- Sedgwick (Providence, RI)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead (Auto) **PRIMARY PURPOSE** : To supervise the operation of… more
- HomeSafe Alliance (Providence, RI)
- **Title:** Assistant Claims Manager (Military Move) **HomeSafe Alliance** is the single global household goods movement manager of over 300,000 Military Household ... motivated **Assistant** **Cl** **aims Manager** to assist in all aspects of claims management, to support and promote process improvement methodologies and best… more
- Sedgwick (Providence, RI)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically difficult ... surety and surety bond claims ; to provide resolution of highly complex nature and/or...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Providence, RI)
- …mainly Australia. If this does not apply to you please use the 'Apply' option.** Claims Examiner - Liability IF YOU CARE, THERE'S A PLACE FOR YOU HERE For a ... Sedgwick supports and resolves property, general, auto, product and professional liability claims . We help our clients maintain brand protection in times of crisis.… more
- Carrington (Providence, RI)
- **Come join our amazing team and work remote from home!** The Sr Claims Recovery & Analysis Analyst is responsible for performing financial reconciliation on all ... to completion that falls within the scope of the Claims Recovery & Analysis Department. + Prepare Claims...and requirements that resulted in the loss. + Keep Supervisor informed of all trends and problems including, but… more
- Prime Therapeutics (Providence, RI)
- …our passion and drives every decision we make. **Job Posting Title** Supervisor , Billing - Remote **Job Description Summary** Responsible for managing team(s) to ... and minutes; disseminate information consistently and timely; ensure all claims processing documentation is current and accurate; Interacts professionally, and… more
- Highmark Health (Providence, RI)
- …are met. Represent the department in compliance audits as it relates to the supervisor functions. + Act as subject matter expert for benefit plan and claims ... processing + Research and investigate any privacy or compliance concerns (CMS, HIPAA, internal policy, etc).Complete root cause analysis and address remediation process with impacted employees. + Participate in process improvement initiatives as appropriate,… more
- Fallon Health (Dartmouth, MA)
- …all data related to HPMS reporting. + Manages the preparation of all claims and invoices. Maintains referrals. + Manages memorial donations and communicates to ... appropriate Fallon Health staff. + Maintains attendance logs and meeting minutes and certification logs as requested by Site Director. + Assures that front-desk/reception area is always staffed while site is open. + Manages and maintains appointment scheduling… more
- Travelers Insurance Company (Bridgewater, MA)
- …reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims by completing essential… more
- Mathematica (Providence, RI)
- …large secondary data sources such as Medicaid (T-MSIS, TAF) administrative claims data to effectively answer research questions and guide decision-making about ... and practical knowledge of administrative healthcare data (eg commercial claims , hospital claims , and Medicare or Medicaid...obtain work outside CMS. Staff will work with their supervisor to get re-staffed, however if they are unable… more
- Mathematica (Providence, RI)
- …and maintaining clinical quality measures, supporting states with implementing all-payer claims databases, alternative payment models, or tools to support analytics, ... policy issues. * Familiarity with Medicare or Medicaid enrollment, claims , financial, or program data is preferred. * Excellent...obtain work outside CMS. Staff will work with their supervisor to get re-staffed, however if they are unable… more
- Evolent Health (Providence, RI)
- …for assigned health plan regarding the accurate and timely submission of claims /statements. + Works with management to obtain corporate financial goals and ... to payers and customers in a timely manner. + Researches and resubmits claims without response or denied in established time frame. + Resolves billing payment… more
- The Robison Group (Providence, RI)
- …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil ... OPPORTUNITIES FOR GROWTH WITHIN THE COMPANY INCLUDE: SIU work, Field Supervisor , Field Operations Manager, Case Management, etc. Department Surveillance Employment… more
- Walgreens (Somerset, MA)
- …the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Restaurant Depot (Milford, MA)
- Position Title: Administrative Assistant Department: Administrative (Branch Level) Supervisor : Branch Manager FLSA: Non-exempt Position Summary: Performs Human ... injuries/illnesses to insurance carrier and assists Corporate in the resolution of the claims . 4. Maintains OSHA Records 5. Manages Leaves of Absence for employees… more
- State of Massachusetts (Brockton, MA)
- …incumbent for this position works under the supervision of the Regional Homeless Supervisor . *_ _* *_DUTIES AND RESPONSIBILITIES (NOT ALL INCLUSIVE):_* *_ _* *_1) ... of the unit in the absence of the Regional Homeless Coordinator Supervisor . Completes special projects in accordance with Department policy and established work… more
- Sunrun (Providence, RI)
- …driver's license + Three years of this experience must be as a manager, supervisor , or equivalent position of leadership + Strong knowledge of safety regulations for ... risk assessment + Familiarity with the insurance industry, specifically Workers' Compensation claims + Working knowledge of the Microsoft Office Suite and common… more
- Walgreens (North Providence, RI)
- …to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... management. Reviews KPI's with Pharmacy Manager, Store Manager, and Healthcare Supervisor . + Develops and maintains good relationships with local medical community… more
- Walgreens (Taunton, MA)
- …Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... one's own performance, solicits for constructive feedback, and leverages Healthcare Supervisor as mentor and coach. **Communication** + Communicates with pharmacy… more
- Universal Health Services (Fall River, MA)
- …manner + Assure co-payments are collected + Assist with resolving problem claims with contracted billing company + Develop program effectiveness and methods of ... + LICSW or LMHC required + Minimum of two years as a clinical supervisor or program manager preferred + Minimum of five years of psych experience preferably… more