- Lincoln Financial Group (Providence, RI)
- …employers and various medical professionals through phone and e-mail to gather information regarding Short Term Disability Claims , Family Medical Leaves, ... As an Integrated Absence Claims Specialist, you will manage a workload of Short - Term Disability claims and their associated leaves. You will be… more
- Humana (Providence, RI)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short - term and long- term disability , life insurance and many ... and help us put health first** The Senior Pharmacy Claims Professional adjudicates pharmacy claims and process...gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy… more
- Lincoln Financial Group (Providence, RI)
- …groups. _Background details_ As a Group Claims Specialist, you will support our Short Term Disability or Integrated Absence teams. You will be ... are excited to bring on a highly motivated **Group Claims Specialist** to support our ever-growing claims ...responsible for administering and managing requests relating to Short Term Disability , the Family… more
- Zurich NA (Providence, RI)
- …Total Rewards, Clickhere (https://www.zurichna.com/careers/benefits) . Other rewards may include short term incentive bonuses and merit increases. **Candidates ... Associate Degree Apprenticeship Program - F&I Claims - Multiple Locations (Summer 2025) 115858 **_Zurich North America's Apprentice Program_** Zurich is accepting… more
- Humana (Providence, RI)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short - term and long- term disability , life insurance and many ... by driving real impact and shaping the future of claims management? As a Senior Pharmacy Claims ...gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy… more
- MetLife (Warwick, RI)
- …resources Preferred: * Bachelor's degree * 7+ years of STD Insurance Claims experience Equal Employment Opportunity/ Disability /Veterans If you need an ... leadership and coaching skills. Extensive knowledge of STD, group disability , Workers Compensation, ERISA, Social Security and state laws...accommodation due to a disability , please email us at ###@metlife.com. This information will… more
- Elevance Health (Smithfield, RI)
- …bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock ... of utilization and/or fraudulent activities by healthcare providers through prepayment claims review, post-payment auditing, and provider record review. **How you… more
- Guardian Life (Providence, RI)
- …level of knowledge for future opportunities. + Collaborate with internal business partners including Short Term Disability , Long Term Disability , ... work experience; integrated absence management preferred. + 5+ years of disability claims experience. + 3+ years of demonstrated leadership experience. +… more
- CVS Health (Cumberland, RI)
- …a fully-paid term life insurance plan to eligible employees, and short - term and long term disability benefits. CVS Health also offers numerous ... with CVS internal and external partners to resolve audit claims . + Audit Reporting/Communication- Solid meeting management and oral/written...is eligible for a CVS Health bonus, commission or short - term incentive program in addition to the… more
- CVS Health (Cumberland, RI)
- …a fully-paid term life insurance plan to eligible employees, and short - term and long term disability benefits. CVS Health also offers numerous ... ensure payment accuracy and recovery projects based on specific claims outlier and trend findings. * Manage a team...is eligible for a CVS Health bonus, commission or short - term incentive program in addition to the… more
- Norstella (Providence, RI)
- …Life and AD&D Benefits + 401k Retirement Plan with Company Match + Company Paid Short & Long- Term Disability + Paid Parental Leave + Education Reimbursement ... integrating diverse data sources, including laboratory data, electronic medical records (EMR), claims data, and social determinants of health (SDoH) data, to drive… more
- Zurich NA (Providence, RI)
- …Total Rewards, Clickhere (https://www.zurichna.com/careers/benefits) . Other rewards may include short term incentive bonuses and merit increases. **Candidates ... Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate… more
- Elevance Health (Smithfield, RI)
- …bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock ... and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims … more
- Northeast Family Services (Warwick, RI)
- …mental health days + 401k retirement plan with up to 4% match + Voluntary short and long- term disability + Voluntary Life Insurance + Dependent care ... variety of daily tasks, including preparing clean and timely claims submissions, resolution of denials from payers, posting of...a timely manner + Monitor the accuracy of submitted claims + Verify ICD-10 / CPT coding for accuracy… more
- Elevance Health (Smithfield, RI)
- …bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock ... office**_ The **Provider Reimburse Admin** ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing… more
- CVS Health (Providence, RI)
- …a fully-paid term life insurance plan to eligible employees, and short - term and long term disability benefits. CVS Health also offers numerous ... relevant factors. This position is eligible for a CVS Health bonus, commission or short - term incentive program in addition to the base pay range listed above.… more
- CVS Health (Woonsocket, RI)
- …a fully-paid term life insurance plan to eligible employees, and short - term and long term disability benefits. CVS Health also offers numerous ... Informatics clinical consultant who is skilled at utilizing healthcare claims data to identify outliers. The ideal candidate retrieves,...is eligible for a CVS Health bonus, commission or short - term incentive program in addition to the… more
- Elevance Health (Smithfield, RI)
- …bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock ... healthcare fraud in order to recover corporate and client funds paid on fraudulent claims . **How will you make an impact:** + Claim reviews for appropriate coding,… more
- Conviva (Providence, RI)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short - term and long- term disability , life insurance and many ... **Required Qualifications** + Minimum of three years related experience as Claims Processor, Insurance Billing and/or Collections. + Knowledge of submission and… more
- CVS Health (Providence, RI)
- …a fully-paid term life insurance plan to eligible employees, and short - term and long term disability benefits. CVS Health also offers numerous ... external partnerships for the implementation of process enhancements resulting in short /long term resolutions. **Required Qualifications** + Prior work… more