- Sedgwick (Providence, RI)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Professional Liability (Cyber) **PRIMARY PURPOSE** **:** To ... analyze complex or technically difficult Cyber and other Professional Liability claims ; to provide resolution of medium to highly complex nature claims ; to… 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
- Lincoln Financial Group (Providence, RI)
- …for this opportunity. **Requisition #:** 74082 **The Role at a Glance** As an **LTD Claims Specialist ** , you will manage a workload of Long-Term Disability ... claims independently in accordance with established procedures and guidelines....and e-mail to gather information regarding Long Term Disability Claims and state and federal benefits when applicable +… 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
- 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
- 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
- Sedgwick (Providence, RI)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Service Center Specialist - Background in Auto Insurance Required **PRIMARY PURPOSE** : To assist ... customer service representatives in expediting the application by providing claims general information; to track trends; to investigate client feedback both… 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
- 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
- Molina Healthcare (New Bedford, MA)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... care experience + Experience in one or more of the following: Claims , Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.… 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)
- …drives every decision we make. **Job Posting Title** Senior Enrollment Specialist **Job Description** + Effectively supports Magellan's SBU program operations ... and point of sale edits from providers. + Proficient use of enrollment and claims point of sale for research and problem resolution. + Assists in data collection… more
- State of Massachusetts (New Bedford, MA)
- …sociological, or rehabilitation counseling or guidance; (c) credit or claims adjustment interviewing; (d) job analysis or position classification work, ... Social Services* **Organization:** **Department of Workforce Development* **Title:** *Job Specialist III (South Shore, Cape & Islands)* **Location:** *Massachusetts-New… more
- GE Vernova (Foxborough, MA)
- …between approved project financial data and books + Support project close out and claims /Provide support to tenders + Oversee the planning function on the project + ... Ensure quality of the project controlling reporting. + Ensure accuracy of cost budgets, actuals, and forecasting + Ensure collaboration with functional cost owners to find strategies to reduce cost + Ensure alignment to established standards (WBS, process,… more
- GE Vernova (Foxborough, MA)
- …between approved project financial data and books + Support project close out and claims /Provide support to tenders + Oversee the planning function on the project + ... Ensure quality of the project controlling reporting. + Ensure accuracy of cost budgets, actuals, and forecasting + Ensure collaboration with functional cost owners to find strategies to reduce cost + Ensure alignment to established standards (WBS, process,… more
- GE Vernova (Foxborough, MA)
- …between approved project financial data and books. + Support project close out and claims + Oversee the planning function on the project + Ensure quality of the ... project controlling reporting. + Ensure accuracy of cost budgets, actuals, and forecasting + Ensure collaboration with functional cost owners to find strategies to reduce cost + Ensure alignment to established standards (WBS, process, procedures, tools usage)… more
- CVS Health (Providence, RI)
- …and knowing the roadmap and overall product strategy, serving as product and market specialist + Prioritizing which new features in the backlog will be added to the ... API experience + Agile, Lean and/or Six Sigma Project Management skills + Claims processing experience or End-to-End claims knowledge + Vendor management… more