Work From Home Insurance Jobs in Rumford, RI
Metro Public Adjustment
$35000 - $150000 YEAR
Pawtucket, RI
Company Information: We offer expert Claims Adjusting services specific to the needs of home and business owners, protecting them against their insurance company. Compensation Range: $35,000 to $150,000 based on average commission.
Jobot
$55000 YEAR
Providence, RI
The role of the Retention Coordinator can be broken down into four main responsibilities, listed as follows: Verifications: Verify commercial and Medicaid insurance in the Maintenance bucket as needed (for several hospitals potentially). The Retention Coordinator Manager will oversee the Retention Department including Retention Coordinator Staff and provide member services to patients/ families on HIPP.
Axelon Services Corporation
$20 HOUR
Warwick, RI
The role will include customers calling to learn about their defined benefit pension, customers calling to start their pension benefits, for account maintenance (direct deposit changes / address changes), assisting family members & beneficiaries within claims process and answer account information. " The plan is to train on-site at Client office in Warwick, RI " Training Schedule: 8:30-5pm EST , 1 Hour Lunch **Schedules after training be determined using ranking system based on performance in training.
Ethos Risk Services
Providence, RI
Working autonomously from your vehicle, you will capture video evidence of surveillance targets, collaborate with our Operations Managers, and ultimately improve the integrity of the health care and insurance industry. In this role you will use discretion, communicate with our Operations Managers regularly, and apply critical thinking skills while conducting surveillance and gathering evidence.
Humana
$59300 - $80900 YEAR
Providence, RI
The Payment Integrity Professional 2 contributes to overall cost reduction by utilizing coding knowledge to identify/validate new code edit opportunities in a timely fashion to ensure claims process correctly the first time. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.
MES Solutions, Inc.
Norwood, MA
Members of our credentialed medical panel conduct physical examinations or medical record reviews, delivering reports that assist clients in the resolution of automotive, disability, liability, and workers' compensation claims. MES is looking for a self-driven, high-performing Registered Nurse (RN) to join our dynamic team as a Clinical Quality Assurance Coordinator.
Headway
$130 - $238 HOUR
Warwick, RI
By joining the Headway community, we’ll help you: Accept insurance hassle-free by credentialing you with the nation’s largest networks and handling the billing and admin paperwork for you. Headways is a flexible service, meaning your hours are yours to set, and it’s up to you whether you see your patients in-person or remotely via telehealth while working from home.
Sharecare
$85000 YEAR
Providence, RI
The Care Manager will advocate and guide utilizing motivational interviewing techniques and intervene on behalf of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of the care plan. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care team to ensure members have an effective plan of care and positive member experience that leads to improved health outcomes.
MAXIMUS
Providence, RI
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you.
CenterWell
$115200 - $158400 YEAR
Providence, RI
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients.
Conduent Business Services, LLC
$25 - $30 HOUR
Providence, RI
Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation or sick time.
Highmark Health
Providence, RI
This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy._.
American Heart Association
$23 HOUR
Providence, RI
The American Heart Association’s 2028 Goal: Building on over 100 years of trusted leadership in cardiovascular and brain health, by 2028 the AHA will drive breakthroughs and implement proven solutions in science, policy, and care for healthier people and communities. The American Heart Association’s Internship Program provides college students an opportunity for hands-on experience in various facets for individuals interested in gaining work experience with a non-profit, voluntary health organization.
Humana
$65000 - $88600 YEAR
Providence, RI
The Coding Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.
MES Solutions, Inc.
Norwood, MA
Members of our credentialed medical panel conduct physical examinations or medical record reviews, delivering reports that assist clients in the resolution of automotive, disability, liability, and workers' compensation claims. Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.
Headway
$130 - $238 HOUR
Providence, RI
By joining the Headway community, we’ll help you: Accept insurance hassle-free by credentialing you with the nation’s largest networks and handling the billing and admin paperwork for you. Headways is a flexible service, meaning your hours are yours to set, and it’s up to you whether you see your patients in-person or remotely via telehealth while working from home.
CenterWell
$39000 - $49400 YEAR
Providence, RI
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. As part of Humana’s Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva’s innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost.
MAXIMUS
Providence, RI
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you.