• Senior Fraud and Claims

    Citizens (Johnston, RI)
    Risk Managers and/or Senior Risk Managers primarily supporting the Fraud and Claims line of business Qualifications: + 8-12+ years experience in ... adherence to policies and procedures. + Advise and help senior management understand and manage risk and...understanding of regulatory and legislative guidelines, as well as Fraud and Disputes processes + Extensive experience managing projects… more
    Citizens (05/18/25)
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  • Senior Life Science Claims

    Sedgwick (Providence, RI)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Life Science Claims Specialist (REMOTE US) **PRIMARY PURPOSE** **:** To ... the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
    Sedgwick (05/28/25)
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  • Senior Manager, Clinical Management (Early…

    Otsuka America Pharmaceutical Inc. (Providence, RI)
    …Under the direction of the Director/Associate Director of Clinical Management, the Senior Clinical Study Manager is responsible for the oversight and management of ... of protocols within and across portfolios, as assigned.** **Participate in program-level risk mitigation strategies and collaborate with ESPs on study-level risk more
    Otsuka America Pharmaceutical Inc. (05/13/25)
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  • Senior Medical Stop Loss Underwriter

    Highmark Health (Providence, RI)
    …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... do not fit into the overall HMIG strategy and risk structure. Analyzes risk factors for new...claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to… more
    Highmark Health (05/21/25)
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  • Consultant, Organization Strategy (Hybrid…

    Lincoln Financial (Providence, RI)
    …data driven GP Claims & Ops managed supplier profiles using spend, risk , key contract terms, service level agreements, and performance metrics for GP Claims ... thinking, innovative, and highly motivated Consultant of Organizational Strategy to our GP Claims & Ops Vendor Strategy and Management team. Over the past few years,… more
    Lincoln Financial (04/30/25)
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  • Associate Medical Stop Loss Underwriter

    Highmark Health (Providence, RI)
    …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent develops and uses ... do not fit into the overall HMIG strategy and risk structure. Analyzes risk factors for new...This is an entry level position, with oversight by Senior Underwriters and/or Management until the individual is acclimated… more
    Highmark Health (04/04/25)
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  • Manager, Internal Audit - IT

    FM (Johnston, RI)
    …objectivity - Ethical behavior - Due professional care - Organizational governance - Fraud - Risk management - Internal control - Engagement planning, fieldwork ... providing more than one-third of FORTUNE 1000-size companies with engineering-based risk management and property insurance solutions. FM helps clients maintain… more
    FM (04/06/25)
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