- 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 ... is accurately completed on all liquidated loans. Key reviewer of loss analysis decisions which include validating the determined responsibility and root cause for… more
- Elevance Health (Boston, MA)
- ** Claims Auditor I, II and Senior **...system issues, where applicable. + Refers overpayment opportunities to Recovery Team. + ** Claims Auditor II** - ... specialized claims , working independently and without significant guidance. The ** Claims Auditor Senior ** is responsible for auditing of high dollar… more
- Humana (Providence, RI)
- …a related field, or equivalent work experience. + Demonstrated experience in claims analysis , payment integrity, or healthcare data analytics, preferably within ... anomalies in data to identify and collect overpayment of claims . Contributes to the investigations of fraud waste and...to the investigations of fraud waste and our financial recovery . The Senior Payment Integrity Professional work… more
- Travelers Insurance Company (Boston, MA)
- …businesses of all sizes. The BSI Claim Counsel team conducts thorough investigation, analysis , evaluation, and disposition of claims and claim litigation to ... As a valued member of our team, you will provide legal advice to our claims and underwriting colleagues as well as other business units and participate in BSI claim… more
- Point32Health (Canton, MA)
- …. **Job Summary** Working under the direction of the Director or Senior Manager, the Senior Network Performance Analyst will be part ... well as finding improvements) and ad hoc requests. The Senior Network Performance Analyst may also serve as a...analysts to identify and present cost avoidance and cost recovery opportunities. + Perform financial & utilization analytics required… more
- Wolters Kluwer (Boston, MA)
- …teams to implement AI-driven solutions that streamline processes such as claims processing and automate repetitive tasks, thereby improving efficiency and accuracy. ... resolving issues and optimizing performance. + Conduct strategic performance analysis and implement enhancements to infrastructure and operations. **Communication &… more