As a Group Claims Specialist, you will support our Short Term Disability or Integrated Absence teams. ...
Investigates fraud claims involving ACH, Pre-authorized drafts, altered check, forged endorsements, unauthorized third party transfers, elder fraud, identity theft or other operations fraud issues. Assists in the preparation of filing bonded claims and un-bonded charge off recommendations. ...
We are excited to bring on a highly motivated Long-Term Disability (LTD) Claims Specialist to our claims organization. Managing a workload of Long-Term Disability claims independently in accordance with established procedures and guidelines. Communicating with claimants, employers, and various medic...
This position will be responsible for the resolution of claims of average complexity and low to mid exposure claims. Confirms coverage of claims by reviewing policies and documents submitted in support of claims. The primary purpose of this job is to investigate, evaluate, negotiate and settle assig...
We are excited to bring on a highly motivated Integrated Absence Claims Specialist to staff our ever-growing claims organization. As an Integrated Absence Claims Specialist, you will manage a workload of Short-Term Disability claims and their associated leaves. Lincoln Financial Group Integrated Abs...
Claims Specialist Professional Liability, Public Entity Providence, Rhode Island. To analyze complex public entity claims; to provide resolution of highly complex nature and/or severe injury claims; to coordinate case management within Company standards, industry best practices and specific client s...
The Claims Research Specialist is responsible for the day to day handling of claim issues. This role serves as a claims subject matter expert (SME) and is responsible for incoming inquiries regarding escalated claims issues. They assume ownership and accountability for the timely and accurate identi...
As a Commercial/Specialty Casualty Adjuster, you will be responsible to resolve all aspects of 1st and 3rd party injury claims of low to moderate complexity for personal lines as well as our commercial claims. Handle 1st party exposures to include Medical Payment coverage, PIP, Uninsured Motorists, ...
Claims Clinical Specialist – Medical Review Team. The Claims Clinical Specialist role is an excellent opportunity for a Registered Nurse seeking a career change. You will be responsible for working within a structured environment with established Standard Operating Procedures to ensure consistency o...
This role serves as a claims subject matter expert (SME) and is responsible for incoming inquiries regarding current claims and escalated issues. The Senior Claim Adjuster is responsible for assisting in the day to day managing of claim issues for high profile providers. The Senior Claim Adjuster wo...
Responsibilities: -Prepare delivery invoices from phone orders for medical equipment from the home health care department, Customer Service Representative, Customer Service, Medical Equipment, Representative, Retail, Healthcare, Health. ...
About the RoleAs a Remote Customer Service Representative, you'll provide exceptional customer service from the comfort of your own home. Qualifications•High school diploma or equivalent•Excellent customer service skills•Strong communication and interpersonal skills•Ability to work independently and...
As a Telephonic Initiation Representative, you will be responsible for answering claimants calls regarding disability and FMLA claims in a call center environment. Requisition #: 73121The Role at a GlanceWe are excited to bring on a Telephonic Initiation Representative to join our claimant excellenc...
Competitive Pay / Comprehensive Health, Vision, and Dental / 401k / PTO - As a Customer Service Rep you'll: Interact with customers to provide information and to process inquiries about accounts, products and services; Troubleshoot technical issues related to computer/tablet/cell phone applications ...
Provide exceptional customer service, engaging with members, potential customers, and general travelers. The CLEAR Service and Sales Representative (Ambassador) makes magic happen every day by creating frictionless experiences for our members. Previous customer service and/or sales experience is a p...
The ability to understand and empathize with our customers needs while driving innovation and providing top-notch service. To be successful in this Gig as a Service Provider for TurboTax you will need to be proficient in the following:. We're looking for enthusiastic individuals who are eager to lea...
Attention to all talented individuals! Advantage Resourcing is currently seeking a proficient Billing Specialist to join our team in Woonsocket, RI. As a Billing Specialist, you'll play a crucial role in ensuring the accurate processing of prescription claims by maintaining third-party insurance set...
Requests appropriate adjustment via AWD to the Claims BPO. Receives, tracks, completes and maintains the provider grids on a daily basis providing timely claims determination, adjustments where appropriate, and feedback to providers. Acts as a resource to Claims Production staff and other department...
Billing Managers with the coordination of day-to-day activities of Electronic Billing workflow within the Billing department. Guidance with electronic billing setups in 3E Matter Maintenance, eBillingHub, and third party electronic billing vendor websitesAssistance with resolving invoice rejections ...
Manages mid-level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level. To analyze mid- and higher-level general liability claims to determine ben...
The Research Billing Compliance Specialist is primarily responsible for reviewing research participant billing in compliance with all applicable regulations, guidelines, and policies related to research billing. This role involves a timely detailed r Compliance Specialist, Billing, Clinical Research...
Senior Auto Claims ExaminerOur client, a respected company in RI, is looking to add a Senior Auto Claims Examiner to their staff! 5+ years of industry-specific experience is ;. Manage a caseload of Commercial claims from start to finish. Commercial auto claims experience and ability to. ...
Job title: Medical Billing and Coding. Proficiency with computers and medical billing software. ...
The Senior Claims Representative handles complex and mid-to-high exposure bodily injury and property damage claims under Ryder's self-administered liability program. RyderSenior Claims Representative - REMOTE. This position investigates and adjusts claims, as well as directs defense counsel, indepen...
Lead development efforts for claims/returns modernization, ensuring current and future business requirements are met with new system design:. Claims workflows and automation. Re-routing claims for high damage parts from air to truck. Develop process maps and system specifications for the new order m...