4 results for Claims Processor Administrative And Customer Support in Boston, MA

Business Analyst We are offering a long-term contract employment opportunity for a Business Analyst in Providence, Rhode Island. The primary function of this role is to analyze and optimize critical business processes within our healthcare claims processing project. The successful applicant will be joining our team in a dynamic and fast-paced environment. Responsibilities: • Analyze and optimize key business processes related to healthcare claims processing. • Collect, analyze, and interpret operational performance data such as wait times, cycle times, and customer complaints. • Map client journeys and internal processes, documenting process and business architecture characteristics. • Identify pain points within existing processes, including technology gaps, data quality issues, and resource constraints. • Develop and document recommendations to address identified pain points. • Utilize tools such as Atlassian Jira, CRM, Gap Analysis, Microsoft Excel, Microsoft Word, AB Testing, Agile Scrum, Business Process Functions, and Business Requirement Document for effective claim administration. • Collaborate with cross-functional teams to design and execute process improvement initiatives. • Analyze data and draw meaningful conclusions to enhance business operations. • Ensure the maintenance of accurate customer credit records and process customer credit applications efficiently.

Reinsurance Claims Specialist We are offering a contract to permanent employment opportunity for a meticulous Reinsurance Claims Specialist in the insurance industry, based in Boston, Massachusetts. As a Reinsurance Claims Specialist, you will play a crucial role in managing and processing reinsurance claims, ensuring adherence to contract stipulations, and performing comprehensive claims analysis. You will also be required to liaise with internal teams, such as finance and accounting, to cater to data management and reporting requirements. Responsibilities • Ensure the precision of client claim submissions, confirm coverage as per contract terms, and authenticate the receipt of all necessary supporting documents. • Efficiently process and record claims in the claims management system. • Carry out in-depth claims analysis, including the reconciliation of inception-to-date claim balances and tracking of aggregate deductibles and/or reinstatement premium calculations as applicable. • Generate and analyze reports to competently manage the claims portfolio. • Work in collaboration with finance and accounting teams to fulfill data-related needs. • Use your knowledge of treaties/bordereau and understanding of reinsurance contract language to effectively handle reinsurance claims. • Utilize your experience with casualty lines of insurance, specifically environmental and/or asbestos, to manage a diverse claims portfolio.

Medical Billing Specialist We are offering a permanent employment opportunity for a Medical Billing Specialist in Portsmouth, New Hampshire. The role is critical to our operations in the healthcare industry. As a Medical Billing Specialist, you will focus on managing billing functions, administering claims, and handling customer inquiries related to their accounts. Responsibilities: • Accurately process medical billing information using the Dynamic Data Exchange (DDE) system • Handle administration of claims with a focus on accuracy and timeliness • Utilize Allscripts and Cerner Technologies for efficient management of accounts receivable (AR) • Maintain up-to-date customer records using the EHR SYSTEM • Resolve customer inquiries related to their billing and accounts • Conduct appeals on behalf of customers when required • Oversee workers' compensation claims and ensure they are processed effectively • Utilize Epaces for managing benefit functions • Monitor customer accounts and take appropriate actions based on their status.

Paralegal We are seeking a diligent Paralegal to join our team, based in Boston, Massachusetts. The role offers a short term contract employment opportunity in the legal industry. As a Paralegal, you will be tasked with assisting permanent contracts managers in the processing of various commercial agreements, with a significant emphasis on administrative duties. Responsibilities: • Review and process vendor, supplier, and other commercial agreements • Assist contract managers in managing basic agreements through the process • Utilize tools such as Aderant, Adobe Acrobat, and Automated City Register Information System (ACRIS) to manage cases • Use CompuLaw for effective calendar management • Handle claim administration and billing functions in a detail oriented manner • Leverage skills in Contract Management and Contract Administration to ensure smooth operations • Engage in effective communication with team members and stakeholders • Optionally, utilize Coupa for streamlined operations, though not a mandatory requirement • Undertake briefing tasks as required, contributing to the overall efficiency of the team • Ensure all tasks and responsibilities are performed in adherence to established protocols and standards.