• Liability Claims Representative

    Sedgwick (Providence, RI)
    …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Representative | Remote Are you looking for an ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...OF THE ROLE:** To analyze mid-level Commercial General Liability claims on behalf of our valued clients to determine… more
    Sedgwick (10/31/24)
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  • Claims Representative I…

    Ryder System (Providence, RI)
    …small to medium 3rd party property damage and cargo claims under Ryder's self-insured, self-administered liability program. **ESSENTIAL FUNCTIONS** Investigates, ... to medium exposure 3rd party property damage and cargo claims pursued against Ryder Ensures the most appropriate and...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
    Ryder System (01/15/25)
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  • Customer Service Representative

    CAI (Providence, RI)
    **Job ID Number** R4641 **Employment Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Customer Service ... Representative ready to take us to the next level!...services. This position is a **3+ month contract** and ** remote ** . **Must reside in North Carolina.** **What You'll… more
    CAI (01/29/25)
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  • Grievances & Appeals Representative II

    Humana (Providence, RI)
    …and other associates who have been assigned different case types. This position is permanent Remote /Work at Home. Work hours are Monday - Friday (8 - 4:30 with a ... and/or Service Read Only + Previous experience in medical claims processing + Previous inbound call center or related...+ Prior experience with Medicare + Experience with the Claims Administration System (CAS) + Ability to manage large… more
    Humana (01/28/25)
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  • Sr Data and Reporting Analyst - Remote

    Prime Therapeutics (Providence, RI)
    …decision we make. **Job Posting Title** Sr Data and Reporting Analyst - Remote **Job Description** The Senior Data & Reporting Analyst is responsible for supporting ... levels of leadership within the organization, acting as a representative of the broader Reporting and Analytics team +...experience + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data… more
    Prime Therapeutics (01/29/25)
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  • HR Compliance Specialist - REMOTE

    Ryder System (Providence, RI)
    …reporting; I-9 compliance; Pre-employment services; Unemployment Insurance claims ; Immigration Services; Leave Administration; Workplace Accommodations; Drug ... to the established policies and procedures, and established governance process. REMOTE work from HOME **Essential Functions** + Experience completing Federal and… more
    Ryder System (01/27/25)
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  • Claim Rep, Sr Casualty (Hybrid)

    MAPFRE Insurance (Webster, MA)
    …opportunity employer._ **Nearest Major Market:** Worcester **Job Segment:** Call Center Representative , Customer Service Representative , Law, Claims , ... make a difference. Bring your passion and enthusiasm for Claims to our TEAM! At MAPFRE we believe we...Summary **Position is Hybrid (2 days in office/3 days remote ) in our Webster or Boston, MA Office or… more
    MAPFRE Insurance (12/29/24)
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  • Division Chief

    State of Massachusetts (Boston, MA)
    …/* _Division Chief_ _Health Care & Fair Competition Bureau_ _False Claims Division_ Attorney General Andrea Joy Campbell is looking for an ... her management team as the Chief of the False Claims Division. The False Claims Division investigates...Type_: Full Time/Exempt. Our current hybrid model includes some remote workdays for most positions. _Salary_: $137,417 *_To apply… more
    State of Massachusetts (01/08/25)
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  • Senior Payment Integrity Analyst

    HealthEdge Software Inc (Providence, RI)
    …implementing proprietary healthcare edits that drive cost savings and accuracy in claims processing. The successful candidate will be responsible for taking a senior ... level role in analyzing claims data, as well as translating contract terms, policies,...permanent **Work Environment:** The physical demands described here are representative of those that must be met by an… more
    HealthEdge Software Inc (01/15/25)
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  • Field Construction Manager - Paige Renewables

    GCG (Providence, RI)
    …guidelines and detailed manuals. These efforts will not only support warranty claims but also enhance customer satisfaction by delivering service that sets us ... related travel (50% to 75% depending on work volume) this role offers a remote work arrangement however preferred location for candidates would be within the state… more
    GCG (01/29/25)
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  • Senior Manager, Product Operations

    HealthEdge Software Inc (Providence, RI)
    …and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream ... integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a… more
    HealthEdge Software Inc (12/20/24)
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  • Business Consultant

    HealthEdge Software Inc (Providence, RI)
    …issues are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete suite ... of provider rate and/or claim editing provisions in a claims adjudication system and/or third-party vendor application. + Working...None **Work Environment:** The physical demands described here are representative of those that must be met by an… more
    HealthEdge Software Inc (12/18/24)
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  • Account Coordinator, Client Services…

    Health Plans, Inc. (Westborough, MA)
    …assisting the Vice President of Client Services, Account Manager and Client Service Representative with the plan implementation for new clients, as well as assisting ... the Account Coordinator will assist the Account Manager and Client Service Representative in the coordination of the plan implementation by producing and compiling… more
    Health Plans, Inc. (01/25/25)
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  • Network Engineer

    HealthEdge Software Inc (Providence, RI)
    …root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete ... and deliver excellent software and services to our customers._ **Geographic Responsibility:** Remote but ideal candidate would live within the driving distance to… more
    HealthEdge Software Inc (11/27/24)
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  • Care Coordinator

    WellSense (Boston, MA)
    …caregivers. The Care Management Coordinator is a key contact and department representative and must have excellent written and verbal communication skills. This ... Perform other duties as requested. Our Investment in You: + Full-time remote work + Competitive salaries + Excellent benefits **Key Functions/Responsibilities:** +… more
    WellSense (01/28/25)
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