Workers'''' Compensation Claims Specialist (REMOTE - ME, CT, PA, RI) Holmes Murphy & Associates IncWorkers'''' Compensation Claims Specialist (REMOTE - ME, CT, PA, RI)RIRemote$57,500–$98,900 / yearWe do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members. Through inclusion and belonging initiatives, titled Uniquely United, not only do we offer employees a paid Diversity Day time-off option, but we also have a Uniquely United Committee, Employee Resource Groups, and development programs to advance our culture of belonging.
Claims Quality Control Auditor (44912) Neighborhood Health Plan of Rhode IslandClaims Quality Control Auditor (44912)Smithfield, RIResponsibilities include, but are not limited to the following: Review Neighborhood's claim process functions, including auto adjudicated and manually processed claims and issues, based on provider and health plan contractual agreements and claims processing guidelines. This Master IA will be created from results of the weekly Claims Adjustment Committee meeting and be used by adjusters from each delegate to reprocess claims according to the respective configuration changes in each system.
Senior Provider Experience Program Manager - Healthcare Claims CVS Health CorpSenior Provider Experience Program Manager - Healthcare ClaimsRI$106,605–$284,280 / yearWhat you will do: Lead enterprise delivery of multiple, highly complex business process and technology initiatives aligned to the Provider Experience / Provider NPS program, supporting all lines of business. Drive Agile delivery of Provider Experience / Provider NPS initiatives, supporting business process and technology improvements across multiple lines of business.
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.
SIU Claims Investigator Lemieux & Associates LLCSIU Claims InvestigatorTaunton, MA$25–$32 / hourPart timeNotary license strongly (preferred).Bilingual ability and/or degree in Criminal Justice or related field (preferred).Willingness to travel; flexible schedule (varied/irregular hours).Strong computer and internet skills. Accurately photograph evidence (accident scenes, vehicle damage, etc.).Skills & ExperienceExperience handling complex SIU/Claims cases.
Claim Benefit Specialist CVS Health CorpClaim Benefit SpecialistRI$17–$31.30 / hourThe candidate will serve as a medical/hospital claim processor for rework projects, compliance, and complex issues for a specific provider/network or large-scale rework projects generated as a result of plan sponsor issues, release fallout and/or legal/regulatory/compliance concerns. CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department.
Claim Representative II - REMOTE Ryder System IncClaim 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 ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
NewClaim Benefit Specialist- Commercial Operations CVS Health CorpClaim Benefit Specialist- Commercial OperationsRI$17–$28.46 / hourPerforms claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing. Analyzes 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.
Public Adjuster P-RI Cedar Valley ExteriorsPublic Adjuster P-RIRhode IslandJob Summary: We are seeking a skilled and experienced Public Adjuster to advocate for policyholders in the negotiation and settlement of property insurance claims. If you are a detail-oriented professional with a passion for helping policyholders navigate the complexities of insurance claims, we encourage you to apply for this rewarding opportunity as a Public Adjuster.
Auto Adjuster I, II or Sr. Allstate Insurance CompanyAuto Adjuster I, II or Sr.RI$50,000–$74,350 / yearAuto Collision (Inactive), Auto Collision Repair, Auto Insurance, Auto Insurance Claims, Automobile Accidents, Automobile Liability, Case Management, Claims Administration, Claims Resolution, Claims Review, Customer Service, De-Escalation, Insurance Administration, Insurance Claims, Insurance Coverage, Insurance Policies, Investigative Skills, Multitasking, Negotiation, Task Organization, Time Management. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
Bodily Injury & Homeowners Liability Adjuster Allstate Insurance CompanyBodily Injury & Homeowners Liability AdjusterRI$53,500–$86,400 / yearAuto Insurance Claims, Case Management, Casualty Insurance, Casualty Management, Claims Administration, Claims Resolution, Claims Review, Commercial Liability, De-Escalation, Home Insurance, Homeowners Claims, Homeowners Insurance, Homeowners Insurance Claims, Insurance Policies, Liability Insurance, Liability Management, Litigation, Multitasking, Personal Injury Claims, Property & Casualty Insurance, Relationship Management, Tort Liability. Team members may have the opportunity to gain exposure to a variety of claim types and handling responsibilities, including extended handling, litigation, and homeowners liability claims, based on business needs, performance, and development goals.
Contents Restoration Crew Leader in MA and RI FRSTeam of New EnglandContents Restoration Crew Leader in MA and RIEast Taunton, MA$20–$25 / hourFull timeThis is an on-the-road position a nd plays a critical role in managing project documentation, adjuster communications, estimate preparation, and data management throughout the contents restoration process. At Frsteam of New England, we help families and businesses recover after fire, water, mold, and other property losses by restoring their valuable contents and belongings.
NewMedical Secretary AkidoMedical SecretaryCranston, RI$37,440–$45,760 / yearServing 500K+ patients across California, Rhode Island, and New York, Akido offers primary and specialty care in 26 specialties—from serving unhoused communities in Los Angeles to ride-share drivers in New York. Akido is the first AI-native care provider, combining cutting-edge technology with a nationwide medical network to address America's physician shortage and make exceptional healthcare universal.
Contents Restoration Crew Leader in MA and RI FRSTeamContents Restoration Crew Leader in MA and RIEast Taunton, Massachusetts$20–$25 / hourCrew Leader FRSTeam of New England Position: Contents Restoration Job Coordinator & Crew Leader $52,000-$80,000 per year including base and incentives About Us We are a leading C ontents Restoration Company dedicated to restoring and preserving our clients’ valued belongings after fire, water, and mold losses . There is nothing like the feeling of bringing back a family's personal belongings, whether it's a favorite baby blanket or stuffed animal or a game console to pass the time in a hotel someone is staying in as temporary housing while their home is being restored.
Loss Control Consultant Commercial Insurance - Independent Contractor- Providence, RI. ExlService Holdings IncLoss Control Consultant Commercial Insurance - Independent Contractor- Providence, RI.Providence, RIConsultants will work from their home or office, and travel to local commercial business operations (i.e.) retail businesses, restaurants, hotels, apartment buildings and complexes, construction operations and jobsites, various types of manufacturers, churches, schools, etc. You will assess the risk for various commercial insurance lines of business that can include Property, General Liability, Workers Compensation, Auto/Fleet, Products Liability, Inland Marine and Builders Risk.
Property Adj Crawford & CoProperty AdjTaunton, MATo determine the actual offer, Crawford considers a wide range of factors including the candidate's previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours. Settles claims by determining insurance carrier''s liability, client''s instructions and authority levels required by obtaining demands and making offers to claimants, issuing settlement checks, making filings with regulatory agencies, disposing of salvage, pursuing subrogation when appropriate.
Investigator Ethos Risk ServicesInvestigatorProvidence, RIFull timeCONDITIONS:While we aim to keep assignments within a 2-hour drive of your residence, occasional further travel and overnight stays (covered by the company) may be requiredMost surveillance cases start at 6:00AM. REQUIREMENTS:Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports.
Surveillance Investigator Allied UniversalSurveillance InvestigatorWarwick, Rhode IslandThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
Entry Level Medical Billing Assistant Revel StaffingEntry Level Medical Billing AssistantProvidence, Rhode IslandThe Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative workflows that help keep clinical operations running smoothly. This person should be comfortable learning billing and coding processes, communicating with patients professionally, and maintaining accuracy when working with claims, records, and confidential information.
Commercial Insurance Analyst - Remote CSAA Insurance GroupCommercial Insurance Analyst - RemoteRIRemote$122,850–$136,500 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arkansas - 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, Montana - Home Teleworkers, Nebraska - Home Teleworkers {+ 20 more}. Pursuit or completion of industry-relevant continuing education, including graduate degrees, MBS, risk and insurance designations from The Institutes (AINS, AIC, ARM, CPCU, etc.), or actuarial exams and designations (ACAS, FCAS, CERA).