- MetLife (Warwick, RI)
- …impact in the lives of our customers and our communities. The Lead LTD Claims Specialist manages a caseload of long term disability insurance claims ... and within prescribed time service standards. In this role, the Lead LTD Claims Specialist will be a technical expert and emerging leader who will be responsible… more
- Lincoln Financial Group (Providence, RI)
- …73193 **The Role at a Glance** We are excited to bring on a highly motivated Life Claims Specialist to staff our ever-growing claims organization. As a Life ... for the investigation, evaluation, interpretation, and payment or denial of life claims . You will leverage sound and impartial claim judgments by following… more
- Sedgwick (Providence, RI)
- …Great 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...resolution of highly complex nature and/or high exposure surety claims ; to coordinate case management within Company standards, industry… more
- Lincoln Financial Group (Providence, RI)
- …at a Glance** We are excited to bring on a highly motivated Long-Term Disability (LTD) Claims Specialist to our claims organization. As an LTD Claims ... Specialist , you will manage a workload of Long-Term Disability claims independently in accordance with established procedures and guidelines. You will be… more
- Lincoln Financial Group (Providence, RI)
- …to staff our ever-growing claims organization. As a Short Term Disability Claims Specialist , you will be responsible for conducting initial and ongoing ... more about a Day in the Life (https://www.youtube.com/watch?v=vbSYiXOPSII&feature=youtu.be) of a Claims Specialist at Lincoln Financial Group! **What you'll be… more
- Lincoln Financial Group (Providence, RI)
- …**The Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist ** to support our ever-growing claims organization in a work ... support our west coast employer groups. _Background details_ As a Group Claims Specialist , you will support our Short Term Disability or Integrated Absence… more
- Lincoln Financial Group (Providence, RI)
- … Specialists to staff our ever-growing claims organization. As a Leaves Claims Specialist , you will be responsible for administering and managing leave ... more about a Day in the Life (https://www.youtube.com/watch?v=vbSYiXOPSII&feature=youtu.be) of a Claims Specialist at Lincoln Financial Group! **What you'll be… more
- Santander US (East Providence, RI)
- Specialist , Claims & Fraud Operations East Providence, United States of America USA Job Family Description: Responsible for the day-to-day operations of the ... needed. Completes governmental reports such as SAR. Investigates fraud claims involving ACH, Pre-authorized drafts, altered check, forged endorsements, unauthorized… more
- BrightSpring Health Services (Taunton, MA)
- …and top-quality care come join our team and apply today! Responsibilities TheClaims Specialist - 3rd Party: + Manages and identifies a portfolio of rejected pharmacy ... claims to ensure maximum payer reimbursement and timely billing...financial risks + Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third… more
- Social Security Administration (Woonsocket, RI)
- …II and/or Title XVI cases and on public fraud issues in specific claims and post-entitlement cases, provides lead role in technical training and mentoring other ... most effective use of software/systems to process specific complex claims and post-entitlement actions. Requirements Conditions of Employment Qualifications… more
- Lincoln Financial Group (Providence, RI)
- …**The Role at a Glance** We are excited to bring on an Appeals Specialist to join our Appeal Review Department in a fully remote environment. Appeal Specialists ... of Long-Term Disability appeals and Life Waiver of Premium claims . The role is responsible for interpreting and applying...procedures to each claim. _Background Details_ As an Appeals Specialist you will be responsible for being a product… 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
- Prime Therapeutics (Providence, RI)
- …decision we make. **Job Posting Title** Medicare Health Plan Operations Specialist - Remote **Job Description** The Associate Functional Business Consultant serves ... experience in at least one of the specific areas for position (eg, claims , eligibility, product, benefits, implementations or area related to the department with… more
- Textron (Providence, RI)
- **Disability & Wellness Specialist ** **Description** Textron is a renowned global multi\-industry company with a diverse portfolio spanning aerospace and defense, ... **Responsibilities:** + Ensure appropriate management of occupational and non\-occupational disability claims by business units and vendors\. + Maintain knowledge of… 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
- BD (Becton, Dickinson and Company) (Warwick, RI)
- **Job Description Summary** The Senior Regulatory Affairs (RA) Specialist within the BD Interventional Surgical Devices Business unit will work on regulatory ... global regulatory strategies and preparation of regulatory submissions. The Senior RA Specialist will provide regulatory support through the product life cycle on… more
- System One (Providence, RI)
- Marketing Product Consultant & Translation Specialist **Employment Type:** Full Time **Date Posted:** 5/30/2024 **Location:** Remote **Pay Range:** Negotiable **Job ... division is looking for a Marketing Product Consultant & Translation Specialist . **Duties & Responsibilities** + Manage reviews of Spanish translations across… more
- Sedgwick (Providence, RI)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Vocational Specialist **PRIMARY PURPOSE** **:** To develop and provide vocational services as ... university preferred. Certified Rehabilitation Counselor (CRC), Certified Disability Management Specialist (CDMS), Certified Case Manager (CCM), Certified Vocational Evaluator… more
- State of Massachusetts (Taunton, MA)
- …Assistance is seeking qualified applicants for the position of *Self Sufficiency Specialist *. Our ideal candidate will assess the needs of and provide intensive ... part-time, professional experience in social work or social casework, claims adjudication, job placement, recruitment, employment counseling, vocational or… more
- Sutherland Global Services (Providence, RI)
- …sent to Legal. This will include: + Conducting collection activity on appealed claims by contacting government agencies, third party payers via phone, email, or ... PPO, IPA and Capitation and how these payers process claims + Knowledge of Managed Care contracts, Contract Language...billing form requirements (UB04) and HCFA 1500 + Medical claims and/or hospital collections experience + Minimum high school… more