Vaco Boston has partnered with our client to help fill a Claim Adjuster role. Responsibilities Inspect property and physical damage Analyze complex information from different sources Examine claim liability Prepare and process claim reports Consult with specialists (e.g. physicians, engineers) Calculate benefits and payments Negotiate settlements with claimants Examine po

Provide claims handling on complex/latent claims in compliance with claims handling procedures, client SLA and within agreed authority levels, including accurately capturing and updating claims data/information in compliance with best practices. Apply knowledge and judgement to determine liability by gathering and analyzing relevant facts; utilizing applicable law, determ

Provide claims handling on complex/latent claims in compliance with claims handling procedures, client SLA and within agreed authority levels, including accurately capturing and updating claims data/information in compliance with best practices. Apply knowledge and judgement to determine liability by gathering and analyzing relevant facts; utilizing applicable law, determ

Property Adjuster Requisition ID 2024 25023 Job Locations US MA Boston | US MA Springfield | US MA Fitchburg | US MA Dedham | US MA Plymoth | US MA Worcester | US MA Malborough | US MA Natick | US MA Waltham | US MA Fitchburg | US MA Lowell... Position Type Regular Full Time Category Claims Business Unit CUS_Loss Adjusting US Excellence In Everything We Touch Position Sum

Subrogation Adjuster Workers' Compensation Job Locations US United States | US GA Alpharetta | US IL Chicago | US AZ Scottsdale | US UT South Jordan | US FL Boca Raton | US FL Maitland | US OH Cleveland | US CT Southington | US MA Boston | US NJ Plainsboro | ... Requisition ID 2024 16391 Category Claims General Liability Position Type Regular Full Time Overview Amtrust Fi

Investigates and maintains auto physical damage claims. Determines liability, secures information, reviews coverages, arranges appraisals, and settles claims. You will report to a Manager, Adjusting Services. Position Compensation Range $55,000.00 $90,000.00 Pay Rate Type Salary Compensation may vary based on the job level and your geographic work location. Job Description

Financial Assistance Responsible for screening patients for MassHealth, CarePlus, Connector Care, Health Safety Net, assisting in the application process when appropriate. Submits applications all Massachusetts applications for health coverage via the Health Connector. The PBR will keep track of all cases using ONTRAC as well as a paper tickle file system. The PBR will al

Financial Assistance Responsible for screening patients for MassHealth, CarePlus, Connector Care, Health Safety Net, assisting in the application process when appropriate. Submits applications all Massachusetts applications for health coverage via the Health Connector. The PBR will keep track of all cases using ONTRAC as well as a paper tickle file system. The PBR will al

Financial Assistance Responsible for screening patients for MassHealth, CarePlus, Connector Care, Health Safety Net, assisting in the application process when appropriate. Submits applications all Massachusetts applications for health coverage via the Health Connector. The PBR will keep track of all cases using ONTRAC as well as a paper tickle file system. The PBR will al

Review assigned accounts by contacting Medicare to ensure timely resolution of accounts. Create updates and document information relating to the financial status of accounts in the hospital billing systems. Contact patients and/or other third party representatives to secure additional information pertaining to reimbursement of accounts. Process rejected/adjusted claims th

Reporting to the Manager of Case Management and working under the direction of the Case Managers (CM) and Social Work (SW) staffs, the Case Management Associate provides support to Case Managers and Clinical Social Workers with routine and regulatory clinical and administrative functions. Key Responsibilities Provides administrative support related to the discharge proces

As 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, Mass General Brigham supports a complete continuum of care including community and specialty hospitals, a manage

The Sr. Claims Auditor utilizes CPT and ICD 10 coding to review physician claims and medical records for coding accuracy. Internal auditing functions focus on "desktop reviews" of claims, design and quality control of future audits, and other auditing related functions. Review clinical notes and claims submitted to verify the appropriateness of codes billed based on servi

Reporting to the Head of Management & Professional Liability , this role is primarily responsible for direct handling of claims relating to Public, Private, and Not For Profit Directors' & Officers (D & O) liability insurance. The candidate will manage a portfolio of primary and excess claims that include higher exposure, greater severity and/or complexity. Duties include

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 Specialist must understand (1) the procedures bi