- 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
- 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
- Humana (Providence, RI)
- …a part of our caring community and help us put health first** The Pharmacy Claims Representative assists local pharmacies with claims adjudication to support ... & LTC hospice patients and reconcile historic billing issues. **Location: Remote US** **Shift: Monday-Friday 2:30pm-11pm EST. Flexibility to work alternating… more
- Concentrix (Providence, RI)
- Job Title: Seasonal Customer Service Representative - Remote (Healthcare) Job Description **JOB DESCRIPTION** The Customer Service Representative - Remote ... and " **Best Companies for Career Growth** " awards every year? Then a remote Customer Service Representative (Healthcare) position at Concentrix is just the… more
- MAPFRE Insurance (Webster, MA)
- …Worcester **Job Segment:** Call Center Representative , Customer Service Representative , Work from Home, Claims , Recruiting, Customer Service, Contract, ... Auto Damage Insurance Claim Rep (Hybrid or Remote ) Date: Jan 15, 2025 Location: Webster MA...you will be responsible for adjusting 1st party Express claims for Auto Physical Damage through screening losses, determining… more
- MAPFRE Insurance (Webster, MA)
- …is Hybrid within a commutable distance to Webster, MA, also available in Boston or Remote ** Bring your passion and enthusiasm for Claims to our TEAM! At MAPFRE ... Claim Rep, Casualty (Hybrid or Remote ) Date: Jan 14, 2025 Location: Webster or...include moderate severity Bodily Injury and Un/Under Insured Motorist claims . With appropriate training, there may be some exposure… more
- Fallon Health (Worcester, MA)
- …helping the elderly and their families? Fallon Health is hiring an Enrolle Service Representative to work Hybrid- Remote , Mostly from Home but coming into the ... the best possible outcomes. **Brief Summary of Purpose:** The Enrollee Service Representative is responsible: + To execute the following tasks in accordance with… more
- 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
- United Therapeutics (Providence, RI)
- …the pharmaceutical and biotech industry, including FDA advertising and promotion, False Claims Act, Anti-Kickback Statute, OIG Guidance, the PhRMA Code, the Sunshine ... to the Food Drug and Cosmetic Act, the False Claims Act, Anti-Kickback Statute, the Sunshine Act and other...healthcare related laws and regulations + Serve as Legal representative on the Company's promotional review committee, including review… more
- 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
- 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 (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
- MAPFRE Insurance (Webster, MA)
- …interactions, this is the perfect position for you! As a Customer Service Representative you will act as a key resource which includes responsibilities in answering ... business and affiliates and coordinating first notice of loss claims . **CALL CENTER BILLING or FIRST NOTICE OF LOSS...Opportunities, and flexible work schedules. **We are offering fully remote positions from anywhere within the US or a… more
- 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 (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 (Providence, RI)
- …solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a ... permanent **Work Environment:** The physical demands described here are representative of those that must be met by an...Work across multiple time zones in a hybrid or remote work environment. + Long periods of time sitting… more
- Humana (Providence, RI)
- …managed care organizations, as well as state and federal employees. **WORK STYLE:** Remote /work at home with Up to 10-15% travel (local, regional, national) will be ... investigation experience in managed care or CMS. + Prior health insurance claims experience + Demonstrated formal or informal people management + Excellent PC… more