- Sedgwick (Providence, RI)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Supervisor **PRIMARY PURPOSE:** To supervise the operation of multiple ... combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of claims … more
- Sedgwick (Providence, RI)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY PURPOSE** **:** To analyze ... complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Providence, RI)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers Comp I Remote I SE, Central, NE regions **PRIMARY PURPOSE** ... : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and… more
- Sedgwick (Providence, RI)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Medical Malpractice (LTC) **PRIMARY PURPOSE** : To analyze complex or ... technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Carrington (Providence, RI)
- …eliminate non-essential and manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems including, but not limited to, claim ... processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines… more
- Mondelez International (North Smithfield, RI)
- …(iDoc management, stock reconciliation), interfaces monitoring, track and trace, claims management, invoice management, compliance execution (HSE, quality, risk ... management), tenders support, third-party performance management, pallets management. **How you will contribute** You will: + Review and analyze stock inaccuracies and guarantee accurate stock alignment between SAP and the warehouse management system based on… more
- Travelers Insurance Company (Providence, RI)
- …reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims by completing essential… more
- Travelers Insurance Company (Providence, RI)
- …and/or complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O ... Practices. Provide quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage … more
- Allied Universal (Foxborough, MA)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation… more
- Commonwealth Care Alliance (Worcester, MA)
- …outcomes for CCA members. The Assessment nurse reports to the Regional RN Supervisor . **Supervision Exercised:** + No, this position does not have direct reports. ... clinical judgment to escalate members with urgent needs to the Regional RN Supervisor and/or manager during or immediately following the visit. + Utilize our… more
- Walgreens (Framingham, MA)
- …the unique communities we serve as requested by Store Manager, Healthcare Supervisor , or District Manager. Operations + Counsels patients and answers questions ... technology. Finds opportunities to improve productivity + Ensures insurance claims are processed accurately to prevent payment rejections. Resolves patient… more
- Walgreens (Bellingham, MA)
- …Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... one's own performance, solicits for constructive feedback, and leverages Healthcare Supervisor as mentor and coach. **Communication** + Communicates with pharmacy… more
- Walgreens (Worcester, MA)
- …to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... management. Reviews KPI's with Pharmacy Manager, Store Manager, and Healthcare Supervisor . + Develops and maintains good relationships with local medical community… more
- Fallon Health (Worcester, MA)
- …a liaison between FH members and FH with their complaints regarding denied claims , referrals, membership, and benefit issues as well as any grievances regarding ... as designated through a rotational in-office calendar or at the direction of a supervisor or manager. Answers telephone calls via ACD queue, as needed, within the… more
- MAPFRE Insurance (Webster, MA)
- …products, filings and rates. Coordinates strategies with Marketing, Underwriting, Claims and other departments to achieve these objectives. **Desired Background ... Pricing, or Product Management and Underwriting 3 or more years in a Supervisor /Manager level position or above preferred. A track record of success working… more
- IQVIA (Northborough, MA)
- …+ Five years of relevant work experience. + Call center management/ supervisor experience. + Strong analytical mind with problem-solving aptitude. + Exceptional ... insurance and adjudication processes + Understanding pharmacy and medical co-pay claims processing + Proficient in cross training in various departments, knowledge… more