- BrightSpring Health Services (Taunton, MA)
- Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist , where you'll play a key role in ensuring our long-term care and senior living clients receive the pharmaceutical… more
- Sedgwick (Providence, RI)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist , Professional Liability **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** ... + Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on the claim; manages… more
- Sedgwick (Providence, RI)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Environmental Claims Specialist **Job Description Summary** To analyze complex or ... technically difficult environmental claims ; to provide resolution of highly complex nature and/or...provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within company standards, industry… more
- Carrington (Providence, RI)
- **Come join our amazing team and work from home!** The Loss Mitigation FHA Claims Specialist will be responsible for preparing, filing, and following up on all ... FHA home retention claims timely and accurately according to investor/insurer guidelines. Perform...**What you'll do:** + Prepare and file all HUD claims timely and accurately according to investor/insurer/CMS guidelines and… more
- Zurich NA (Providence, RI)
- Managed Care, Claims Vendor Management Sr Specialist 118916 Zurich North America is seeking a Managed Care, Claims Vendor Management Senior Specialist to ... anywhere in the United States. **About the Role** As a Senior Specialist in Managed Care and Claims Vendor Management, you will play a key role in administering… more
- MetLife (Warwick, RI)
- …pending, ongoing and appeal reviews. . Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and ... proofs are needed to make a reasonable and logical claims determination based off the information available. . Collaborates...conduct information gathering to be able to articulate the claims decision upon the completion of an evaluation, as… more
- Zurich NA (Providence, RI)
- … Specialist 118919 Zurich is currently looking for a CROP Design and Development Specialist for our Crop Claims division. This position may work out of one ... of the following North American offices: 100% Virtual. Develops support and supplemental material (user guides, tip sheets, self-support/on-the-job guides, release notes) for larger learning solutions and initiatives. Works with Program Managers and more… more
- USAA (Providence, RI)
- …makes us so special! **The Opportunity** As a Insurance Property Adjuster Specialist , you will work within established guidelines and framework to investigate, ... evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will...in compliance with all state regulatory requirements. Property Adjuster Specialist focus on using technology and desk adjusting for… 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
- Family Service Association - Fall River (Fall River, MA)
- …Service Association is seeking to hiring a full time, 40 hours per week, Revenue Cycle Specialist . Hours are Monday - Friday from 8 am to 5 pm The Revenue Cycle ... Specialist , reporting to the Director of Financial Services, plays...payment receipt. Key responsibilities include reviewing and processing insurance claims , verifying patient insurance information, resolving billing issues, managing… more
- Defense Contract Management Agency (Cranston, RI)
- …Conditions of Employment Qualifications To qualify for a Quality Assurance Specialist position your resume and supporting documentation must support A, B, ... at the time of application) to support your educational claims . Or, if you are using education to qualify...at the time of application) to support your educational claims . The transcripts must include your name, the name… more
- Walgreens (West Warwick, RI)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Evolent (Providence, RI)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Specialist , Credentialing Operations will be a dynamic role that will encompass determining ... to the Associate Director, Credentialing Operations. **Collaboration Opportunities:** The Specialist , Credentialing Operations team collaborates with the Provider Data… more
- Travelers Insurance Company (Providence, RI)
- …and providing expertise in adjusting large, complex Boiler and Machinery first party claims both in the United States and on occasion, internationally. In addition, ... for improvement. + Manages losses assigned to independent adjusters, quota share claims , and litigated files. + Produces professional, quality Large Loss reports… more
- Prime Therapeutics (Providence, RI)
- …our passion and drives every decision we make. **Job Posting Title** Enrollment Specialist - ADAP - Remote in Connecticut **Job Description Summary** This position ... sale edits from providers and discharge planners + Proficient use of enrollment and claims point of sale systems for research and problem resolution. + Assists in… more
- CVS Health (Providence, RI)
- …Behavioral Health. **What you will do** + Acts as a top-level specialist in contract negotiations with payers, establishing reimbursement rates, terms, and ... payer landscape dynamics. + Evaluates payer performance metrics, such as claims processing, reimbursement accuracy, and contract compliance, and identifies areas for… more