- Sedgwick (Providence, RI)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr . Claims Specialist , Professional Liability **PRIMARY PURPOSE** ... **:** To analyze complex or technically difficult miscellaneous professional liability claims ; to coordinate case management within Company standards, industry… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr . Analyst plays a critical role in ensuring accurate, compliant, ... reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr . Analyst serves as a subject... Professional Coder (CPC) - AAPC + Certified Claims Professional (CCP) + Other AHIMA or… more
- Commonwealth Care Alliance (Boston, MA)
- …considered at this time._** **Position Summary:** Working under the direction of the Sr . Director, TPA Management and Claims Compliance, Healthcare Medical ... Sr . Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and...certified within 1 year of employment - + Certified Professional Coder (CPC) + Certified Inpatient Coder (CIC) +… more
- Commonwealth Care Alliance (Boston, MA)
- … Claims Operations & Quality Assurance, the Regulatory Compliance & Audits Sr . Specialist II is responsible for ensuring CCA's operational compliance with ... 011250 CCA- Claims **_This position is available to remote employees...Please note employment with CCA is contingent upon acceptable professional references, a background check (including Mass CORI, employment,… more
- FM (Johnston, RI)
- …loss prevention with insurance protection. **Summary** The Corporate Affairs Contracts Specialist II role is responsible for providing global legal and compliance ... subsidiaries (FM) with contracts, inclusive of non-disclosure agreements (excludes Claims and litigation based non-disclosure agreements). Responsibilities extend to… more
- The Brattle Group (Boston, MA)
- …to internal departments and external benefit insurers as well as coordination with Senior Benefits Specialist related to onboarding of new employees in Europe ... including communications on features, eligibility, and processing of wellness claims + Assist with compensation-related activities including research, scheduling… more