- Boston Mutual Life Insurance (Canton, MA)
- …courteous. + Leave our customers and associates "better than where we found them." The Director - Claim Services plays a pivotal role within Boston Mutual, ... for managing and overseeing of all aspects of the Claims Service team for Life and Accident...policies. + Stay informed about changes in regulations affecting Claim services . + Develop and implement risk… more
- Sedgwick (Providence, RI)
- …Fortune Best Workplaces in Financial Services & Insurance Business Development Director - Casualty Claims (Northeast Region) As a Business Development ... rapidly growing, industry-leading global company known for its excellence and customer service . + Leverage Sedgwick's broad, global network of experts to both learn… more
- Humana (Providence, RI)
- …outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Zurich NA (Providence, RI)
- Claims Construction, Professional Liability Claims (Senior or AVP level) 128423 **Zurich North America is expanding its nationwide Construction Professional ... Liability Claims Team with the addition of a dedicated ...expertise and strategic coordination. + Accurately update and document claim files in accordance with best practices, ensuring data… more
- Zurich NA (Providence, RI)
- AVP, Complex Construction Claims - NY Labor Law 126105 Zurich North America is looking for a dynamic and experienced leader to join our Complex Liability Claims ... role, you'll take charge of managing intricate, high-exposure construction and litigation claims while playing a key role in supporting our New York Labor… more
- Evolent (Providence, RI)
- …health outcomes and a more connected care journey. We are hiring for a Managing Director , Actuarial Services to join our Finance Team. The candidate selected for ... to ensure clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for communication to key… more
- CenterWell (Providence, RI)
- … Director , Primary Care relies on medical background and reviews health claims . The Medical Director , Primary Care work assignments involve moderately complex ... The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- Travelers Insurance Company (Providence, RI)
- …needed to the Claim Field organization. + Provide input into to claim practices, marketing strategy and customer services as appropriate to anticipate, ... Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is… more
- Zurich NA (Providence, RI)
- …experience in the Claims or Underwriting Support are OR AVP, Underwriting Director - Energy, Oil, Gas and Chemicals Requirements: + High School Diploma or ... Executive Underwriter OR AVP, Underwriting Director - Energy, Oil, Gas & Chemicals 128378...years. By providing a broad array of products and services , we work with our customers to support their… more
- Humana (Providence, RI)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Humana (Providence, RI)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... , requested level of care, and/or requested site of service should be authorized. All work occurs with a...services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups,… more
- Sedgwick (Providence, RI)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Director , Clinical Programs **PRIMARY PURPOSE** : **The ideal ... claims and/or managed care. Preferred experience in: client services , clinical operations, and or workers comp claims.... To determine account management strategies related to client service plans; to be responsible for retention of existing… more
- Humana (Providence, RI)
- …Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems ... scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of … more
- Kyndryl (Providence, RI)
- …+ Collaborate with clients to redesign customer journeys and improve service delivery across all touchpoints. + Develop and execute transformation roadmaps ... **Required Skills and Experience** + 10+ years of experience in sales, consulting, services or transformation roles within CX, BPO, or CCaaS domains. + Proven track… more
- HUB International (Milford, MA)
- …management, life and health, employee benefits, investment and wealth management products and services . Becoming a part of HUB means that you thrive in an ... resource requirements. + Coordinate cross-functional teams (eg, operations, lines of business, claims , IT, HR, compliance) to ensure project milestones are met. +… more
- RxBenefits (Providence, RI)
- …Manager also assists with resolving client issues involving performance discrepancies and claims issues. This role will support the Director , Pharmacy Pricing ... cross functional role, the Senior Manager, Pharmacy Pricing will report to the Director , Pharmacy Pricing & Analytics. The Senior Manager, Pharmacy Pricing is a… more
- Zurich NA (Providence, RI)
- …to improve operational efficiencies, quality and/or timeliness. At Zurich North America Claims , we understand the importance of flexibility and work-life balance in ... with vendors. + Analyze operational data, identify trends, and collaborate with the Claims and Admin Support teams to optimize vendor performance to mitigate risks… more
- Zurich NA (Providence, RI)
- …will drive the performance and growth of the Contract and Commercial Surety Services industry segment at the national level. Training and supporting the Market ... area Preferred Qualifications: + Juris Doctor degree + Experienced Surety Claim attorney + Significant experience representing surety clients in complex litigation… more
- Evolent (Providence, RI)
- …performed within the RN/LVN/LPN scope of practice, under Medical Director direction, using independent nursing judgement and decision-making, physician-developed ... Be Doing:** + Performs utilization review of outpatient procedures and ancillary services . + Fulfills on call requirements for selected clients as scheduled. +… more
- Point32Health (Canton, MA)
- …perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities ... enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn.... **Job Summary** Working under the direction of the Director or Senior Manager, the Senior Network Performance Analyst… more