Claims Case Investigator Jobs in Cambridge, Massachusetts

103 jobs

Overview: Located in Charlestown, MA, the Commonwealth Medicine Center for Health Care Financing (CHCF) helps state agencies, our primary clients, identify opportunities to increase savings and reimbursements through federal and other third party sources, establish effective savings and reimbursement programs and capitalize on all possible revenue streams. At the same time, we identify opportunit...

PRIVATE INVESTIGATOR - needed for growing company. Position requires daily surveillance of suspected fraudulent insurance claims in our service area. We are currently in need of investigators in the Massachusetts, Rhode Island, Connecticut and Northern New England areas. We are currently looking for people who have 1-2 years of experience for full time surveillance positions. All investigators mu...

Overview: Located in Charlestown, MA, the Commonwealth Medicine Center for Health Care Financing (CHCF) helps state agencies, our primary clients, identify opportunities to increase savings and reimbursements through federal and other third party sources, establish effective savings and reimbursement programs and capitalize on all possible revenue streams. At the same time, we identify opportunit...

Overview: Located in Charlestown, MA, the Commonwealth Medicine Center for Health Care Financing (CHCF) helps state agencies, our primary clients, identify opportunities to increase savings and reimbursements through federal and other third party sources, establish effective savings and reimbursement programs and capitalize on all possible revenue streams. At the same time, we identify opportunit...

Located in Charlestown, MA, the Commonwealth Medicine Center for Health Care Financing (CHCF) helps state agencies, our primary clients, identify opportunities to increase savings and reimbursements through federal and other third party sources, establish effective savings and reimbursement programs and capitalize on all possible revenue streams. At the same time, we identify opportunities for our...

Overview: Located in Charlestown, MA, the Commonwealth Medicine Center for Health Care Financing (CHCF) helps state agencies, our primary clients, identify opportunities to increase savings and reimbursements through federal and other third party sources, establish effective savings and reimbursement programs and capitalize on all possible revenue streams. At the same time, we identify opportuniti...

About EMSI: Examination Management Services, Inc. (EMSI) provides medical information, risk management and investigative services to the insurance, healthcare, legal, wellness and business communities. We empower our customers with comprehensive information to help them make informed decisions and improve the lives of those they serve. About EMSI’s Investigative Services Division, ICS Merrill: ...

About EMSI: Examination Management Services, Inc. (EMSI) provides medical information, risk management and investigative services to the insurance, healthcare, legal, wellness and business communities. We empower our customers with comprehensive information to help them make informed decisions and improve the lives of those they serve. About EMSI’s Investigative Services Division, ICS Merrill: ...

About EMSI: Examination Management Services, Inc. (EMSI) provides medical information, risk management and investigative services to the insurance, healthcare, legal, wellness and business communities. We empower our customers with comprehensive information to help them make informed decisions and improve the lives of those they serve. About EMSI’s Investigative Services Division, ICS Merrill: ...

About EMSI: Examination Management Services, Inc. (EMSI) provides medical information, risk management and investigative services to the insurance, healthcare, legal, wellness and business communities. We empower our customers with comprehensive information to help them make informed decisions and improve the lives of those they serve. About EMSI’s Investigative Services Division, ICS Merrill: ...

When you join Eastern Bank, you join the largest and oldest mutual bank in the country. We pride ourselves in having knowledgeable and experienced professionals that can provide the expertise, personal attention and service our customers deserve. As the fourth-largest full-service commercial bank in Greater Boston, we are able to offer you unique opportunities for career growth throughout the org...

When you join Eastern Bank, you join the largest and oldest mutual bank in the country. We pride ourselves in having knowledgeable and experienced professionals that can provide the expertise, personal attention and service our customers deserve. As the fourth-largest full-service commercial bank in Greater Boston, we are able to offer you unique opportunities for career growth throughout the org...

Position Summary Under general supervision of the Director of Claims Management, the Claims Representative investigates and resolves professional and general liability incidents, claims and lawsuits involving Steward’s insureds to determine liability and exposure. Travels to Steward facilities to conduct on-site interviews and evaluation of facilities in order to satisfy the position function. Ma...

This position is available in Wellesley, MA & Windsor, CT This position is responsible for reviewing claims, interpreting and comparing contracts, dispersing reimbursement, and ensuring that all claims contain the required documentation to support the Stop Loss claim determination. They are responsible for customer service, and the financial risk associated with an assigned block of Stop Loss cla...

Based in Atlanta, Ga., Crawford & Company (www.crawfordandcompany.com) is the world's largest independent provider of claims management solutions to the risk management and insurance industry as well as self-insured entities, with an expansive global network serving clients in more than 70 countries. The Crawford System of Claims SolutionsSM offers comprehensive, integrated claims services, busine...

The Automobile Claims Representative is responsible for the investigation, evaluation, negotiation and settlement of automobile first party physical damage and first party property damage insurance losses. Initiates contact with injured parties to obtain claim information and establish potential exposure. Evaluates coverage, investigates and determines liability Negotiates and settles property d...

As one of the Commonwealth’s leading workers compensation providers, we recognize the importance of having a highly experienced staff to meet day-to-day customer needs. We have a collective goal to surpass customer expectations when it comes to insurance services. A.I.M. Mutual’s corporate headquarters are conveniently located in Burlington, MA near Routes 128, 93 and 3. We also have service offi...

The Member Appeal and Grievance Analyst is responsible for the management and coordination of assigned member appeals and formal complaints received at HPHC. This individual works collaboratively with the member and/or the member’s authorized representative and must demonstrate superior customer service skills in all interactions. This individual also prepares cases for presentation, discussion, r...

JOB SUMMARY: About the Agency Apply for this exciting position to support the CG missions of safeguarding our Nation's maritime interests in the heartland, in the ports, at sea, and around the globe. For over two centuries the The U.S. Coast Guard has protected the maritime economy and the environment, we defend our maritime borders, and we save those in peril. This history has forged our chara...

JOB SUMMARY: About the Agency Division: Boston Field Office Location: Boston, MA Working Hours: 8:15 a.m. - 5:00 p.m. Salary: GS 9: *$55,119.00 - $71,651.00 GS 11: $64,020.00 - $83,227.00 (*Salary is based on Special Salary Chart 999D) The FBI must ensure our workforce is fully staffed to continue protecting our nation and combating crime. As a result, the FBI is committed to achieving FY...