Senior Claims Quality Assurance Analyst
Neighborhood Health Plan of RI
Neighborhood Health Plan of Rhode Island is seeking a Claims Quality Control Auditor to ensure claims processing aligns with contractual and regulatory requirements. The role involves auditing both internal and external processes, producing statistical reports, and driving improvements to accuracy and provider satisfaction. Responsibilities include reviewing auto and manual claims, identifying trends, and presenting findings to management. #J-18808-Ljbffr Neighborhood Health Plan of RI
- AAA Auto Club Enterprises is seeking a Senior Subrogation Specialist in Lincoln, Rhode Island. In this role, you will be responsible for... ...of arbitration filings. This position requires 4-6 years of claims liability experience, proficiency in E Subro Hub, and advanced negotiation...SeniorClaims
- Auto Club Enterprises is seeking a Claims Senior Medpay Adjuster to handle moderate to high complexity auto claims, including liability evaluation, coverage interpretation, and negotiation. The role requires independent judgment to ensure compliance with state and federal...SeniorClaims
- AAA Auto Club Enterprises seeks an experienced Property Claims professional to support homeowner claims for the Interinsurance Exchange, ensuring compliance with state and federal laws. You will interpret First Notice of Loss, investigate, evaluate coverage and damages...SeniorClaims
- AAA Auto Club Enterprises is seeking a seasoned Property Claims professional to support homeowner claim operations. You will handle moderate to high complexity losses, interpret First Notice of Loss information, conduct investigations, evaluate coverages, negotiate, and...SeniorClaims
- ...operations including Medicare, Medicaid plans, claims processing, EDI transaction processing,... ...systems knowledge. The Business Analyst will be the liaison for the business areas... ...Visio and MS Project Experience preferred. Seniority level Mid-Senior level Employment type...SeniorClaimsContract workLocal area
- Senior Product Development Engineer (Data Center)PrysmianLocation: Willimantic, CT or Lincoln, RICountry/Region: USTeam OverviewPrysmian... ...be aware of job offer scams involving individuals falsely claiming to represent our company.Our company will **never**:Ask for payment...SeniorClaimsFull timeLocal area
$31.1 - $41.42 per hour
Job Summary This position supports the Property Claims operation by handling claims reported on Homeowner policies written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The position handles claims of moderate to high complexity...SeniorClaimsHourly payWork at office- ...material challenges, and collaborating across R&D, operations, quality, procurement, and manufacturing teams. You will play a key role... ...Please be aware of job offer scams involving individuals falsely claiming to represent our company.Our company will **never**:Ask for...SeniorClaimsWork experience placementLocal area
$35.94 - $47.87 per hour
Job Summary The 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...SeniorClaimsHourly payWork at office$30 - $35 per hour
Overview Senior Human Resources Generalist In conjunction with the Vice President of Human Resources the Senior Human Resource Generalist... ...regulations; support workers' compensation and unemployment claims Participate in the development and maintenance of job descriptions...SeniorClaimsPart timeInternshipLocal area- A national claims management organization is seeking a Claims Adjuster to manage workers' compensation claims. The ideal candidate will have a background in claims management and experience with indemnity/lost time claims, holding active adjusters' licenses in multiple...SeniorClaimsRemote work
$135k - $250k
...Senior Counsel Johnston, RI, US Experience: Manager Salary: $135,000 - $250,000 per year Job Details ---------We are seeking an experienced... .... This attorney will provide strategic legal guidance to claims professionals, manage outside counsel and third-party administrators...SeniorClaims$64.5k - $86.1k
Job Summary Senior Subrogation Specialist responsible for the technical evaluation, negotiation... ...Prep & Filing: Prepare and file high-quality intercompany arbitration contentions... ...truck, Government, and Product Liability claims. Technology & Systems: Utilize E-Subro Hub...SeniorClaimsWork at office- Starkweather & Shepley Insurance Brokerage Inc. in Rhode Island seeks an experienced Claims Specialist to proactively manage the claims process for Tier 1 clients, serving as the primary contact through resolution and advocating on coverage analysis. The role includes...SeniorClaims
- Markel Corporation seeks an experienced claims professional to resolve high complexity Workers' Compensation claims across multiple jurisdictions. You will handle coverage analysis, investigations, and reserve setting, with emphasis on returning injured employees to work...SeniorClaims
- ...Mobilitas is hiring experienced commercial auto claims adjusters for remote work across the United States, excluding Hawaii and Alaska. The role favors individuals who can handle claims in the Pacific Time zone, with most caseloads originating there. Expect 40-hour weeks...SeniorClaimsRemote workWeekend work
- ...Claims AdjusterAt Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it's our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real...SeniorClaimsLocal areaRemote work
- Ryder System, Inc. seeks a Claims Analyst to handle complex, high exposure bodily injury and property damage claims under Ryder’s self-administered liability program. This role investigates, adjusts, and directs defense counsel, adjusters, experts, and other vendors in...SeniorClaims
- Markel is seeking a claims professional to resolve high-complexity workers' compensation claims across multiple jurisdictions. The role... ..., and strive to return injured workers to work while upholding Fair Claims Practices and quality objectives. #J-18808-Ljbffr MarkelSeniorClaims
- BCG Attorney Search seeks an experienced mid-to-senior level attorney to join their Professional Consulting Practice Group in Providence, RI. The role focuses on risk management, claims monitoring, and strategic advice to architects, engineers, and insurers across the US...SeniorClaims
- ...solutions provider in Providence, RI is looking for a strong Senior QA Tester with extensive experience in QA testing and the Facets claims processing system. The ideal candidate has over 7 years in quality assurance, including at least 3 years in a lead role. This position...SeniorClaims
- Blue Cross & Blue Shield of Rhode Island is seeking a Senior Medical Economics Analyst to join our data-driven team in Providence or remote arrangements. You will dive into medical claims and healthcare data to identify cost drivers, quantify savings, and support executive...SeniorClaimsRemote work
- Ryder System, Inc. is seeking a Senior Claims Representative to handle complex and mid-to-high exposure bodily injury and property damage claims under Ryder's self-administered liability program. The role involves investigating, adjusting, and directing defense counsel...SeniorClaimsRemote job
- Zurich North America is seeking an accomplished Senior Workers’ Compensation Claims Specialist to join our Northeast Region team. This role offers a hybrid schedule from Parsippany, NJ or Boston, MA offices, or remote work in multiple states including RI, MA, NY, PA and...SeniorClaimsRemote jobWork at office
- ...Description Job Description Description: Position Summary: This individual will proactively manage and consult on the overall claims process with specifically identified clients. The assigned clients will be in the Tier 1 Category or other specific clients as...SeniorClaimsWork experience placement
- ...staffing agency is seeking a Commercial Auto Litigation Specialist to oversee TPA operations for complex litigated Commercial Auto claims. This role involves extensive responsibilities, including managing investigations, communications with counsel, and ensuring adherence...SeniorClaimsRemote jobFlexible hours
- LeoForce is seeking an experienced Senior Counsel in Johnston, RI to oversee complex auto, trucking, and property & casualty litigation. You will provide strategic legal guidance to claims professionals, manage outside counsel, and develop resolution strategies for high...SeniorClaims
- ...role requires a minimum of 12 months Auto Damage experience and excludes trainees. You will provide high‑quality customer service and promptly settle complex claims, applying technical knowledge to reach fair settlements. Schedule is primarily Monday through Friday, 8:0...SeniorClaimsTraineeshipMonday to Friday
- Senior QA Tester w Facets ........... Providence, RI - Only USC/GC/GC-EAD Contract... ...Telephone and F2F for locals Required Skills: Quality Assurance, Testing, Healthcare, EDR, Facets... ...QA candidate with experience with the claims processing system Facets. Must have:...SeniorClaimsContract workLocal area
- CarePlus Health Plans seeks a Senior Hospital Contracting Strategist / Senior Provider Contracting Professional to lead hospital and provider... ...you will coordinate with Finance, Legal, Network Management, Claims and Operations to ensure financially sound contracts and strong...SeniorClaimsRemote job
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