- Ryder System (Providence, RI)
- …claims within Ryder's self-insured, self-administered liability program. Oversees claim -handling processes performed by a professional staff. Handles complex ... superior claim technical skills, past experience handling commercial auto claims and a comprehensive understanding of the related coverages . Superior… more
- Sedgwick (Providence, RI)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Environmental | Professional Liability | REMOTE **Job Description ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Providence, RI)
- …Financial Services & Insurance Claims Examiner | Multi-Line | Public Entity | Remote Are you looking for an opportunity to join a global industry leader where ... by investigating and gathering information to determine the exposure on the claim ; assesses damages; manages claims through well-developed action plans to an… more
- Sedgwick (Providence, RI)
- …Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a Claims Examiner at Sedgwick, you'll have the opportunity to take ... daily work and your career path. This is a remote , work-at-home, telecommuter position. + Be a part of...and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans… more
- Sedgwick (Providence, RI)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... Work(R) Fortune Best Workplaces in Financial Services & Insurance ( Remote ) Claims Team Lead - Workers Compensation...claim status; and provides written resumes of specific claims as requested by client. + Assures that direct… more
- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** The Supervisor , Claims Review makes appropriate claim decision based on strong ... claims procedures, contract provisions, and state and federal legislation. The Supervisor , Claims Review works within thorough, prescribed guidelines and… more
- Carrington (Providence, RI)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... advances once the GSE or Government Mortgage Insured "expense" claim has been paid. + Confirm all prior tasking...manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems including, but… more
- Beth Israel Lahey Health (Charlestown, MA)
- …claims through the Epic Billing System.** **Works higher level of complexity specific claim edit work queue(s) daily and resubmit claims through the Epic ... billing system** **Works higher level of complexity External claim edits from Clearinghouse and resubmits claims ...claims /data problems that cannot be handled to the Supervisor /Manager within one (1) day of identifying the problem.**… more
- Beth Israel Lahey Health (Charlestown, MA)
- …Analyst is charged with coordinating the analysis and effective resolution of denied claims with the purpose of reducing overall denials and increasing revenue. This ... **Essential Responsibilities:** Responsible for prioritizing and managing to resolution denied claims with third party payers. Research, develop and maintain a solid… more
- Beth Israel Lahey Health (Charlestown, MA)
- …and resubmit claims through the Epic billing system + Works External claim edits from Clearinghouse and resubmits claims through the Epic billing system ... This position is full-time with benefits and offering a Remote work schedule. Under oversight of the Department Manager...claims /data problems that cannot be handled to the Supervisor /Manager within one (1) day of identifying the problem.… more
- CVS Health (Woonsocket, RI)
- …(30%) + Investigate and resolve any billing discrepancies and assist the Billing Manager/ Supervisor in analyzing monthly billing variances (20%) + Load new rates and ... and efficient revenue reporting and vendor payments (10%) + Process administrative claims to collect payment for monthly administrative invoices (5%) - Complete… more
- Cardinal Health (Providence, RI)
- …Collections is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of outstanding balances ... + Contact insurance companies via phone, portals, or email to check claim status, request reprocessing or escalate issues. + Analyze denials and underpayments… more
- Cardinal Health (Providence, RI)
- …to patient care + Consults with appeals department for disputed / denied claims . + Works / Understands electronic claim interchange + Understands life ... of 50 to 100 denials per day based on supervisor requirements and accounts assigned + Works closely with...cycle of primary and secondary claims + Maintains front office support relationship + Takes… more
- Dana-Farber Cancer Institute (Boston, MA)
- **Hybrid schedule: 2 weeks remote and 1 week onsite at Longwood Medical Center.** The Inpatient Authorization Specialist reports to and receives direction from the ... Access & Financial Engagement Supervisor to support inpatient registration and manage medical necessity-based authorizations for planned and urgent/emergent… more
- Beth Israel Lahey Health (Milton, MA)
- …and equipment security and safeguarding guidelines when working in a remote setting. Maintains productivity, quality, and accuracy levels and communicates regularly ... with the Supervisor and Manager. Pre-Registration: 16. Efficiently registers patients, capturing...patient, and receive proper reimbursement for services on initial claim submission. 17. Ascertains, creates, and assigns the guarantor… more