Top 1654 Claims Jobs in Boston, Ma

Claims Examiner I
Beyond Risk Management Inc —Beverly, MA
- $60,000 - $70,000 an hour
- Full-time
- Hybrid work
- Research
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
4d
Commercial Auto Adjuster
SAFETY INSURANCE COMPANY —Boston, MA
- $55,000 - $100,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- Organizational skills
- Health insurance
- Dental insurance
Quick Apply
HR Consultant II (Part Time or Full Time)
Insource Services —Boston, MA
- $100,000 - $140,000 a year
- Part-time
- Hybrid work
- 5 years
- Mid-level
- Presentation skills
- Disability insurance
- Dental insurance
Quick Apply
Insurance General Claims Adjuster - 10+ Years Exp
Independent Claims Service (ICS) —Massachusetts
- Full-time
- Residential
- Analysis skills
- Mentoring
Quick Apply
Multi-Line Claims Adjuster
CCMSI —Reading, MA
- $85,000 - $95,000 a year
- Full-time
- Hybrid work
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Disability insurance
4d
Claims Adjuster Trainee
Progressive —Canton, MA
- $59,500 - $63,500 a year
- Monday to Friday
- Hybrid work
- Office
- US work authorization
- Experience equivalent to degree accepted
- Health savings account
- Disability insurance
Claims Analyst - REMOTE
Ryder System —Boston, MA
- $90,000 - $100,000 a year
- Full-time
- Remote
- Bachelor's degree
- Experience equivalent to degree accepted
- Senior level
- Disability insurance
- Health insurance
Medicare Appeals Coordinator
Mass General Brigham Incorporated —Somerville, MA
- $30.60 - $44.51 an hour
- Full-time
- Remote
- Bilingual
- Writing skills
- Mid-level
- Opportunities for advancement
Quick Apply
4d
Warranty Claims Coordinator
Maverick Tech —Wilmington, MA
- $32.42 - $51.78 an hour
- Full-time
- Mid-level
- 3 years
- Bachelor's degree
Quick Apply
Claims Examiner - Hybrid
Arbella Insurance Group —Quincy, MA
- $90,000 - $110,000 a year
- Full-time
- Hybrid work
- Office
- Mentoring
- Senior level
6d
Claims Service Specialist I - Hybrid
Arbella Insurance Group —Quincy, MA
- $26.00 - $27.09 an hour
- Full-time
- Hybrid work
- Writing skills
- Entry level
- Tuition reimbursement
Workers Compensation Claims Associate
Wayfair —Boston, MA
- $64,000 - $70,500 a year
- Full-time
- Hybrid work
- Experience working with individuals with disabilities
- Mid-level
- Office
Auto Damage Trainee (Field)
GEICO —Boston, MA
- $32.05 - $50.36 an hour
- Weekends as needed
- High school diploma or GED
- Driver's License
- Contracts
- Paid holidays
- Health insurance
Investigator, Special Investigations Unit (Meritain Health)
CVS Health —Boston, MA
- $46,988 - $122,400 a year
- Full-time
- Customer service
- Research
- Mid-level
- Health insurance
- Dental insurance
Claims - Field Claims Representative
The Cincinnati Insurance Companies —Boston, MA
- $68,400 - $108,000 a year
- Day shift
- Mid-level
- Driver's License
- Bachelor's degree
- Paid time off
- 401(k) matching
Claims Specialist
Liberty Mutual —Boston, MA
- $61,000 - $113,000 a year
- Full-time
- Hybrid work
- Bachelor of Science
- Mid-level
- Office
4d
Content Claims Specialist - Field - Level I
E-djuster USA Inc. —Boston, MA
- Full-time
- Hybrid work
- Background check
- Microsoft Outlook
- High school diploma or GED
- Paid parental leave
- Health savings account
Quick Apply
13d
Claims Management Specialist (Construction)
Massachusetts Water Resources Authority —Chelsea, MA
- $98,565.48 - $144,961.42 a year
- Full-time
- Hybrid work
- Word processing
- Computer literacy
- Data analysis skills
Quick Apply
Field Investigator (FT & PT) – Boston/New England, MA
Origin Investigations Inc —Boston, MA
- $25 - $40 an hour
- Part-time
- Background check
- Military
- Computer literacy
Quick Apply
Claims Representative - Commercial Auto Property Damage
Plymouth Rock Assurance Corporation —Boston, MA
- $50,500 - $67,000 a year
- Mid-level
- Office
- Bachelor's degree
- Wellness program
- Commuter assistance
Quick Apply

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claims jobs near boston, ma

Claims Examiner I

Beyond Risk Management Inc
Beverly, MA

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Job Details

Full-time
$60,000 - $70,000 an hour
4 days ago

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

Teamwork
Research
Records management
Bachelor's degree
Attention to detail

Full Job Description

Beyond Health Partners, LLC, a Beyond Risk affiliate company, is looking for a motivated Claims Examiner I to join our growing stop loss claims team! This is a great opportunity for someone with early claims experience who enjoys digging into details, solving problems, and learning the ins and outs of medical stop loss insurance.

In this role, you will help review claim submissions, verify important documentation, communicate with internal and external partners, and support timely and accurate claim reimbursements. You will work closely with experienced claims professionals who can help you build your technical knowledge, strengthen your judgment, and grow within a collaborative team environment.

What You’ll Do:

Review stop loss claims: Process employer stop loss insurance claims for multiple carrier partners while following established carrier procedures, company guidelines, and applicable regulatory requirements.
Support accurate reimbursement decisions: Review claim submissions for completeness, accuracy, eligibility, coverage, and alignment with the plan document and stop loss policy.
Learn the details behind each claim: Audit documentation, identify missing information, recognize potential cost containment opportunities, and request additional details when needed.
Communicate with key partners: Work professionally with TPAs, producers, healthcare providers, vendors, carrier partners, and internal team members to keep claims moving forward.
Keep clear claim records: Maintain organized documentation of claim activity, correspondence, payments, case reserves, decisions, and resolutions in accordance with company standards.
Assist with case reserve management: Help set and monitor case reserves for assigned claimants, research medical conditions and treatment plans, and document reserve rationale with support from management.
Contribute to quality and accuracy: Perform quality checks to help ensure claims are processed accurately and consistently.
Look for ways to improve: Share ideas that may improve claim workflows, documentation, efficiency, or the overall claims experience.
Follow compliance requirements: Apply relevant policies, procedures, and regulatory guidelines while learning how compliance supports strong claim outcomes.
Pitch in where needed: Assist with logging new claim submissions, notifications, claims reporting, cross-training opportunities, high-volume periods, and special projects assigned by management.

What We’re Looking For:

Bachelor’s degree in a related field or equivalent work experience.
At least two years of property, casualty, medical, or other claims-related experience preferred.
Strong attention to detail and an interest in reviewing documentation, data, and policy information accurately.
Curiosity and willingness to learn medical stop loss insurance, plan documents, reimbursement processes, and case reserve concepts.
Clear written and verbal communication skills with the ability to interact professionally with internal and external partners.
Comfort using claims management systems, Microsoft Office Suite, and other business applications.
Ability to work both independently and as part of a team in a deadline-driven environment.
Willingness to obtain a MA A&H Producer license within the first three months of employment.
Candidate must be local to the Beverly, Massachusetts area, as this role is required to be in the office five days per week upon hire. After three months of employment, there is potential for a hybrid schedule, at management’s discretion, with no less than three days in the office per week.

We are proud to be an equal opportunity employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, national origin, ancestry, gender, gender identity and/or expression, genetic information, veteran status, disability, citizenship status, marital status, pregnancy, or any other characteristic protected by federal, state, or local employment discrimination laws.

Pay: $60,000.00 - $70,000.00 per hour

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance

Application Question(s):

Do you live within 30 minutes of Beverly, MA?
How many years of claims handling do you have?

Work Location: Hybrid remote in Beverly, MA 01915

Quick Apply

Refine Your Search

claims jobs in boston, ma

Claims Examiner I

Commercial Auto Adjuster

HR Consultant II (Part Time or Full Time)

Insurance General Claims Adjuster - 10+ Years Exp

Multi-Line Claims Adjuster

Claims Adjuster Trainee

Claims Analyst - REMOTE

Medicare Appeals Coordinator

Warranty Claims Coordinator

Claims Examiner - Hybrid

Claims Service Specialist I - Hybrid

Workers Compensation Claims Associate

Auto Damage Trainee (Field)

Investigator, Special Investigations Unit (Meritain Health)

Claims - Field Claims Representative

Claims Specialist

Content Claims Specialist - Field - Level I

Claims Management Specialist (Construction)

Field Investigator (FT & PT) – Boston/New England, MA

Claims Representative - Commercial Auto Property Damage

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