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Mass General Brigham
Somerville
DescriptionAbout UsAs a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Brigham and Women’s Hospital and Massachusetts General Hospital, MGB supports a complete continuum of care including community and spe
Job Source: Mass General BrighamStillman Law Office
Andover, MA, United States
This is an hourly plus bonus position with earning potential of $50,000-$110,000 per year, based on performance. Stillman PC, a multi-state law firm, is offering a full-time performance-based position requiring the ability to meet daily, weekly, and monthly production goals in a fast-paced Legal Collection Call Center. Successful candidates will
Job Source: Stillman Law OfficeCorVel Enterprise Comp, Inc.
Acton
Job Description Job Description The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. Th
Job Source: CorVel Enterprise Comp, Inc.State of Massachusetts
Everett
The Education Secretariat is committed to equity and valuing the unique and diverse characteristics and experiences of every member of its workforce. We encourage an authentic workplace where colleagues show up as their full selves, where collaboration, innovation, and connections are key to realizing our mission that all children, youth, and famil
Job Source: State of MassachusettsSedgwick
Boston, MA, United States
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. Its an opportunity to do something meaningful, each and every day. Its having support f
Job Source: SedgwickZelis Healthcare, LLC
Boston, MA, United States
Position Overview: The Claims Support Specialist position provides comprehensive administrative support as a part of the Client Experience. The Claims Support Specialist has responsibilities which include phone calls from members or providers as well as providing support to departments within Zelis Enterprise. Key Responsibilities: Review and proce
Job Source: Zelis Healthcare, LLCCorVel Enterprise Comp, Inc.
Acton
Job Description Job Description The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure s
Job Source: CorVel Enterprise Comp, Inc.Zelis Healthcare, LLC
Boston, MA, United States
Position Overview: The Claims Settlement Specialist supports claim settlement with providers through post payment negotiation. The Claims Settlement Specialist will be responsible for handling provider telephone calls regarding the payment amount paid to a provider by a payor based on Zelis data points. During this call, the Claims Settlement Speci
Job Source: Zelis Healthcare, LLCAndover, MA, United States
We are seeking a high-energy, goal-oriented Claims Resolution Specialist to join our growing team in Andover, Massachusetts. Under general supervision, the Claims Resolution Specialist performs a variety of professional duties in support of IWP’s pharmacy services. This position is responsible for expediting payment from workers’ compensation insurance carriers, monitoring electronic billing rejections, and maintaining accounts receivable. This is a phone-based position, Monday through Friday, from 8:30 am to 5:00 pm.
What You’ll Do
Review, investigate, and analyze claims to maximize recovery
Monitor electronic billing rejections and take appropriate action
Ensure proper filing of invoices and monitor billing statuses less than 60 days outstanding
Develop and maintain internal systems for data collection and entry, financial analysis, and report generation; create and update spreadsheets and logs as necessary
Serve as a liaison between insurance carriers, pharmacy benefit managers, patients, and internal company divisions
Negotiate settlements with insurance carriers within their granted settlement authority level as needed
Pursue subrogation and arrange for salvage to obtain maximum recovery
Who You Are An experienced customer service professional with the ability to work in a fast-paced group
An investigative mind with outstanding attention to detail
A professional demeanor with strong oral and written communication skills
Proven experience generating and analyzing complex reports
What Sets You Apart Workers’ compensation experience
Knowledge of medical terminology
Collections, claims processing, and subrogation experience
Bilingual in Spanish (conversational and written)
Make a Difference with IWP
Injured Workers Pharmacy (IWP) is proud to be THE Patient Advocate Pharmacy, helping injured workers around the country access their prescription medications with ease. As a specialized workers’ compensation home delivery pharmacy, we collaborate with the legal, medical, and insurance communities to help injured workers return to a productive life. At IWP we believe in our service, but it’s the people who make it a great place to work. We value our employees and strive for a culture of teambuilding, open mindedness, and fun. If that sounds like something you’d like to be part of, we’d love to hear from you! Your compensation will include a competitive salary, generous benefits, and opportunities for growth and development.
IWP is an Equal Opportunity Employer. IWP does not discriminate on the basis of race, creed, color, religion, national origin, sex, sexual orientation, gender identity, age, physical or mental disability, or any other basis covered by appropriate law. All employment decisions are made on the basis of qualifications, merit, and business need. IWP is committed to providing reasonable accommodations for qualified individuals with physical and mental disabilities in our job application procedures. If you need assistance or an accommodation due to a disability, you may contact us at [email protected] We will make a determination on your request for reasonable accommodation on a case-by-case basis.
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Email Alert for Claims Resolution Specialist jobs in Andover, MA, United States
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