Review and process employee benefit claims (primarily FSA) following IRS regulations and employer plan rules. Determine eligibility, process appeals, meet turnaround times, troubleshoot software issues, coordinate with departments, assist supervisors on projects, develop and update procedures, and promote continuous improvement and knowledge sharing.
The Claims Specialist is responsible for properly reviewing and processing claims for various Employer benefit plans according to IRS regulations and specific employer plan rules. A Claims Specialist should be prepared to work in a detail oriented and fast paced environment with a high level of accuracy.
Essential Duties:
Daily claim processing.
Accurately process all FSA claim types.
Determine eligibility by utilizing available resources.
Ensure priority of workload is followed and turnaround times are met.
Properly process claim appeals.
Troubleshoot software issues accordingly.
Assist with other operational functions.
Coordinate with other departments when appropriate.
Assist Claims Supervisors with projects as assigned.
Work with Claims Supervisors to develop new processes and procedures.
Continuous improvement approach to work.
Communicate changes needed for processes.
Develop and update procedures as needed.
Promote continuous learning and sharing of knowledge.
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What you need to know about the Boston Tech Scene
Boston is a powerhouse for technology innovation thanks to world-class research universities like MIT and Harvard and a robust pipeline of venture capital investment. Host to the first telephone call and one of the first general-purpose computers ever put into use, Boston is now a hub for biotechnology, robotics and artificial intelligence — though it’s also home to several B2B software giants. So it’s no surprise that the city consistently ranks among the greatest startup ecosystems in the world.
Key Facts About Boston Tech
- Number of Tech Workers: 269,000; 9.4% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Thermo Fisher Scientific, Toast, Klaviyo, HubSpot, DraftKings
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- Funding Landscape: $15.7 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Summit Partners, Volition Capital, Bain Capital Ventures, MassVentures, Highland Capital Partners
- Research Centers and Universities: MIT, Harvard University, Boston College, Tufts University, Boston University, Northeastern University, Smithsonian Astrophysical Observatory, National Bureau of Economic Research, Broad Institute, Lowell Center for Space Science & Technology, National Emerging Infectious Diseases Laboratories
