Top 53 Claims consultant Jobs in Boston, Ma

Claims Consultant, Life Sciences
CNA Insurance —Boston, MA
- $72,000 - $141,000 a year
- Full-time
- Hybrid work
- Organizational skills
- Experience equivalent to degree accepted
- Senior level
Claims Consultant
Berkley —Boston, MA
- $50 - $70 an hour
- Part-time
- 6 years
- Analysis skills
- Bachelor's degree
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
Multi-Line Claim Consultant
CCMSI —Reading, MA
- $75,000 - $85,000 a year
- Hybrid work
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Disability insurance
Multi-Line Claim Consultant
CCMSI —Reading, MA
- $75,000 - $85,000 a year
- Full-time
- Hybrid work
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Disability insurance
Health Actuary Consultant
Deloitte —Boston, MA
- $100,400 - $197,900 a year
- Full-time
- Microsoft Excel
- Up to 50% travel
- Mid-level
10d
Senior Surety Claims Consultant
United Casualty & Surety Insurance Company —Boston, MA
- $113,664.71 - $147,764.12 a year
- Full-time
- Hybrid work
- 5 years
- Office
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
7d
Senior Health Data Consultant
Gradient AI —Boston, MA
- $120,000 - $160,000 a year
- Remote
- Microsoft Excel
- 5 years
- SQL
- Health insurance
- Dental insurance
Health Actuary Senior Consultant
Deloitte —Boston, MA
- $128,000 - $252,500 a year
- Full-time
- Up to 50% travel
- SQL
- Analysis skills
10d
Epic Hospital Billing Analyst- Consultant-Project
Deloitte —Boston, MA
- Full-time
- Hybrid work
- Computer Science
- System design
- Mid-level
Sr. Provider Relations Consultant
WellSense Health Plan —Boston, MA
- $69,500 - $101,000 a year
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Underwriting Consultant
Guardian Life Insurance Company —Boston, MA
- $103,450 - $169,960 a year
- Email
- Hybrid work
- 5 years
- Office
- Analysis skills
- Disability insurance
- Dental insurance
Senior Consultant
Marsh McLennan Agency —Boston, MA
- $92,400 - $172,100 a year
- Full-time
- Hybrid work
- 7 years
- HIPAA
- Office
- Health insurance
- Dental insurance
AI ROI Consultant
CloudZero —Boston, MA
- Full-time
- Hybrid work
- Analysis skills
- Math
- Bachelor's degree
15h
Lead Medical Risk Consultant
QBE —Marblehead, MA
- $98,500 - $162,500 a year
- Full-time
- Hybrid work
- Mid-level
- US work authorization
- Experience equivalent to degree accepted
- Tuition reimbursement
- 401(k) matching
Consultant I, Medical Writing
Syner-G —Boston, MA
- Hybrid work
- Microsoft Excel
- Mid-level
- Office
- Paid holidays
- Paid time off
Quick Apply
Commercialization Expert
CLEAResult Consulting Inc. —Boston, MA
- $120,000 - $140,000 a year
- Full-time
- Remote
- Analysis skills
- Travel
- US work authorization
- Health insurance
- Dental insurance
Quick Apply
Revenue Cycle Consultant, Senior Manager
Athenahealth —Boston, MA
- $123,000 - $209,000 a year
- Full-time
- 5 years
- Office
- Finance
- Commuter assistance
- Tuition reimbursement
Litigation Operations Consultant, Projects & Technology – Remote
CSAA Insurance Services, Inc. —Boston, MA
- $110,700 - $147,500 a year
- Full-time
- 8 years
- US work authorization
- Senior level
- 401(k) matching
7d
Senior Data Science Consultant, Insurance - Remote
CSAA Insurance Services, Inc. —Boston, MA
- $160,155 - $213,550 a year
- Full-time
- 7 years
- US work authorization
- Experience equivalent to degree accepted
- 401(k) matching

I want to receive the latest job alert for claims consultant in boston, ma

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Claims Consultant, Life Sciences

CNA Insurance -
Boston, MA

Apply Now

Job Details

Full-time
$72,000 - $141,000 a year

Qualifications

Organizational skills
Senior level
Communication skills
Time management

Full Job Description

You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.

This individual contributor position works under general direction, and within broad authority limits, to manage commercial claims with high complexity and exposure for a specific line of business. Responsibilities include the coordination of all claim resolution activities in accordance with company protocols, while achieving quality and customer service standards. Position requires regular communication with customers and insureds and may be dedicated to specific account(s).

JOB DESCRIPTION:

Essential Duties & Responsibilities

Performs a combination of duties in accordance with departmental guidelines:

Manages an inventory of highly complex commercial claims with large exposures that require a high degree of technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time standards, providing timely updates and responding promptly to inquiries and requests for information.
Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company's claim handling protocols.
Leads focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to complex manage litigation and authorizing payments within scope of authority.
Establishes and manages claim budgets by achieving timely claim resolution, selecting and actively overseeing appropriate resources, authorizing expense payments and delivering high quality service in an efficient manner.
Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation.
Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files are properly documented and claims are resolved and paid timely.
Keeps leadership informed of significant risks and losses by completing loss summaries, identifying claims to include on oversight/watch lists, and preparing and presenting succinct case summaries to senior management.
Maintains subject matter expertise and ensures compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
Mentors, guides, develops and delivers training to less experienced Claim Professionals.

May perform additional duties as assigned.

Reporting Relationship

Typically Director or above

Skills, Knowledge & Abilities

Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
Strong communication and presentation skills both verbal and written, including the ability to communicate business and technical information clearly.
Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems.
Strong work ethic, with demonstrated time management and organizational skills.
Ability to work in a fast-paced environment at high levels of productivity on complex matters.
Demonstrated ability to negotiate complex settlements.
Experience interpreting complex commercial insurance policies and coverage.
Ability to manage multiple and shifting priorities in a fast-paced and challenging environment.
Knowledge of Microsoft Office Suite and ability to learn business-related software.
Demonstrated ability to value diverse opinions and ideas

Education & Experience

Bachelor's Degree or equivalent experience
Typically a minimum six years of relevant experience, preferably in claim handling
Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire where applicable
Prior negotiation experience
Professional designations preferred (e.g. CPCU)

#LI-CP1 #LI-Hybrid

In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $72,000 to $141,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees – and their family members – achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA’s benefits, please visit cnabenefits.com.

CNA utilizes AI-enabled technology during the recruiting process. For more information, please visit our careers page.

CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact [email protected]

Apply Now

Refine Your Search

claims consultant jobs in boston, ma

Claims Consultant, Life Sciences

Claims Consultant

HR Consultant II (Part Time or Full Time)

Multi-Line Claim Consultant

Multi-Line Claim Consultant

Health Actuary Consultant

Senior Surety Claims Consultant

Senior Health Data Consultant

Health Actuary Senior Consultant

Epic Hospital Billing Analyst- Consultant-Project

Sr. Provider Relations Consultant

Underwriting Consultant

Senior Consultant

AI ROI Consultant

Lead Medical Risk Consultant

Consultant I, Medical Writing

Commercialization Expert

Revenue Cycle Consultant, Senior Manager

Litigation Operations Consultant, Projects & Technology – Remote

Senior Data Science Consultant, Insurance - Remote

I want to receive the latest job alert for claims consultant in boston, ma

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected