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Claims jobs in worcester USA

26 claims jobs found in worcester: showing 1 - 26

Payment Processor
Company: LHC Group |

Location: Worcester, MA, USA

| Salary: US$16 - 29 per hour | Date posted: 25 Jun 2026
. Growing together. The role includes posting denials, where claims are either rejected or additional information is requested... volumes of claims and denials Collaborate with billing and follow-up teams to resolve discrepancies and minimize missed
Cgl - Sr Technical Consultant Casualty Claims
Company: TalentBurst |

Location: Worcester, MA, USA

| Salary: US$90000 - 120000 per year | Date posted: 25 Jun 2026
Claims - CGL - Sr Technical Consultant Casualty Claims Direct hire/Permanent job Location: REMOTE must have recent... of complex commercial claims requiring thorough investigations including telephone contacts with the involved parties; technical
Local Contract Nurse Rn - Labor And Delivery - $74 Per Hour
Company: WCS Healthcare Partners |

Location: Worcester, MA, USA

| Salary: US$74 per hour | Date posted: 24 Jun 2026
Claims Appeals/Denials/Reimbursement Insurance Pre-Authorizations Medical Billing/Coding Benefits 401k retirement
Local Contract Nurse Rn - Labor And Delivery - $69-74 Per Hour
Company: WCS Healthcare Partners |

Location: Worcester, MA, USA

| Salary: US$69 - 74 per hour | Date posted: 24 Jun 2026
Administrative Support Reception, Clerical, Call Center Claims Appeals/Denials/Reimbursement Insurance Pre-Authorizations
Sr Cgl Claims Technical Consultant (litigation)
Company: Hanover Insurance Group |

Location: Worcester, MA, USA

| Salary: unspecified | Date posted: 24 Jun 2026
Our Claims team is seeking a Senior Litigation Claims Consultant to manage a portfolio of complex, high-severity... Commercial General Liability (CGL) claims, including litigated matters involving significant financial exposure and legal
Chief Data Officer
Company: UMass Memorial Health |

Location: Worcester, MA, USA

| Salary: unspecified | Date posted: 21 Jun 2026
, and predictive modeling. Strong experience with healthcare data systems (e.g., Epic, claims data, population health tools
Intake Coordinator - 3p-11p Full-time
Company: American Addiction Centers |

Location: Worcester, MA, USA

| Salary: US$18 - 23 per hour | Date posted: 21 Jun 2026
, penalties and company, claims address, freestanding coverage, out-of-area allowed, plans associated Rx vendor. Documents
Pharmacy Technician / Pharm Tech Apprenticeship
Company: Walgreens |

Location: Worcester, MA, USA

| Salary: unspecified | Date posted: 20 Jun 2026
(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), shortages
Intake Coordinator - 3p-11p Full-time
Company: American Addiction Centers |

Location: Worcester, MA, USA

| Salary: US$18 - 23 per hour | Date posted: 20 Jun 2026
, penalties and company, claims address, freestanding coverage, out-of-area allowed, plans associated Rx vendor. Documents
Resident Relocation Coordinator - (floater) - Worcester
Company: Housing Opportunities Unlimited |

Location: Worcester, MA, USA

| Salary: US$59000 - 62000 per year | Date posted: 16 Jun 2026
resident claims of damage or loss. In the event of property damage or missing belongings, serve as a liaison between the
Executive Underwriter Pl
Company: Hanover Insurance Group |

Location: Worcester, MA, USA

| Salary: unspecified | Date posted: 16 Jun 2026
, providing guidance on complex cases. Referral Handling: Handle referrals from underwriters with lower authority. Claims... and Legal Interaction: Interact with claims and legal teams regarding large losses and participate in claims and legal
Field Roof Inspector - (worcester, Ma)
Company: Hancock Claims Consultants Technicians |

Location: Worcester, MA, USA

| Salary: unspecified | Date posted: 11 Jun 2026
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 resolution
Investigators – Workers’ Comp Cases (part-time) | Law Enforcement, Military, Or Investigative Experience Required – Alliance Risk Group
Company: Alliance Risk Group |

Location: Worcester, MA, USA

| Salary: US$25 - 30 per hour | Date posted: 10 Jun 2026
' compensation investigations, surveillance, and claims support for clients across multiple industries. About the Role Work
Edi Coordinator
Company: Fallon Health |

Location: Worcester, MA, USA

| Salary: unspecified | Date posted: 10 Jun 2026
magnitude of providers who submit their claims to Fallon Health through electronic submission, including actively seeking new... and accurate reconciliation processes. Audits claims received via EDI to ensure accuracy. Seeks quality improvements for the EDI
Pharmacy Customer Service Associate
Company: Walgreens |

Location: Worcester, MA, USA

| Salary: unspecified | Date posted: 10 Jun 2026
, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services... of pharmaceuticals. Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise
Pharmacy Technician - Specialty Pharmacy
Company: Walgreens |

Location: Worcester, MA, USA

| Salary: unspecified | Date posted: 03 Jun 2026
(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), shortages
Authorization Coordinator - Flex Schedule After 6 Months Training In Office
Company: Fallon Health |

Location: Worcester, MA, USA

| Salary: US$24 per hour | Date posted: 02 Jun 2026
-Authorization Process. Supports claims functions through authorization adjustment guidelines to assist with adjudication of claims
Prior Authorization Service Coordinator - 6 Months Training In Office Then Flex Schedule
Company: Fallon Health |

Location: Worcester, MA, USA

| Salary: US$21 - 22.5 per hour | Date posted: 02 Jun 2026
. Educates PCP offices on new authorization procedures as needed as well as answer benefit/claims/referral questions in support
Pharmacy Intern Grad
Company: Walgreens |

Location: Worcester, MA, USA

| Salary: unspecified | Date posted: 22 May 2026
of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with insurance companies as well
Senior Data Engineer (hybrid In Ma Or Remote)
Company: Hanover Insurance Group |

Location: Worcester, MA, USA

| Salary: unspecified | Date posted: 22 May 2026
Our Claims Analytics team is currently seeking a Senior Data Engineer to join our growing team in our Worcester... in insurance data (Claims data is highly preferred). Data Modeling: Creation of conceptual, logical, and physical data models
Director Of Managed Care Operations
Company: UMass Memorial Health |

Location: Worcester, MA, USA

| Salary: US$101025.6 - 181854.4 per year | Date posted: 19 May 2026
, and population-specific initiatives (e.g., Dual Eligible Demonstration Projects, specialty pharmacy programs). Claims, Enrollment... & Appeals Oversight Oversee monthly claims operations and medical management meetings, ensuring timely resolution of escalated
Certified Senior Pharmacy Technician
Company: Walgreens |

Location: Worcester, MA, USA

| Salary: unspecified | Date posted: 08 May 2026
those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely... of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages
Mental Health Therapist Or Counselor - Remote
Company: Guideline Healthcare |

Location: Worcester, MA, USA

| Salary: US$100000 per year | Date posted: 03 May 2026
Schedule- Set your own hours and caseload Insurance & cash-pay clients available Therapy focused model- no claims, billing
Mental Health Therapist Or Counselor - Remote
Company: Guideline Healthcare |

Location: Worcester, MA, USA

| Salary: US$100000 per year | Date posted: 03 May 2026
Schedule- Set your own hours and caseload Insurance & cash-pay clients available Therapy focused model- no claims, billing
Ind. Accident Investigator Ii
Company: Massachusetts Trial Court |

Location: Worcester, MA, USA

| Salary: unspecified | Date posted: 25 Apr 2026
be provided for all employees and the investigation of claims submitted to the Workers Compensation Trust Fund. The... investigation of claims against the Workers Compensation Trust Fund. All investigations are documented in report form and may
Manager, Edi - Wfh
Company: Fallon Health |

Location: Worcester, MA, USA

| Salary: US$130000 - 135000 per year | Date posted: 22 Apr 2026
for audits (internal/external) related to EDI or claims ** Participation in enterprise change management / release management... trends and coordinate issue resolution with internal departments and external partners. Provide oversight of EDI claims