- Lincoln Financial Group (Providence, RI)
- …at a Glance** We are excited to bring on a highly motivated Integrated Absence Claims Specialist to staff our ever-growing claims organization. As an ... Integrated Absence Claims Specialist , you will manage a workload...and e-mail to gather information regarding Short Term Disability Claims , Family Medical Leaves, and state benefits… more
- Sedgwick (Providence, RI)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist Professional Liability, Public Entity **PRIMARY PURPOSE** **:** ... entity; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry best practices… more
- Lincoln Financial Group (Providence, RI)
- …a Glance** We are excited to bring on a highly motivated Long-Term Disability (LTD) Claims Specialist to our claims organization. **What you'll be doing** As ... an LTD Claims Specialist , you will manage a workload...initial and ongoing interviews with claimants, obtaining, and reviewing medical records and making timely and ethical claim determinations.… more
- Lincoln Financial Group (Providence, RI)
- …**The Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist ** to support our ever-growing claims organization in a work ... west coast employer groups. _Background details_ As a Group Claims Specialist , you will support our Short...requests relating to Short Term Disability, the Family and Medical Leave Act (FMLA), the Americans with Disabilities Act… more
- Northeast Family Services (Warwick, RI)
- Northeast Family Services is currently seeking a Billing Specialist to join their growing team! This position REQUIRES you to be able to access our Warwick RI or ... are currently looking for a passionate and dedicated Billing Specialist to join our team. The Billing Specialist...variety of daily tasks, including preparing clean and timely claims submissions, resolution of denials from payers, posting of… more
- Sutherland Global Services (Providence, RI)
- …understanding of Hospital billing form requirements (UB04) and HCFA 1500 + Medical claims and/or hospital collections experience + Minimum high school ... Do you have a background in medical collections, insurance follow-up, and revenue cycle management?...This will include: + Conducting collection activity on appealed claims by contacting government agencies, third party payers via… more
- Sedgwick (Providence, RI)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Return-to-Work Specialist **PRIMARY PURPOSE** : To negotiate, facilitate and monitor successful ... site modification and/or obtaining adaptive equipment necessary; and to ensure medical , legal and accreditation standards are maintained. **ESSENTIAL FUNCTIONS and… more
- Citizens (Riverside, RI)
- …continuously learn, consider a career at Citizens as a Fraud Customer Support Sr. Specialist . In this role, you'll play a crucial part in safeguarding our customers ... the customer's consent on a resolution. + Provide accurate complete claims processing, and records management using established procedures in moving/placing… more
- Travelers Insurance Company (West Bridgewater, MA)
- …bills, mail and wage statements. Prints and prepares claim documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to ... professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and diaries,… more
- Highmark Health (Providence, RI)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- Guardian Life (Providence, RI)
- …The Vocational Rehabilitation Consultant provides assessment of LTD, STD and Life claims , to determine claimants' level of functionality and provide evaluation of ... programs. The VRC must possess a thorough working knowledge of medical diagnoses and treatment modalities, criteria supporting vocational feasibility, and a… more
- Elevance Health (Smithfield, RI)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... claims . **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more