Top 175 Claims specialist Jobs in Waltham Ma

Benefits Program Specialist (Hybrid)
Quincy Mutual Group, Inc. —Quincy, MA
- $80,000 - $90,000 a year
- Full-time
- Hybrid work
- 5 years
- Writing skills
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Medical Billing Specialist
FraminghamPediatrics —Framingham, MA
- $24 - $30 an hour
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
3d
Medical Billing Specialist
PAR Management —Newton Center, MA
- $20 - $30 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Health insurance
- Dental insurance
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2d
Medical Billing Specialist - Liability Claims
The CCS Companies —Norwood, MA
- $24 - $28 an hour
- Full-time
- Hybrid work
- Microsoft Word
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
3d
ACO Medicaid Claims Review Specialist
Mass General Brigham Health Plan Holding Company, Inc. —Somerville, MA
- $17.71 - $25.28 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- 1 year
- Health insurance
- Opportunities for advancement
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Billing Specialist
Springwell —Waltham, MA
- $28.21 an hour
- Full-time
- Hybrid work
- Mid-level
- Office
- Analysis skills
- Free parking
- Mileage reimbursement
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6d
Billing & Certified Coding Specialist I (Remote)
Beth Israel Lahey Health —Charlestown, MA
- $25 - $34 an hour
- Full-time
- Remote
- Research
- Mid-level
- High school diploma or GED
Physician Billing Specialist
Pediatrics at Newton Wellesley —Newton, MA
- $24 - $34 an hour
- Full-time
- Hybrid work
- Background check
- Private practice
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
11d
Auto Damage Claims Specialist
Central Insurance Company —Waltham, MA
- Full-time
- Hybrid work
- Mid-level
- Travel
- Conflict management
- Health insurance
10d
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
Senior Casualty Claims Specialist - Northeast
Liberty Mutual —Westborough, MA
- $61,000 - $126,000 a year
- Full-time
- Mid-level
- Bachelor's degree
- Experience equivalent to degree accepted
3d
Patient Care Specialist
ForMotion Clinic —Newton, MA
- Full-time
- Ability to walk for extended periods
- Computer literacy
- High school diploma or GED
- Paid holidays
- Health insurance
Medicaid Specialist
Sweetwater Care —Boston, MA
- Full-time
- Mid-level
- High school diploma or GED
- Analysis skills
Quick Apply
3d
Coding Specialist, Pain Management
Mass General Brigham Incorporated —Somerville, MA
- $25.50 - $36.49 an hour
- Full-time
- No experience needed
- Research
- Mid-level
- Opportunities for advancement
Quick Apply
Cash Applications Specialist
Hachette Book Group —Boston, MA
- $55,000 - $60,000 a year
- Overtime
- Writing skills
- Mid-level
- Travel
- Commuter assistance
- AD&D insurance
Fraud Prevention Specialist
MutualOne Bank —Natick, MA
- $65,959 - $85,142 a year
- Full-time
- Customer service
- Computer literacy
- Research
Quick Apply
Senior Revenue Cycle and Accounts Receivable Specialist
Terra Fertility PLLC —Dedham, MA
- $35 - $45 an hour
- Finance
- Analysis skills
- Bachelor's degree
- Paid holidays
- Health insurance
Associate People Operations Specialist
CarGurus —Boston, MA
- Full-time
- Hybrid work
- Mid-level
- Office
- In-person
- Health insurance
- Dental insurance
Claims Manager I, Miscellaneous Medical Facilities Professional Liability
Liberty Mutual —Boston, MA
- $120,000 - $225,000 a year
- Urgently hiring
- Remote
- Office
- Bachelor's degree
- Organizational skills
Hybrid Remote Insurance Verification and Billing Specialist
OTA Kids Pediatric Therapy —Wakefield, MA
- $22 - $26 an hour
- Part-time
- Hybrid work
- 5 years
- Computer literacy
- Medical office experience
Quick Apply
1d

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claims specialist jobs near waltham ma

Benefits Program Specialist (Hybrid)

Quincy Mutual Group, Inc. -
Quincy, MA

Quick Apply

Job Details

Full-time
$80,000 - $90,000 a year

Benefits

Health insurance
Dental insurance
401(k)
Flexible spending account
Tuition reimbursement
Paid time off
Employee assistance program
401(k) matching
Employee discount
Professional development assistance
Flexible schedule
Life insurance
Referral program
Retirement plan

Qualifications

Affordable Care Act (ACA)
FMLA
State-specific regulations in benefits management
Writing skills
Health insurance policy knowledge
Compliance audits & assessments
HIPAA
HR legal compliance
Payroll systems
Change management
Employee data management
ADA compliance
Bachelor's degree
Vendor relationship management
Data analytics
Regulatory compliance analysis
Internal audits
Disability rights laws

Full Job Description

This position currently follows a hybrid work schedule, with three in-office days. Tuesday and Thursday are Company anchor days, and the third day will be worked out with your manager.

Position Summary

The Benefits Program Specialist leads the hands-on administration of comprehensive employee benefit and leaves programs. This role ensures alignment with organizational goals, legal / compliance mandates, and market trends while optimizing the employee experience. Acting as a subject matter expert, the specialist collaborates cross-functionally to develop benefit offerings that support workforce well-being, engagement, and retention.

Principal Accountabilities

Planning and Delivery

Administer the delivery of benefits programs including health, dental, vision, retirement, life insurance, disability, wellness, and voluntary plans.
Collaborate on the design and implement new benefit offerings and enhancements aligned with strategic organizational goals and employee feedback.
Administer leave programs (FMLA, ADA, parental, and state-specific leaves), partnering with HR colleagues to ensure compliance with all applicable laws and company policy.
Coordinate day-to-day operations of retirement programs, including, facilitating enrollments, processing monthly pension payments, interfacing with vendor partners and submitting quarterly and annual reports to ensure plan accuracy, timeliness, and compliance.
Administer annual open enrollment processes, including partnering with vendors, recommending / reviewing plan design changes, collaborating in the development of employee communications, and issue resolution.
Maintain plan documents, Summary Plan Descriptions (SPDs), and compliance reports such as 5500 filings and ACA submissions.

Business Insight and Analytics

Conduct data-driven evaluations of benefit program effectiveness, cost trends, and utilization to support continuous improvement and fiscal responsibility.
Develop and present strategic insights and recommendations to HR leadership and senior management.
Participate in benefits compliance audits and ensure data integrity within HRIS and vendor systems.
Track, analyze, and report on benefits program KPIs such as participation rates, claims trends, wellness engagement, and cost metrics.

Communication and Relationship Building

Act as a trusted advisor to employees, serving as the escalation point for complex employee inquiries and leave cases, resolving issues with a high degree of professionalism and sensitivity.
Partner with legal, finance, and HR colleagues to ensure integrated delivery and regulatory compliance.
Develop and maintain strong vendor relationships, to effectively administer benefits programs, and ensure appropriate performance/ service standards,
Conduct new hire benefits orientations and facilitate benefits education sessions throughout the year.
Conduct one-on-one consultations with employees on retirement readiness and pension options.

Leadership

Act as an internal expert on benefits programs, staying current on ERISA, ACA, HIPAA, COBRA, FMLA, and state-specific regulations; guide policy updates and training accordingly.
Lead cross-functional initiatives to enhance employee experience through benefits innovation and communication strategies.
Mentor colleagues and provide training on benefits administration and compliance best practices.

Job Requirements

Experience

5-7 years of progressive experience in benefits administration.
Experience overseeing retirement plans (pension and 401(k)) strongly preferred.
Proven experience in leave management, compliance audits, benefits plan design, and vendor management.

Education

Bachelor's degree in human resources, Business Administration, or a related field; Master’s degree preferred.
Certified Employee Benefits Specialist (CEBS) or equivalent HR certification strongly preferred.

Skills

Advanced knowledge of federal and state benefits and leave regulations, including ERISA, ACA, FMLA, ADA, COBRA, and HIPAA.
Strong analytical and project management skills with the ability to translate data into strategic insights.
Expertise in HRIS platforms and benefits technology (e.g., Workday, ADP, SAP).
Excellent written and verbal communication skills for executive-level reporting and employee engagement.

Values

Ethical leadership with a strong sense of confidentiality and integrity.
Commitment to innovation, continuous improvement, and inclusive benefits practices.
Collaborative mindset and proactive approach to problem-solving and change management.

Salary Range: $80,000 - $90,000 per year. This range is a good faith estimate which reflects the annual salary we reasonably expect to pay for this specific full-time position at the time of posting. The actual salary offered will be based on several factors including the candidate’s experience and qualifications.

Job Type: Full-time

Pay: $80,000.00 - $90,000.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Employee discount
Flexible schedule
Flexible spending account
Health insurance
Life insurance
Paid time off
Professional development assistance
Referral program
Retirement plan
Tuition reimbursement

Ability to Relocate:

Quincy, MA 02169: Relocate before starting work (Required)

Work Location: Hybrid remote in Quincy, MA 02169

Quick Apply

Refine Your Search

claims specialist jobs in waltham ma

Benefits Program Specialist (Hybrid)

Medical Billing Specialist

Medical Billing Specialist

Medical Billing Specialist - Liability Claims

ACO Medicaid Claims Review Specialist

Billing Specialist

Billing & Certified Coding Specialist I (Remote)

Physician Billing Specialist

Auto Damage Claims Specialist

Claims Service Specialist I - Hybrid

Senior Casualty Claims Specialist - Northeast

Patient Care Specialist

Medicaid Specialist

Coding Specialist, Pain Management

Cash Applications Specialist

Fraud Prevention Specialist

Senior Revenue Cycle and Accounts Receivable Specialist

Associate People Operations Specialist

Claims Manager I, Miscellaneous Medical Facilities Professional Liability

Hybrid Remote Insurance Verification and Billing Specialist

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