Claims Examiner MedMal Diedre Moire Corp.Claims Examiner MedMalFall River, MA$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.
Ins Claims Specialist Medical Malpractice - Cranston, RI Diedre Moire Corp.Ins Claims Specialist Medical Malpractice - Cranston, RICranston, RI$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.
NewProject Manager Hub Technology GroupProject ManagerProvidence, RILead pre and post implementation meetings to include resource management, deployment and cut over updates, training and more. The ideal candidate will be responsible for planning, coordinating, and implementing projects within the decided-upon budget, timeline, and scope.
Multi-Line Claims Adjuster - Rhode Island Property Claim ProfessionalsMulti-Line Claims Adjuster - Rhode IslandProvidence, RIWe excel in providing professional, knowledgeable claims professionals to handle large losses, catastrophe claims, business interruption and daily property claims, as well as handle complete liability investigations, task assignments including scene investigations and property damage appraisals, construction defect claims as well as first party automobile claims for personal and commercial insurance policyholders. Experience in industry specific areas a plus, but not necessary: fire departments, agricultural, lumber mills, high value or historic buildings or Construction Defects, Automobile Liability, Subrogation Recovery investigations.
Field Auto Claims Adjuster Allstate Insurance CompanyField Auto Claims AdjusterProvidence, RI$26.49–$37.50 / hourAuto Insurance Claims, Business Acumen, Business Management, Claims Administration, Claims Resolution, Critical Thinking, Customer Service, Insurance Claims Investigations, Negotiation, Prioritization, Quality Management, Time Management, Training. In this role you will be responsible for preparing and/or auditing comprehensive damage estimates for first- and third-party material damage claims across Auto and Specialty lines, ensuring accurate evaluation and appropriate claim disposition.
Claims Senior MedPay Adjuster AAAClaims Senior MedPay AdjusterLincoln, Rhode IslandThe Claims Senior Medpay Adjuster handles moderate to high complexity Auto claims matters involving material damage, property and / or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. With our national brand recognition, long-standing reputation since 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team.
Claims Senior Property Adjuster AAAClaims Senior Property AdjusterLincoln, Rhode IslandWith our national brand recognition, long-standing reputation since 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team. The position requires a higher degree of discretion and independent judgment in analysis and problem-solving to manage losses effectively.
Claims Complex Property Adjuster AAAClaims Complex Property AdjusterLincoln, Rhode IslandWith our national brand recognition, long-standing reputation since 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team. Demonstrate proficiency with assessment of personal property, property damage, coverage, loss of use, arbitration responses, damage evaluations, and claims technology and tool usage.
Claims Adjuster- Auto Damage The Progressive CorpClaims Adjuster- Auto DamageWarwick, RI$73,400–$89,700 / yearFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/. As an auto damage claims adjuster, youll serve as Progressives point of contact with customers directing and making decisions regarding the repair process from beginning to end.
Workers Compensation Claims Adjuster | NJ & VA Jurisdictions | Dedicated Client & Capped Caseload Sedgwick Claims Management Services, Inc.Workers Compensation Claims Adjuster | NJ & VA Jurisdictions | Dedicated Client & Capped CaseloadTelecommuter, RI$70,000–$80,000 / yearPRIMARY PURPOSE OF THE ROLE: To analyze mid to high level Workers Compensation Lost-Time claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Senior Lost Time Workers Compensation Claims Adjuster - CT, NH, VT, RI, MA GallagherSenior Lost Time Workers Compensation Claims Adjuster - CT, NH, VT, RI, MAProvidence, Rhode IslandRemoteThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. As a key member of our experienced Claims Adjuster team, you will: Investigate, evaluate, and resolve complex indemnity/lost time workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution.
Senior Workers Compensation Claims Adjuster - CT, NH, VT, RI, MA GallagherSenior Workers Compensation Claims Adjuster - CT, NH, VT, RI, MAWarwick, Rhode IslandRemoteThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. As a key member of our experienced Claims Adjuster team, you will: Investigate, evaluate, and resolve complex indemnity/lost time workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution.
TEMP- Claims Adjuster Argo Group International Holdings IncTEMP- Claims AdjusterRI$37.66–$44.33 / hourCalifornia outside of Los Angeles, San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, Washington State, and New York State (including Westchester County) Pay Ranges: $41.44 - $48.79 per hour. Essential Responsibilities: Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical complexity, with a direct impact on departmental results.
Claims Auto Adjuster AAAClaims Auto AdjusterLincoln, Rhode IslandThis entry-level position supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property damage, and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. With our national brand recognition, long-standing reputation since 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team.
Claims Senior Auto Adjuster AAAClaims Senior Auto AdjusterLincoln, Rhode IslandClaims Senior Auto AdjusterThe Claims Senior Auto Adjuster supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property damage, and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. With our national brand recognition, long-standing reputation since 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team.
Injury Claims - Attorney Represented The Progressive CorpInjury Claims - Attorney RepresentedWarwick, RI$69,400–$89,800 / yearAn ideal candidate will have experience managing an inventory independently, experience assessing and evaluating liability, coverage, and damages, as well as working independently and directly with attorneys to negotiate and settle claims. For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/.
Senior Property Adjuster (Commercial Property Claims) - Boston, MA Engle Martin & Associates, Inc.Senior Property Adjuster (Commercial Property Claims) - Boston, MAFoxborough, MAPHYSICAL ACTIVITIES AND REQUIREMENTS: In addition to the working conditions and associated physical activities and requirements above, the incumbent may be required to climb, balance, stoop, kneel, crouch, crawl, reach, stand, walk, push, pull, lift, finger, grasp, or feel, especially in the course of investigating and assessing property damage; these requirements may include the need to lift weights of up to 50 pounds, including a ladder. The work requires close visual acuity, with or without correction, to prepare reports containing words, symbols, and numerical figures; the incumbent is required to view a computer terminal, use a keyboard, read printed documents, make detailed visual inspections, perceive color, perceive depth, and have a sufficient field of vision to carry out all inspection and related duties.
Claims Coordinator I - REMOTE Ryder System IncClaims Coordinator I - REMOTEProvidence, RIRemoteCompensation Information : The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Security Notice for Applicants: Ryder will only communicate with an applicant directly from a [@ryder.com] email address and will never conduct an interview online through a chat type forum, messaging app (such as WhatsApp or Telegram), or via an online questionnaire.
Large Loss Claims Admin Allstate Insurance CompanyLarge Loss Claims AdminRI$18.61–$27.79 / hourBusiness Communications, Claims Processing, Clerical Skills, Data Entry, Detail-Oriented, Documentations, Insurance Claims, Investigative Thinking, Invoice Processing, Invoices, Large Loss Claims, Large Scale Data Processing, Microsoft Excel, Microsoft Office, Office Administration, Organizing, Outbound Calls, Police Reports, Timeliness. In this role, you will handle a variety of administrative tasks, including ordering police reports, submitting claims to other carriers, completing social media and trace report requests, and processing invoices.
Claims Adjuster II, Field Property - National Catastrophe Nationwide Mutual Insurance CoClaims Adjuster II, Field Property - National CatastropheProvidence, RI$62,500–$115,500 / yearNationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. In this role, you'll conduct on-site inspections, evaluate property damages, determine policy coverage, and make timely, accurate decisions using a variety of tools and resources, including vendor estimates, independent adjusters, and self-written assessments.
Claims Property Team Manager AAAClaims Property Team ManagerLincoln, Rhode IslandWith our national brand recognition, long-standing reputation since 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team. Lead meetings in collaboration with unit management to communicate goals with direct reports and reinforce/monitor behavior that furthers technical and customer service performance expectations.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTEProvidence, RIRemoteCompensation Information : The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees : If you are a current employee at Ryder, please click here (http://wd5.myworkday.com/ryder/d/task/1422$3.htmld) to log in to Workday to apply using the internal application process.
Commercial Claims Quality & Performance Analyst III - Remote CSAA Insurance GroupCommercial Claims Quality & Performance Analyst III - RemoteHome Teleworkers, RIRemote$74,295–$82,550 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker {+ 21 more}. Partners cross-functionally with Claims Operations Support, TPA relationship managers, business leadership, Legal/Compliance teams, and operational partners to identify risks, evaluate performance trends, and develop solutions that support operational excellence and regulatory compliance.
Claims Follow Up Rep Brown University HealthClaims Follow Up RepProvidence, RIRemote$19.97–$32.96 / hourSUMMARY: Under general supervision of the PFS Supervisor of Claims Follow-up and Denials, performs all duties necessary to properly follow up on outstanding claims and correct/re-process all denied claims to obtain timely reimbursement of each third-party claim and ensure the financial stability of a large multi-specialty, multi-state physician practice. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.
Claims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTEProvidence, RIRemoteCompensation Information : The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees : If you are a current employee at Ryder, please click here (http://wd5.myworkday.com/ryder/d/task/1422$3.htmld) to log in to Workday to apply using the internal application process.
Claims Team Manager - Subrogation Auto AAAClaims Team Manager - Subrogation AutoLincoln, Rhode IslandWith our national brand recognition, long-standing reputation since 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team. Lead meetings in collaboration with unit management to communicate goals with direct reports and reinforce/monitor behavior that furthers technical and customer service performance expectations.
Claims Unit Manager - Auto AAAClaims Unit Manager - AutoLincoln, Rhode IslandThe primary functions include effective loss and expense management, employee development and succession planning, training, staffing, performance measurements and continuous improvement. With our national brand recognition, long-standing reputation since 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team.
Workers Compensation Claims Examiner | MA, ME,NH, RI, DE, VT Jurisdictions | License Required (Evergreen) Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | MA, ME,NH, RI, DE, VT Jurisdictions | License Required (Evergreen)RI$75,000–$82,000 / yearNewsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | MA, ME,NH, RI, DE, VT Jurisdictions | License Required (Evergreen) Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? To analyze Workers Compensation Lost-Time claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Claims Representative, Auto Sedgwick Claims Management Services, Inc.Claims Representative, AutoRI$50,000–$55,000 / yearProcesses auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Claims Representative, Auto | Property Damage Sedgwick Claims Management Services, Inc.Claims Representative, Auto | Property DamageTelecommuter, RI$50,000–$55,000 / yearProcesses auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Education & Experience: Three (3) years of personal line or commercial line property claims management experience or equivalent combination of education and experience required to include knowledge of construction basics.
Claims Senior Subrogation Specialist - Inbound AAAClaims Senior Subrogation Specialist - InboundLincoln, Rhode IslandLitigation & Vendor Management: Manage and oversee all litigated subrogation files, coordinating with legal counsel to manage complex legal issues while monitoring and managing vendors for Medpay Trust, Property, Product Liability, and complex legal issues. Arbitration Prep & Filing: Prepare and file high-quality intercompany arbitration contentions through Arbitration Forums (Arb Forums) when negotiations reach an impasse, ensuring all legal theories and evidence are accurately presented.
Claims Service Assistant II - Hybrid ArbellaClaims Service Assistant II - HybridBridgewater, MassachusettsOur current reasonable and good faith estimate of the annual salary or hourly wage range for this position is approximately $47,000 - $49,000 based on a variety of factors including, but not limited to, relevant skills and experience. That means providing a great work environment, encouraging work/life balance, offering flexible work arrangements, and competitive salaries and benefits packages.
Manager - Short Term Disability Claims MetLife IncManager - Short Term Disability ClaimsWarwick, RI$84,800–$142,900 / yearRecognizednon Fortune magazine''s list of the "World''s Most Admired Companies",nFortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companiesnto Work For, MetLife, through its subsidiaries and affiliates, is one of thenworld's leading financial services companies; providing insurance, annuities,nemployee benefits and asset management to individual and institutionalncustomers. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
Senior Construction Defect Technical Claims Specialist Argo Group International Holdings IncSenior Construction Defect Technical Claims SpecialistRIRemote$137,496–$164,934 / yearBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
Workers Compensation Claims Examiner | CT, MA, NH, RI, VT Jurisdictional Knowledge | Remote Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | CT, MA, NH, RI, VT Jurisdictional Knowledge | RemoteTelecommuter, RIRemote$80,000–$85,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. To analyze Lost-Time Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Workers'''' Compensation Claims Examiner | NY & VT Jurisdictional Knowledge | Remote Sedgwick Claims Management Services, Inc.Workers'''' Compensation Claims Examiner | NY & VT Jurisdictional Knowledge | RemoteRIRemote$70,000–$80,000 / yearTo analyze Medical Only & Lost-Times Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
Commercial Claims Programs Consultant - Remote CSAA Insurance GroupCommercial Claims Programs Consultant - RemoteHome Teleworkers, RIRemote$129,825–$144,250 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker {+ 21 more}. Operating as a senior individual contributor, the position manages key TPA and client relationships, supports strategic program initiatives, and helps ensure operational alignment, transparency, and strong partner experiences across multiple stakeholders and programs.
Liability Litigation Claims Examiner | Litigation, Premise, Auto, BI & Product Claims Experience | Remote Sedgwick Claims Management Services, Inc.Liability Litigation Claims Examiner | Litigation, Premise, Auto, BI & Product Claims Experience | RemoteRIRemote$63,404–$88,765 / yearTo analyze GL Litigated, Premise, Auto, Bodily Injury & Product claims on behalf of our valued dedicated client to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
Senior Manager of Benefits and Claims Ocean State Job LotSenior Manager of Benefits and ClaimsNorth Kingstown, RI$115,000–$125,000 / yearJob Description: The Senior Manager of Benefits and Claims role at Ocean State Job Lot ("OSJL" or "Company") is a crucial leadership position responsible for leading two teams: the Company's Benefits team, which ensures that benefits offerings are implemented and serviced effectively and efficiently as part of the Company's total compensation program; and the Claims team, which oversees all aspects of the Company's claims programs-primarily workers' compensation and general liability-to mitigate risk and control costs. This role focuses on operational excellence, providing technical expertise, and management oversight while working closely with Company leadership to execute strategies and resolve issues that impact OSJL benefits and claims program offerings.
EPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full TimeRIEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
EPIC Applications Analyst (1-4): Professional Billing Admin and Professional Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Professional Billing Admin and Professional Billing Claims - IT Services - Full TimeRIEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
Claims Follow up/Coding Denial Supervisor-CPC required Brown University HealthClaims Follow up/Coding Denial Supervisor-CPC requiredProvidence, RI$58,489.60–$96,491.20 / yearThe core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate In addition, our leaders will demonstrate an aptitude for: Ensure Accountability and Build Effective Teams Drive Vision and Purpose and Optimize Work Processes By applying core and leadership competencies, leaders help Brown University Health achieve its strategic goals. MINIMUM QUALIFICATIONS: BASIC KNOWLEDGE: High school graduate with knowledge of medical business office practices, human resource management/training, proficient in medical systems and additional training or experience in healthcare billing/coding.
Senior Claims Benefit Specialist CVS Health CorpSenior Claims Benefit SpecialistWork At Home, RI$18.50–$42.35 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines.
Claims Team Lead, Professional Liability Sedgwick Claims Management Services, Inc.Claims Team Lead, Professional LiabilityRIPRIMARY PURPOSE OF THE ROLE: To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Customer Claims Processing Representative Pet Food Experts IncCustomer Claims Processing RepresentativePawtucket, RIWith a rich history spanning over 80 years, Pet Food Experts has evolved from a small family-run business into the nation's leading pet specialty distributor, proudly serving over 10,000 pet retail locations nationwide. The Claims Processing Representative will be responsible for accurately investigating claims, processing discrepancy credits, and interacting with business partners in a professional manner where the focus is on expedient and accurate completion of tasks.
Fraud Claims Sr Specialist Citizens Financial Group IncFraud Claims Sr SpecialistRiverside, RIWorkflow Application Navigation - Experience in effectively navigating workflow tool applications to streamline processes and enhance productivity. At Citizens, we are committed to fostering an inclusive culture that enables all colleagues to bring their best selves to work every day and everyone is expected to be treated with respect and professionalism.
SIU Claims Investigator - Spanish Speaker Lemieux & Associates LLCSIU Claims Investigator - Spanish SpeakerTaunton, MA$25–$32 / hourOur leadership team brings over 25 years of field experience and is committed to fostering a professional, results-driven environment. Join Lemieux & Associates, a trusted leader in investigative services, and make an impact with your surveillance expertise.
Claim Service Specialist - Bridgewater, MA - Hybrid ArbellaClaim Service Specialist - Bridgewater, MA - HybridBridgewater, MassachusettsOur current reasonable and good faith estimate of the annual salary or hourly wage range for this position is approximately $49,010 ($26.00 an hour) - $51,008 ($27.09 an hour) based on a variety of factors including, but not limited to, relevant skills and experience, Please note: The advertised pay range is not a guarantee or promise of a specific wage. It’s no wonder our employees have voted Arbella one of the Boston Business Journal’s “Best Places to Work” every year since 2009!Join a Best Place to Work Company!
Claim Benefit Specialist CVS Health CorpClaim Benefit SpecialistWork At Home, RI$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.
Manager, Claim Processing CVS Health CorpManager, Claim ProcessingRI$66,330–$145,860 / yearDirects work flow to ensure the efficient and accurate processing of medical claims by establishing and monitoring productivity and quality metrics, managing and developing a team of claims support individuals, implementing process improvement initiatives, and fostering collaboration with internal and external stakeholders to optimize claim processing, minimize errors, and enhance overall operational effectiveness and customer satisfaction. Assists with the development of the claim processing budget by monitoring expenses, tracking budget variances, and identifying cost-saving opportunities while maintaining operational effectiveness and service quality.