzes building systems, understands operations of such and makes recommendations to ownership as necessary. Works with construction team, contractors and subcontractors to coordinate tenant fit ups, maintenance issues, upkeep, or...

Mar 22, 2026
SafetyKleen
Full time
 
Senior Attorney, Litigation
SafetyKleen Boston, MA, USA
JOB DESCRIPTION Clean Harbors is seeking a highly motivated and committed attorney, preferably with experience (i) leading an in-house litigation team for a public company with a sizeable matter portfolio, and (ii) managing insurance claims. Candidates will need to demonstrate strong leadership and mentoring capabilities, legal and business acumen, effective communication skills, and willingness to travel. The position will sit in Norwell, MA, and report to the General Counsel as part of a lean and dynamic Law Department. Why work for Clean Harbors? Health and Safety is our #1 priority and we live it 3-6-5! Competitive wages Comprehensive health benefits coverage after 30 days of full-time employment Group 401K with company matching component Own part of Clean Harbors with our Employee Stock Purchase Plan (U.S. Only) Generous paid time off, c ompany paid training and tuition reimbursement Positive and safe work...

Mar 20, 2026
SafetyKleen
Full time
 
Senior Attorney, Litigation
SafetyKleen Boston, MA, USA
JOB DESCRIPTION Clean Harbors is seeking a highly motivated and committed attorney, preferably with experience (i) leading an in-house litigation team for a public company with a sizeable matter portfolio, and (ii) managing insurance claims. Candidates will need to demonstrate strong leadership and mentoring capabilities, legal and business acumen, effective communication skills, and willingness to travel. The position will sit in Norwell, MA, and report to the General Counsel as part of a lean and dynamic Law Department. Why work for Clean Harbors? Health and Safety is our #1 priority and we live it 3-6-5! Competitive wages Comprehensive health benefits coverage after 30 days of full-time employment Group 401K with company matching component Own part of Clean Harbors with our Employee Stock Purchase Plan (U.S. Only) Generous paid time off, c ompany paid training and tuition reimbursement Positive and safe work...

Mar 20, 2026
GL
Customer Care II
Guardian Life Boston, MA, USA
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...

Mar 16, 2026
Ma
Full time
 
Director, Underwriting Research & Development
Manulife MA, USA
Key to John Hancock’s success is maintaining the core competency of Underwriting expertise which relies on a strategy of continual enhancements to our proprietary underwriting approaches and keeping current with medical, lifestyle and technological advances that can further advance our underwriting expertise. We are seeking an Underwriting Director with a history of making sound underwriting decisions, building strong relationships and communicating effectively to join us on our transformation journey to simplify the insurance process for our customers. This role is accountable for providing underwriting subject matter expertise, leadership and collaboration with cross-functional teams comprised of actuaries, operations specialists, data scientists, and developers. The successful candidate will demonstrate proven research and development capabilities, project execution, out-of-the-box thinking, and creative problem-solving skills. Job Responsibilities Oversee the...

Mar 16, 2026
MB
Full time
 
Safety Lead - Industrial Hygiene
MBTA Boston, MA, USA
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...

Mar 15, 2026
PT
Provider Educator - Remote in California
Prime Therapeutics Boston, MA, USA
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...

Mar 14, 2026
EH
Grievance/Appeals Representative I
Elevance Health Woburn, MA, USA
Title: Grievance/Appeals Representative I Locations: Woburn, MA and Manchester, NH This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Grievance/Appeals Representative I is responsible for reviewing, analyzing and processing member complaints in accordance with policies and claims events to determine the extent of the company's liability and entitlement. How You Will...

Mar 12, 2026
SH
Manager, Claims & Fraud Operations
Santander Holdings USA Inc Boston, MA, USA
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...

Mar 12, 2026
SH
Manager, Claims & Fraud Operations
Santander Holdings USA Inc Boston, MA, USA
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...

Mar 11, 2026
Cf
Full time
 
Internship Opportunities - Summer 2026 - Private Counsel Division & Specialty Units - Statewide
Committee for Public Counsel Boston, MA, USA
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...

Mar 25, 2026
Otsuka Pharmaceutical Companies (U.S.)
Director, U.S. Neuroscience Pipeline & Established Brand Marketing
Otsuka Pharmaceutical Companies (U.S.) Boston, MA, USA
Position Summary We are seeking an innovative and strategic leader to serve as the Director, U.S. Neuroscience Pipeline & Established Brand Marketing. This individual is responsible for supporting Otsuka's U.S. commercialization efforts, ensuring that pipeline assets are positioned for long-term success. This role will focus on market assessment, competitive analysis, and early brand strategy development, working closely with global and R&D, business development, and commercial teams to shape evidence generation and pre-launch planning. The individual will also contribute to portfolio planning and business development assessments, ensuring that Otsuka makes data-driven investment decisions for pipeline assets. In addition, this role will lead strategic marketing efforts for established Neuroscience brands to sustain performance and maximize lifecycle value, ensuring smooth transitions and mitigating revenue erosion through proactive planning and targeted growth...

Mar 21, 2026
UM
Full time
 
Contract Manager, Managed Care Contracting
UMass Memorial Health Worcester, MA, USA
Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Exempt Hiring Range: $83,116.80 - $149,593.60 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 8:00-5:00 Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5876 Payer Contracting This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts,...

Mar 20, 2026
MG
Part time
 
Division Chief of Palliative Care, Aging, and Geriatric Medicine; Department of Medicine
Mass General Brigham Incorporated Somerville, MA, USA
Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary GENERAL SUMMARY/OVERVIEW STATEMENT: The Academic Medical Center (AMC) Division Chief in the Massachusetts General Brigham (MGB) Department of Medicine (DOM) is a critical member of the leadership team and serves as the leader of the division. Under the general direction of the Chair, they are responsible for setting and implementing goals and objectives within the clinical, research, and education domains of the division and facilitating...

Mar 19, 2026
JK
Part time
 
Overnight Sales Associate
Joe's Kwik Mart Lowell, MA, USA
NOW HIRING Open Availability Preferred Overnight - 3rd Shift Part Time *Paid Weekly* Starting at $15.00 per hour CrossAmerica Partners is a leading wholesale distributor of motor fuels, operator of convenience stores, and owner and lessor of real estate used in the retail distribution of motor fuels. With a geographic footprint across 34 states, we strive to be an industry leader, providing fuel and convenience products essential to keep people moving across America! Position Description: The Overnight Team Member will be responsible for managing store operations during the night shift, ensuring the store is clean, well-stocked, and secure while providing excellent customer service. This role requires strong attention to detail, the ability to handle cash and merchandise, and a commitment to maintaining a safe and welcoming environment for customers. Responsibilities: Greet and assist customers in a friendly and professional manner, answering...

Mar 17, 2026
CS
Full time
 
C. E. A.
California State Personnel Board Nantucket, MA, USA
Department of Insurance JC-510687 Division Chief, Field Examination Division C. E. A. $12,131.00 - $21,370.00 per Month New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable. Final Filing Date: 4/13/2026 Application Methods: Electronic (Using your CalCareer Account) By Mail Drop-off Job Description and Duties The California Department of Insurance (CDI) Financial Surveillance Branch is looking for a C.E.A, Level B, to serve as our Chief, Field Examination Division! Under the general direction of the Deputy Commissioner, Financial Surveillance Branch, the incumbent is responsible for formulating policies, planning, organizing, and directing the activities of the Field Examination Division, identifying insurance companies in hazardous financial condition and formulating recommendations for...

Mar 16, 2026
JK
Part time
 
Overnight Sales Associate
Joe's Kwik Mart Chelsea, MA, USA
NOW HIRING- OVERNIGHT Flexible schedules **PAID WEEKLY** Starting at $16.50 per hour CrossAmerica Partners is a leading wholesale distributor of motor fuels, operator of convenience stores, and owner and lessor of real estate used in the retail distribution of motor fuels. With a geographic footprint across 34 states, we strive to be an industry leader, providing fuel and convenience products essential to keep people moving across America! Position Description: The Overnight Team Member will be responsible for managing store operations during the night shift, ensuring the store is clean, well-stocked, and secure while providing excellent customer service. This role requires strong attention to detail, the ability to handle cash and merchandise, and a commitment to maintaining a safe and welcoming environment for customers. Responsibilities: Greet and assist customers in a friendly and professional manner, answering questions, providing product...

Mar 15, 2026
Lensa
Security Operations Center
Lensa Cambridge, MA, USA
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 Securitas Security Services USA, 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. Securitas Security Services USA Inc. Job Specs Job Title: Security Operations Center Wage: $21/hr Location: Cambridge, MA Overview Our SOC Operator positions are highly sought after. If you have experience in roles like Call Center Representative, Dispatch or Camera Monitoring this is a great fit for you; if not, this is an exciting introduction to a career in the security industry. The Security Command Center Operator should have a...

Mar 14, 2026
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