Claims Case Investigator Jobs in Massachusetts

206 jobs

Case Investigator - Braintree, MA The Phia Group, LLC is a thriving, service-oriented company representing health insurance carriers nationwide. We seek to provide our clients with innovative cost saving solutions and are constantly expanding our service offerings. We continue to enjoy growth tanks to our passion, as well as a belief that our talented and committed team is our most valuable resou...

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...

This position is with MAPFRE Insurance located in Webster, MA. Position may be filled at a higher level commensurate with experience. Assist the company’s subrogation effort by investigating, evaluating and settling both first and third party subrogation claims for the most appropriate percent attainable while considering costs. Responsible for maintaining a current caseload and negotiating sett...

Claims Specialist I– Braintree, MA The Phia Group, LLC is a thriving, service-oriented company representing health insurance carriers nationwide. We seek to provide our clients with innovative cost saving solutions, and are constantly expanding our service offerings. We continue to enjoy growth thanks to our passion, as well as a belief that our talented and committed team is our most valuable re...

At Gallagher Bassett (GB) we are constantly seeking skilled professionals who are up for a challenge and take exceptional performance to heart. The professionals we hire help us maintain our reputation as one of the most progressive property/casualty third party claims service organizations in our industry and throughout the world. Gallagher Bassett provides services to Fortune 1000 companies thro...

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...

Responsibilities - The primary responsibilities of this position include the following activities related to insurance claims investigations: Conducting surveillance (fixed/mobile) Obtaining videotaped documentation of subjects Conducting background/activity checks and courthouse research Writing investigative reports Skills/Experience: Must be eligible to be licensed as a Private Investigat...

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...

Responsibilities - The primary responsibilities of this position include the following activities related to insurance claims investigations: Conducting surveillance (fixed/mobile) Obtaining videotaped documentation of subjects Conducting background/activity checks and courthouse research Writing investigative reports Skills/Experience: Must be eligible to be licensed as a Private Investigator i...

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...

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...

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...