- Humana (Providence, RI)
- …part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve ... the resolution to a pending call.** The Claims Research & Resolution Representative 2 works with insurance companies, providers, members, and… more
- State of Massachusetts (Boston, MA)
- *Lead Claims Examiner/Job Service Representative II| Department of Family & Medical Leave* The Program Integrity Claims Examiner/Job Service ... processes within the Department of Family Medical Leave (DFML). The Lead Claims Examiner/Job Service Representative II will review, analyze and evaluate… more
- Highmark Health (Providence, RI)
- …accounts receivable system with all pertinent information regarding the patient interview, research performed, and resolution . + Collects payments on account via ... Network **Job Description :** **GENERAL OVERVIEW:** Responsible for the financial resolution of all self-pay account balances from technical and professional billing… more
- State of Massachusetts (Boston, MA)
- …able to work, available for work and looking for a job. The Job Service Representative I performs customer service and issue resolution by assisting employers or ... ensure compliance with access control procedures. Reviews user information by conducting research and verifying information in order to mitigate fraud. Review and… more
- Point32Health (Canton, MA)
- …regulatory requirements + Manage the collection of documents and records (medical, claims , administrative) needed to fully research the appeal or complaint ... works collaboratively with the member and/or the member's authorized representative and must demonstrate superior customer service and benefit interpretation… more