Claims jobs in somerville USA
326 claims jobs found in somerville: showing 1 - 50
Commercial Strategy Consultant, Life Sciences
Company: Odaia Intelligence Inc. |
to design fit-for-purpose solutions Leverage health and claims data, prescribing data, and market research to build robust... (IQVIA, Symphony, claims data) Exposure to AI-powered platforms, predictive analytics, or digital commercial toolsLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 26 Jun 2026
Head Of Bordereaux And Reporting, North America Programs & Delegated Authority
Company: Liberty Mutual Insurance |
for both organizations Ensure timely, accurate, and reliable delivery of bordereaux data to downstream stakeholders across Finance, Claims... structures, data flows, reconciliation processes, and operational reporting across premium, claims, commissions, and cededLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 26 Jun 2026
Head Of Delegated Authority Management, North America Programs & Delegated Authority
Company: Liberty Mutual Insurance |
across North America Programs, including authority compliance, claims controls, operational quality, audit outcomes, data quality... Claims, Compliance, Legal, Operations, Reinsurance, and Data stakeholders and coordinate outputs into a consolidated viewLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 26 Jun 2026
Clinical Claim Review Rn
Company: LHC Group |
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connectinLocation: Boston, MA, USA
| Salary: US$29 - 52 per hour | Date posted: 26 Jun 2026
Manager - Us Forecasting Specialty
Company: Biogen |
cross-functionally to incorporate key inputs: Market Research (demand studies, conjoint outputs) Analytics (claims... data sources (sales, claims, specialty pharmacy, demand studies) Revenue dynamics (gross-to-net, access considerationsLocation: Cambridge, MA, USA
| Salary: US$122000 - 163000 per year | Date posted: 26 Jun 2026
Public Safety Officer Ii
Company: Tufts Medicine |
claims, communicates effectively with complainants, closes out communications when items are returned, and stores found itemsLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 26 Jun 2026
Accounts Receivable Supervisor, Commercial
Company: Mass General Brigham Health Plan |
effective billing and follow-up team members to support timely charge review and claims submission in addition to no responseLocation: Somerville, MA, USA
| Salary: US$79560 - 115720.8 per year | Date posted: 25 Jun 2026
Lead, Physical Inventory
Company: Arhaus |
completion. Partner with claims administration to resolve missing product claims efficiently. Physical Inventory & AuditLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 25 Jun 2026
Systems Analyst (healthcare Insurance / Claims )
Company: Blue Ribbon Global Technologies |
Client is looking for System Analyst with encounter processing background (heavy claims processing experience...) Job Description: Responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures. Works withoutLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 25 Jun 2026
Systems Analyst (healthcare Insurance / Claims )
Company: Blue Ribbon Global Technologies |
Client is looking for System Analyst with encounter processing background (heavy claims processing experience...) Job Description: Responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures. Works withoutLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 25 Jun 2026
Cornea Reimbursement Liaison - Boston, Ma | Augusta, Me | Burlington, Vt | Hartford, Ct | Manchester, Nh | Providence, Ri
Company: Glaukos |
claims. Takes lead in completing Business Reviews and Claims Reviews for practices. Provides education on specialty... J-codes, specialty pharmacy and buy & bill acquisition, and benefit verifications, prior authorizations, claimsLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 25 Jun 2026
Systems Analyst (healthcare Insurance / Claims )
Company: Blue Ribbon Global Technologies |
Client is looking for System Analyst with encounter processing background (heavy claims processing experience...) Job Description: Responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures. Works withoutLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 25 Jun 2026
Dua Benefit Wage & Charge Manager
Company: Massachusetts Trial Court |
supervisory staff and unit operations to ensure timely, accurate, and compliant processing of claims-related transactionsLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 25 Jun 2026
Risk Control Product Director Leader
Company: Liberty Mutual Insurance |
Ensures team aligns closely with Product, Claims, Actuarial, OOU, Field, Virtual, Small Commercial and Dedicated RCSLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 25 Jun 2026
Systems Analyst (healthcare Insurance / Claims )
Company: Blue Ribbon Global Technologies |
Client is looking for System Analyst with encounter processing background (heavy claims processing experience...) Job Description: Responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures. Works withoutLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 25 Jun 2026
Program Director
Company: Centstone |
transformation and payer migration initiatives Coordinate operational readiness across claims, enrollment, eligibility, and member... services Manage dual claims environments during legacy-to-future-state transition Develop runbooks, governance modelsLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 25 Jun 2026
Systems Analyst (healthcare Insurance / Claims )
Company: Blue Ribbon Global Technologies |
Client is looking for System Analyst with encounter processing background (heavy claims processing experience...) Job Description: Responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures. Works withoutLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 25 Jun 2026
Senior Business Analyst
Company: Conch Technologies Inc |
Strong understanding of Policy Administration, eCommerce, Billing, Claims, and Financial systems Experience with third-party integrationsLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 25 Jun 2026
Business Analyst
Company: Connvertex Technologies |
should have detailed understanding of Policy Administration, eCommerce, Billing, Claims, Financial Applications, Third-Party Integrations... and Casualty Insurance domain. Detailed understanding of Policy Admin, eCommerce, Billing, Claims and financial applicationsLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 25 Jun 2026
Construction Management Professional 7
Company: CDM Smith |
critical path method (CPM), scheduling and claims administration. Interprets plans and specifications for clients, contractorsLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 25 Jun 2026
Litigation Associate (3-6 Yrs Exp)
Company: unknown |
to employment-related matters Experience handling a mix of commercial disputes, workplace claims, or similar mattersLocation: Boston, MA, USA
| Salary: US$125000 - 175000 per year | Date posted: 25 Jun 2026
Regional Team Leader - Construction Management Professional 7
Company: CDM Smith |
activities, including critical path method (CPM), scheduling and claims administration. Interprets plans and specificationsLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 25 Jun 2026
Health Care Research Analyst
Company: Massachusetts Trial Court |
or within a health insurer, Health Maintenance Organization or other health claims payer. Knowledge of health insurance terms, conceptsLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 25 Jun 2026
Senior Client Service Manager
Company: AssuredPartners |
. Identify gaps in coverage, review claims, secure existing business, and drive the sale of additional services and lines...+ years of client service and/or claims management experience OR - High School degree/GED with a minimum of 10+ yearsLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 25 Jun 2026
Field Roof Inspector - (boston, Ma)
Company: Hancock Claims Consultants Technicians |
Hancock Claims Consultants specialize in Ladder Assist and Property Inspection Services, collaborating directly... with numerous insurance agencies for efficient claims management. At Hancock, we are at the forefront of claims resolutionLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 25 Jun 2026
Investigator - Security
Company: Encore Boston Harbor |
of industry through continuing education and training. Works with guest claims/risk management to mitigate liability to theLocation: Everett, MA, USA
| Salary: unspecified | Date posted: 24 Jun 2026
Devops Manager / Team Lead
Company: AIR WORLDWIDE CORPORATION |
and surplus to assess and price risk with speed and precision Claims Solutions - supports end-to-end claims handling... with analytic and automation tools that streamline workflow, improve claims management, and support better customer experiencesLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 24 Jun 2026
Local Contract Nurse Rn - Acute Care - $56-61 Per Hour
Company: WCS Healthcare Partners |
Claims Appeals/Denials/Reimbursement Insurance Pre-Authorizations Medical Billing/Coding Benefits 401k retirementLocation: Boston, MA, USA
| Salary: US$56 - 61 per hour | Date posted: 24 Jun 2026
Assistant Director/associate General Counsel
Company: Massachusetts Trial Court |
and/or Deputy General Counsel, review presentments and claims relating to motor vehicle accidents involving Lottery employeesLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 24 Jun 2026
Director, Regulatory Advertising And Promotion
Company: Merck Group |
with regulatory risk. In addition, the Director leads the strategic evaluation and regulatory positioning of proposed product claims... development and labeling strategies with anticipated promotional claims and messaging. The role includes leading the developmentLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 24 Jun 2026
Safety Manager
Company: Suffolk Construction |
of claims trends and proactive risk management planning Reviews documentation from subcontractors for the proper trainingLocation: Boston, MA, USA
| Salary: US$100000 - 141000 per year | Date posted: 24 Jun 2026
Duals Supervisor, Appeals And Grievances
Company: Mass General Brigham Health Plan |
, Claims, Utilization Management, Pharmacy) to ensure the timely resolution of all appeals and grievances. Meet regularly... Qualifications: Associate's degree required. At least 3-5 years of billing, claims, or appeals management experienceLocation: Somerville, MA, USA
| Salary: US$79560 - 115720.8 per year | Date posted: 24 Jun 2026
Senior Director, Regulatory Advertising And Promotion
Company: Merck Group |
mitigating regulatory risk across the portfolio. Lead the oversight and evaluation and positioning of product claims for assets... to ensure support for anticipated promotional messages and claims (aligned with marketing strategy) in clinical trial designLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 24 Jun 2026
Assistant Director , Product Research, Liberty Mutual Mobility Solutions
Company: Liberty Mutual Insurance |
systems, teleoperation, platform liability, and mixed fleet structures. Partner across underwriting, claims, legal, actuarial... with teammates in other functions (including partnerships, underwriting, pricing, and claims) and business units to buildLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 23 Jun 2026
Field Service Technician
Company: Conductix-Wampfler |
-warranty claims. Carries out routine inspections of existing system installations. Take ownership regarding the correctLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 23 Jun 2026
Commercial Claims Adjuster - Carrier Or Tpa - Remote
Company: Work at Home |
carrier or Third-Party Administrator (TPA) clients in Commercial Claims Adjuster or Examiner positions. Responsibilities... Legal Liability or Umbrella claims. Knowledge of any/all these lines is acceptable. Set-up claim in claims managementLocation: Boston, MA, USA
| Salary: US$28 - 36 per hour | Date posted: 23 Jun 2026
Commercial Auto Claims Adjuster / Examiner - Remote
Company: Work at Home |
carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include: Manage a caseload... of commercial auto claims from first notice of loss through resolution, ensuring timely, fair and accurate claims outcomes. Set-upLocation: Boston, MA, USA
| Salary: US$28 - 45 per hour | Date posted: 23 Jun 2026
Pharmacy Technician
Company: Walgreens |
(corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner... of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortagesLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 23 Jun 2026
Devops Manager / Team Lead
Company: unknown |
liability, and excess and surplus to assess and price risk with speed and precision - supports end-to-end claims handling... with analytic and automation tools that streamline workflow, improve claims management, and support better customer experiencesLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 23 Jun 2026
Job Service Rep Ii
Company: Massachusetts Trial Court |
events, while partnering with employers to ensure program integrity and compliance. Lead Claims Examiner/Job Service... escalation. Facilitate the program integrity of the DFML by ensuring claims filed with the Department of Family and MedicalLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 23 Jun 2026
Biostatistician I
Company: Beth Israel Deaconess Hospital-Plymouth |
analytic files by merging multiple, large databases including Medicare, and other complex claims-based data to meet theLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 23 Jun 2026
Senior Manager For Ada Accommodations & Workers’ Compensation
Company: Massachusetts Trial Court |
accommodations. In addition, the senior manager directs all aspects of workers compensation claims, injury reporting, and return... Compensation Claims Coordinate all aspects of workers compensation claims, from injury reporting through claim closure, ensuringLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 23 Jun 2026
Claims Specialist
Company: Suffolk Construction |
in Boston or West Palm Beach. In office 5 days a week. Responsibilities The Claims Specialist under the supervision of the... Director of Claims is responsible for proactively investigating, managing, and resolving Workers Compensation, GeneralLocation: Boston, MA, USA
| Salary: US$78000 - 106000 per year | Date posted: 22 Jun 2026
Director, Ai
Company: Manulife |
: Experience in insurance, financial services, healthcare, long-term care, claims, operations. Experience leading AI productsLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 20 Jun 2026
Area Service Manager - Boston
Company: AIR Communities |
by procurement, operations and construction teams. Negotiates and resolves vendor claims. Ensures that regional site operationsLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 19 Jun 2026
Business Consulting - Life Sciences - Senior Manager - Consulting - Location Open
Company: EY |
strategy Familiarity with pharmaceutical datasets (e.g. pricing databases, prescription and claims databasesLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 19 Jun 2026
Senior Manager Market Analytics
Company: Alexion Pharmaceuticals |
will translate claims, payer, and specialty pharmacy data into clear, timely insights that strengthen execution and accelerate impact... and distribution, including channel mix, claims, and dispensing data to drive visibility in trade execution; be responsible for theLocation: Boston, MA, USA
| Salary: US$100312 - 150469 per year | Date posted: 19 Jun 2026
Assistant Project Manager- Construction
Company: Trueline |
and claims workflows A leadership approach rooted in accountability and team development Our Client Offers: Competitive payLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 19 Jun 2026
Pharmacy Technician / Pharm Tech Apprenticeship
Company: Walgreens |
(corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner... of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortagesLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 19 Jun 2026
Employment Counseling Associate Attorney (4+ Yrs Exp)
Company: unknown |
caseload of personal injury claims, primarily focused on medical malpractice and insurance liability cases. You will be the