46 Results for

Claims Analyst Jobs in Boston, MA

Jobs

New!

Quincy, MA5 days ago

$100,000–$140,000 Per Year
Full-time

CONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.

Camrbidge, MA15 days ago

$50–$55 Per Hour
Full-time
Employee

o Monitor and analyze cash trends and present updates to senior leadership ¿ Project management / process improvement: o Treasury is continually tasked with projects that span multiple topic areas and competencies (e.g., corporate investing, retirement plans, cash management and risk management). The Treasury and Investment Analyst III is responsible for investment monitoring, effectuating treasury and investment transactions, leading insurance renewals and deliverables, formulating responses to audit requests, compliance activities, and facilitating interactions with numerous external banking, securities, and insurance providers.

New!

Manchester, NH6 days ago

$77,120–$147,390 Per Year

Collects evidence of potential fraud through field or remote interviews and thorough searches of investigative databases, internal resources, Internet resources, public records, and forensic tools. Within defined guidelines and framework, protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance fraud-related laws and regulations and policies and procedures.

New!

Andover, MA4 days ago

$60,000–$65,000

Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.

Waltham, MA30+ days ago

Full-time

Required Qualifications: 7+ years of experience in Agile Way of Working 10+ years of experience in Commercial Claims & Claims Payment workflows Payment SME with deep expertise in insurance claims payment processing Pega CBA Certified or experience in Pega Payment workflows (preferred) AGILE Certified Product Owner Strong SQL and RDBMS knowledge Preferred Skills: Familiarity with One Inc Payment Hub Experience with Treasury, Payment Channels, Disbursements, and Master Data Management in Insurance Strong communication and interpersonal skills Ability to multitask, prioritize deadlines, and work independently Experience: 10+ years Certification: Agile Certified Product Owner, Pega CBA (preferred) Key Responsibilities: Lead Requirements Workshops Independently facilitate sessions with business and IT stakeholders.

Marlborough, Massachusetts12 days ago

$50,000–$60,000 Per Year

Respond promptly and professionally to incoming requests regarding: EOR requests, claim status requests/updates and general claim questions from Account Management, Sales, Brokers, Policyholders and Third-Party Administrators. The key to Berkley’s success is our nimble approach to risk – our ability to quickly understand, think through, and devise a plan that addresses each client’s challenges, coupled with the strong backing of a Fortune 500 company.

Boston, MA22 days ago

$85,000–$104,000 Per Year

You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes, ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all key internal and external stakeholders. In addition, we’re proud to offer a range of competitive benefits, a summary of which can be viewed here:2026 Benefits Overview. #claims #claimsmanagement #arbitration #litigation #negotiation #complexclaims #financiallines #investigations.

Boston, MA30+ days ago

Ensure appropriate controls are in place for the reserving process, support and be the point person for Actuarial for the annual audit reviews, independent reserve reviews, internal audit and SOX reviews for North America Specialty products. The North America Specialty Reserving Lead will be responsible for managing the day-to-day workflow of analysts on the team with the responsibility of coordinating and reviewing the reserving process and results for North America Specialty.

New!

North Andover, Massachusetts6 days ago

$65,000–$75,000

Data analysis & reporting: Analyze data sets to pinpoint root causes of disputes—such as shipping delays, routing non-compliance, or operational gaps—and generate periodic reports on chargeback metrics, recovery rates, trends, and financial impact for management. We offer iconic brands such as NeeDoh®, LAVA® Lamp, Big Wheel®, Schylling hand puppets, Sea-Monkeys® and a variety of other toys that satisfy curiosity, encourage discovery, and help people find their best mellow and chill.

New!

Brockton, MA6 days ago

You'll collaborate with Fleet Management on timely reporting, investigate property damage claims, prepare loss reports, support insurance renewals, manage certificates of insurance, review contractual requirements, oversee vendor compliance, and ensure filings, premiums, and invoices are accurate, all while serving as a trusted risk partner across the business. Our extensive range of products, from office supplies and ergonomic furniture to top-notch cleaning supplies and delicious food service items, ensures that you have everything you need for seamless operations.

New!

Manchester, NHToday

Role Overview: The Senior Provider Network Operations Analyst responsible for maintaining current provider data and provider reimbursement setup, and to address provider and state inquiries as they relate to claim payment issues. + User Acceptance Testing (UAT)/Client Review & audit (provider data, Appian Advanced Group ID (AGID) configuration, and set-up concentration) reviews requests prior to initial submission to Enterprise Operations (EO) and claims post-production.

Boston, Massachusetts30+ days ago

o Candidate should have at least ten years related experience scheduling complex, multi-phase, multi-million-dollar construction projects and experience performing forensic scheduling analysis using currently recognized recommended forensic practices including: TIAs, contemporary period analysis, window analysis, as-built versus as-planned, and collapsed as-built methodologies for delay quantification.o Suffolk – America’s Contractor – is a national company with more than $9 billion in annual revenue, 3,000 employees, and 17 offices, including Boston (headquarters), New York City, Miami, West Palm Beach, Tampa, Estero, Dallas, Los Angeles, San Francisco, San Diego, Las Vegas, Herndon, U.S. Virgin Islands, and other key markets.

Boston, MA30+ days ago

$26.40–$39.50 Per Hour

Our culture has inspired our diverse team of highly skilled, highly creative, and highly committed individuals for 100 years and we believe the best is yet to come. Effective from the date that Hasbro opens its new Boston location, this position will be onsite Tuesday – Thursday at Hasbro’s new HQ location in Boston, MA.

Weymouth, MA20 days ago

Remote

South Shore Hospital, Southeastern Massachusetts's leading provider of emergency, acute, and outpatient care, is seeking an experienced Epic HB Resolute Applications Analyst to join our IS team. Demonstrates knowledge of clinical documentation and orders databases, data conversion models, workflows, master files, category lists, synonyms and preference lists.

Boston, MA30+ days ago

Remote

$65,520–$85,995 Per Year

You will oversee regularly maintaining and reviewing actuarial models used to develop pricing, forecasting, trend analytics, Incurred but not Reported (IBNR) projections and risk adjustment accruals. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience.

Boston, MA30+ days ago

o BS in engineering, business, or construction management (or substitute experience)o Candidate should have at least ten years related experience scheduling complex, multi-phase, multi-million-dollar construction projects and experience performing forensic scheduling analysis using currently recognized recommended forensic practices including: TIAs, contemporary period analysis, window analysis, as-built versus as-planned, and collapsed as-built methodologies for delay quantification.o Suffolk – America’s Contractor – is a national company with more than $9 billion in annual revenue, 3,000 employees, and 17 offices, including Boston (headquarters), New York City, Miami, West Palm Beach, Tampa, Estero, Dallas, Los Angeles, San Francisco, San Diego, Las Vegas, Herndon, U.S. Virgin Islands, and other key markets.

Framingham, Massachusetts15 days ago

$80,000–$85,000 Per Year

As the Revenue Cycle Analyst, you will play an essential role in analyzing, driving and improving revenue cycle operations for Primary Care by coordinating with outsourced Revenue Cycle Management (RCM) vendor(s) to ensure timely follow-up and resolution of unpaid, incorrectly paid, and denied medical claims. HealthDrive delivers on-site dentistry, optometry, podiatry, audiology, behavioral health, and primary care services to residents in long-term care, skilled nursing, and assisted living facilities.

Charlestown, MA30+ days ago

Benefits Analysts, this role is critical to ensuring a positive experience for our employees by ensuring the accuracy of benefit data as it relates to enrollment, transmission of data to benefit vendors, premium deductions in partnership with payroll, and system configuration in partnership with HRIS. Reporting to the Manager, Benefits, the Benefits Analyst is responsible for tracking and analyzing data related to the administration of BILH benefit plans, including but not limited to medical, dental, vision, life insurance, and other benefit programs, ensuring consistency with plan documents and provider contracts.

QUINCY, MA30+ days ago

The MMIS SQA Analyst is expected to work independently and collaboratively with technical teams and business stakeholders;therefore, exceptional communication, coordination, and documentation skills are essential for success in this role. The MMIS SQA Analyst will be called upon to act as an active member in all phases of the project including gap analysis, design and development activities, documentation, testing, implementation, and stabilization.

New!

Lawrence, MA6 days ago

We are seeking an Applications Analyst with experience supporting healthcare financial systems, preferably within the Meditech environment, to partner with Patient Financial Services and Health Information Management teams to optimize workflows and improve system performance. Hands-on experience working with EHR/RCM data and transactions, including HL7/charges, claim formats (837/835/271), remittance/ERA, and supporting data used for billing and reimbursement.

Lawrence, MA22 days ago

Boston, MA30+ days ago

The Lead Analyst for the Professional Billing IT team is responsible for the advanced design, building/configuring, testing, and support of the Epic Professional Billing application. Gold Star Implementation: Champion the implementation of Gold Star and Staying Current functionalities to maintain system performance and improve operational efficiency.

Boston, Massachusetts12 days ago

Baker Tilly Advisory Group, LP and Baker Tilly US, LLP, trading as Baker Tilly, are independent members of Baker Tilly International, a worldwide network of independent accounting and business advisory firms in 141 territories, with 43,000 professionals and a combined worldwide revenue of $5.2 billion. Baker Tilly is a leading advisory, tax and assurance firm, providing clients with a genuine coast-to-coast and global advantage in major regions of the U.S. and in many of the world's leading financial centers - New York, London, San Francisco, Los Angeles, Chicago and Boston.

Boston, MA30+ days ago

Provide required business and/or subject matter expertise for both project and production related activities on complex issues, including new strategic programs or initiatives impacting current and existing systems. testing plan, testing scenarios, testing schedule, testing outcomes, user task analysis, documentation, defect management, results analysis) to ensure minimal production defects are realized.

Boston, MA30+ days ago

Remote

Requires a BS/BA degree in related field and a minimum of 3 years data analysis or related. Experience with relational databases and knowledge of query tools and statistical software is.

Burlington, MA30+ days ago

Powered by trillions of lines of code scans and a proprietary AI-generated remediation engine, the Veracode platform is trusted by organizations worldwide to build and maintain secure software from code creation to cloud deployment. This role sits at the intersection of data, strategy, and execution—turning complex datasets into clear insights that drive revenue, efficiency, and executive decision-making.

Boston, MA30+ days ago

Full-time

Possess knowledge of Guidewire Policy Center, Guidewire Claims Center, SAP FS-RISAP FS-CD applications with their data is considered a plus. Required Skills: Proven 5+ years' experience of data analysis extraction of OLTP data within an enterprise data warehouse.

Charlestown, MA30+ days ago

Reporting to the Manager of Revenue Cycle Analytics and System Operations, the Epic Operations Analyst is the preeminent Epic analytical resource tasked with improving revenue results and operational efficiencies for all One BILH Epic Professional Billing Revenue Cycle entities. + Performs analysis and audits on current Epic build and functionality, end-user Epic workflows, and payer regulatory trends compared to the current Epic build with a focus on revenue cycle integrity.

Boston, MA30+ days ago

Possess knowledge of Guidewire Policy Center, Guidewire Claims Center, SAP FS-RISAP FS-CD applications with their data is considered a plus. Required Skills: Proven 5+ years' experience of data analysis – extraction of OLTP data within an enterprise data warehouse.

New!

Brockton, MA2 days ago

Our mission: Through the talents of an experienced and diverse workforce, OCES supports the independence and dignity of older adults and individuals with disabilities by providing essential information and services that promote healthy, safe living which positively impacts our community. As a leader in our mission- driven non-profit, you will manage a team of claims analysts, resolve complex disputes, and optimize workflows to improve financial performance and reduce denials.

Manchester, NH30+ days ago

The Director is a key member of the leadership team, partnering closely with leadership, corporate finance, operational leaders, and external stakeholders to support informed decision-making and financial sustainability. This role provides strategic and operational financial leadership, ensuring the accuracy, integrity, and compliance of financial reporting while supporting organizational goals through budgeting, forecasting, cost management, and financial analysis.

Boston, MA30+ days ago

$80,000–$85,000

Requires lifting and carrying equipment and supplies weighing up to 35 pounds; requires pushing and pulling equipment and supplies weighing up to 35 pounds; requires walking and standing; requires frequent sitting more than 75% of the workday; requires the ability to negotiate stairs; requires visual acuity and manual dexterity to operate equipment. Through innovative home- and community-based services, Vitra supports aging adults, people with disabilities, and individuals with complex care needs— supported by a Nurse, and Case Manager, Vitra ensures clients receive compassionate, personalized, and dignified care.

Woburn, MA30+ days ago

Remote

Full-time

Unsolicited resumes sent to Verisk, including unsolicited resumes sent to a Verisk business mailing address, fax machine or email address, or directly to Verisk employees, will be considered Verisk property. Specialty Business Solutions - provides an integrated suite of software for full end-to-end management of insurance and reinsurance business, helping companies manage their businesses through efficiency, flexibility, and data governance.

Woburn, MA30+ days ago

Remote

Full-time

Certification in any of the following preferred: Medicare Set-aside Certified Consultant (MSCC), Life Care Planner (CLCP or CNLCP), Certified Case Manager (CCM), Medical Coding, Legal Nurse Consulting, Rehabilitation Counseling, Disability Management, Utilization Review . Unsolicited resumes sent to Verisk, including unsolicited resumes sent to a Verisk business mailing address, fax machine or email address, or directly to Verisk employees, will be considered Verisk property.

Burlington, MA30+ days ago

The Risk Manager collaborates with specialists and hospital teams to evaluate incidents, perform root cause analyses (RCAs), and determine when to escalate concerns to malpractice insurers. Job SummaryThe Risk Manager plays a critical role in supporting hospital safety operations by reviewing, adjudicating, and ensuring proper follow-up on safety event reports.

Boston, MA30+ days ago

As part of the Ford Customer Service Division (FCSD) strategy to reimagine the dealer support model, Service Engineering & Operations is establishing a dedicated team to manage and resolve technical cases from dealer technicians. In addition, this role will support dispute resolution activities involving warranty, legal compliance, and case testimony, offering a unique blend of technical, legal, and customer service experience.

Boston, MA30+ days ago

$142,000–$263,000 Per Year

This role serves as both an internal and external industry authority—leading discovery with our customers, identifying high-value problems worth solving, shaping product direction, and driving thought leadership that positions Hi Marley at the forefront of P&C innovation. At Hi Marley, our culture is built on three core values that every employee embodies:Max Courage – We encourage our team, our customers, and their customers to dream big, try new ideas, and maximize impact by measuring risk.

Boston, MA30+ days ago

Our Commercial Team takes a proactive, consultative, and high-touch approach when working with customers, investing heavily in pre-sales through onboarding/training, and ongoing success to ensure customers are positioned to thrive from day one. We are hiring a team of high caliber Enterprise SaaS sales, marketing, and customer delivery professionals to thoughtfully engage VPs, General Managers, and other corporate decision makers across the Medical Device Industry.

Manchester, NH30+ days ago

Remote

Full-time

Oversee architecture changes for all data ingestion solutions and provide technical advice on complex data mappings and transformations, including production support guidance, researching, and responding to security vulnerability findings, and working with multiple vendors and teams to leverage existing architecture components. - Facilitate the creation of architectures that consider how the current system interacts with other internal and external systems and environments and ensure that the new system behaves and performs correctly, including: prioritizing backlog projects and coordinating with system and network administration personnel on maintenance, upgrades, changes, and performance needs.

Boston, MA27 days ago

Full-time

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.

Manchester, New Hampshire19 days ago

This role is ideal for someone who enjoys translating complex data into clear strategy, building long-term client partnerships, and developing the next generation of consultants. In this role, you'll work closely with Producers, consultants, analysts, and internal partners to deliver thoughtful benefit strategies that align with each client's philosophy, culture, and long-term goals.

Boston, MA30+ days ago

Reporting to the Manager of Pharmacy Operations, the Clinical Pharmacist I is primarily responsible for the pharmacy utilization management (UM) activities, including review of all pharmacy prior authorization requests, oversight of the UM activities of the Pharmacy Services support staff, maintenance of pharmacy UM programs, provide clinical peer-to-peer consultation as needed, provide pharmacy-related customer service to internal and external parties, and serve as a subject matter expert for claims issue resolution. Key Functions/Responsibilities: Participation in prior authorization, formulary exception, step therapy and quality limit program implementation and management for all lines of business.

Framingham, MA30+ days ago

$107,000–$154,000 Per Year

You will work to coordinate across Commercial, Medical, Market Access, Marketing, R&D, and HEOR teams within your accounts to drive engagement, ensure alignment to business priorities, and connect customer needs with the full Definitive Healthcare ecosystem—including Advanced Analytics, SMEs, Product, and Sales. Acting as a trusted advisor and the primary post-sale control point, you guide customers in applying healthcare commercial intelligence to their most critical business initiatives—driving adoption, demonstrating measurable impact, and expanding the partnership over time.

Boston, MA17 days ago

Full-time

Offering a suite of services that include customized reporting, premium invoicing, task management, and the preparation of client life insurance portfolio reviews, the bedrock of this department is our disciplined approach to monitoring and maximizing the performance of our clients’ portfolios. Prepare paperwork for and process death claims, surrenders and withdrawals, policy changes, such as title and allocation changes; follow up where needed to manage multi-step transactions through to completion and confirm accurate processing.

Boston, MA20 days ago

The Oracle Revenue Cycle Management Workstream Lead provides deep expertise across Oracle Health’s end-to-end revenue cycle ecosystem, including RevElate, legacy Cerner/Oracle RCM modules, EDI interfaces, financial workflows, and operational design. The architect leads the translation of revenue cycle operations into system build, testing strategies, data/financial integrity models, and future-state operational workflows.

MA, MA30+ days ago

Experience with pharma datasets like IQVIA, Veeva CRM, patient claims, or sales data, and working with cross-functional teams is essential. Oversee and tightly manage development, implementation, and maintenance of data platforms, integrations, and tools relevant to commercial data (e.g., sales data, patient claims, CRM data) as per plan.

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Claims Analyst Jobs in Boston, MA

Jobs

Claims Examiner MedMalDiedre Moire Corp.

Treasury and Investment Analyst IIIGCR Professional Services

SIU Investigator - Multi-Line (Desk)USAA

Accounts Payable SpecialistVaco LLC

Business Analyst - Commercial Claims Payment SMEMacpower Digital Assets Edge LLC

Claims Correspondence AnalystBerkley

Claim Analyst IV, Lexington Architects & EngineersAmerican International Group

Actuary, Reserving - North America SpecialtyAmerican International Group

Retail Compliance & Chargeback AnalystSchylling

Property and Casualty Risk AnalystW.B. Mason

Senior Provider Network Operations AnalystAmeriHealth Caritas

Forensic Planning Analyst (Scheduling) - Mission CriticalSuffolk Construction Company, Inc.

Associate Benefits Analyst (Boston, Massachusetts, US, 02210)Hasbro, Inc

Applications Analyst/Epic HB ResoluteSouth Shore Health

Actuarial Analyst IIOscar Health

Forensic Planning Analyst (Scheduling) - Mission CriticalUNAVAILABLE

Revenue Cycle Analyst - Primary CareHealthDrive

Benefits AnalystBeth Israel Lahey Health

MMIS Software Quality Assurance AnalystLancesoft

Applications AnalystMerrimackHealth

Revenue Cycle Applications AnalystMerrimackHealth

LEAD EPIC ANALYST, PROFESSIONAL BILLINGBoston Children's Hospital

Temporary Application AnalystBaker Tilly Advisory Group, LP

Senior Internal Business Systems AnalystHighmark Health

Business / UAT Analyst - Boston, MA (Remote)Georgia Tek Systems

Business Analyst, GTM OperationsVeracode

Data AnalystSyntricate Technologies

Epic Operations Analyst - Revenue CycleBeth Israel Lahey Health

Data AnalystSyntricate Technologies Inc

Health Insurance Billing ManagerOld Colony Elder Services

Director of FinanceAmeriHealth Caritas

Compliance SpecialistVITRA Health

Legal Nurse ReviewerISO SERVICES INC

MSA Nurse ReviewerISO CLAIMS PARTNERS INC

Risk ManagerGTT

Field Service EngineerFord Motor Company

Principal Industry StrategistHi Marley

Data Solutions ArchitectAcuityMD

Data ArchitectMaximus

Reporting SpecialistMaximus

Office Leader and Managing ConsultantAlera Group

Clinical Pharmacist Inpatient Pharmacy (Per Diem Days-Evenings-Nights)Boston Medical Center

Principal Customer Success ManagerDefinitive Healthcare, US

Client Services Senior AssociateWinged Keel Group

Revenue Cycle Workstream LeadConvergenz

Tech Project ManagerTechDigital

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