- 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
- 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
- Prime Therapeutics (Providence, RI)
- …our passion and drives every decision we make. **Job Posting Title** Senior Medicare Claims Specialist - Remote **Job Description** The Claims Specialist ... client and member satisfaction + Serve as the escalation point for Claims Specialist ; provide guidance and mentoring to ensure team member's knowledge on system… more
- Lincoln Financial Group (Providence, RI)
- …73278 **The Role at a Glance** We are excited to bring on highly motivated Voluntary Claims Specialist I to staff our ever-growing claims organization. As a ... administering, processing, and adjudicating Accident, Critical Illness, and Hospital Indemnity claims for our members. You'll complete a thorough training to develop… more
- Citizens (Riverside, RI)
- Description As a Fraud Claims Sr. Specialist , you'll play a pivotal role in our Fraud and Claims Operations group, one of our most critical departments at ... use critical thinking skills to assist customers with existing claims and determine the best next step for the...and within other business areas. Primary Responsibilities + Review Claims - Responsible for reviewing claims filed… 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
- Carrington (Providence, RI)
- **Come join our amazing team and work remote from home!** **The Default FHA Claims Specialist II will work under moderate supervision, be responsible for ... preparing, filing, and following up on FHA claims timely and accurately according to insurer/investor guidelines. Performs...to $23.00/hr.** **What you'll do:** + Prepare and file claims for two or more primary loan types timely… more
- MetLife (Warwick, RI)
- …Operations group (GTO) is a diverse team of engineers, developers, business analysts, claims analysts and project managers with the freedom to create innovative and ... will provide exemplary customer service by processing group disability claims in a timely and accurate fashion. Key Responsibilities:...based on the provisions of the policy. * Claim Specialist Trainees will be routinely evaluated for increases in… 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
- 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
- Sedgwick (Providence, RI)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Return-to-Work Specialist **PRIMARY PURPOSE** : To negotiate, facilitate and monitor successful ... Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) efforts through negotiation with… more
- Walgreens (Middletown, 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
- Prime Therapeutics (Providence, RI)
- …drives every decision we make. **Job Posting Title** Lead Rebate Billing Specialist **Job Description Summary** Oversee daily operations as outlined by management. ... to assure proper follow up is completed to expedite claims and ensure proper payment. **Job Description** + Lead...flow and results. + Perform quality oversight for assigned claims , ensuring proper reimbursement. + Recognize and report to… more
- Family Service Association - Fall River (Fall River, MA)
- …is seeking to hiring a temporary full time (35 hours per week) Medical Billing Specialist . Hours are Monday - Friday from 9:00 am to 5:00 pm The Temporary Medical ... receivable. Duties and Responsibilities : . + Researching denied claims . + Determine if a denial can be rebilled...insurance company. + Work aged receivables report to identify claims that need to be appealed or written off.… 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
- Zurich NA (Providence, RI)
- Product Specialist I 114106 Zurich North America is currently looking for a Product Specialists to join our Casualty Product Development Team based out of our North ... and endorsement drafting, leading reviews with Corporate Law and Claims Legal, and managing the filing process and Departments...filings within scope of underwriting Basic Qualifications - Product Specialist I + JD and 6 or more years… 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
- Citizens (Johnston, RI)
- …clearly, listens actively, and takes notes to understand the customer's fraud claims . Handles routine customer fraud inquiries promptly and takes actions to provide ... customers' expectations while simultaneously independently creating a claim. Processed claims requires accurate and complete documentation and records management… more