Claims Analyst Jobs in Providence, RI | Glassdoor
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Claims Analyst Jobs in Providence, RI

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  • 3.1
    Lifespan – Providence, RI
    Est. Salary $28k-$41k
    9 days ago 9d
    knowledge of regulatory requirements The ClaimsAnalyst reports to the Supervisor Claims Administration Follow-up. Under general… accounting. Experience should demonstrate thorough knowledge of claims administration in similarly complex healthcare organization.…
  • 3.9
    CSI Professional – Woonsocket, RI
    13 days ago 13d
    Additionally, the Claims Adjudication Analyst will perform extensive testing and documentation to ensure accurate claims adjudication… and staffing firm.Currently we are seeking a Healthcare ClaimsAnalyst for our well-known client in Woonsocket, RI!Job Type: Contract…
  • 4.8
    Advanced RPO – Smithfield, RI
    Est. Salary $43k-$63k
    28 days ago 28d
    with internal, external performance standards Performs claims data analyst as requested to identify payment accuracy, savings opportunities… commercial claims experience Detailed knowledge of health care claims rules for both professional and institutional claims and familiarity…
  • 3.7
    Syndicate Claim Services, Inc. – Providence, RI
    Est. Salary $38k-$57k
    NEW
    Experience with Casualty Claims. You will handle Casualty / Liability insurance claims as well as property claims. We are willing to… Property Insurance Claim Adjuster Syndicate Claim Services, Inc. is searching for an experienced Property and Casualty…
  • 3.7
    Northrop Grumman – Providence, RI
    Est. Salary $49k-$69k
    NEW
    Developer • Performs complex fraud detection analysis utilizing claims, enrollment files and other data • Coordinates activities… Grumman Technology Services Sector is seeking a Data Detection Analyst to join our team of qualified, diverse individuals in transforming…
  • 3.1
    LifeSpan – Providence, RI
    Est. Salary $28k-$41k
    10 days ago 10d
    knowledge of regulatory requirements The ClaimsAnalyst reports to the Supervisor Claims Administration Follow-up. Under general… accounting. Experience should demonstrate thorough knowledge of claims administration in similarly complex healthcare organization.…
  • 3.4
    EMC Insurance – Providence, RI
    Est. Salary $45k-$66k
    NEW
    Functions: Investigates serious injury and complex claims Reviews the claim notices, lawsuits and policies to verify coverage… witnesses and/or attorneys to obtain information on the claim or suit Documents claim files Sets timely, adequate reserves in compliance…
  • 2.8
    CVS Health – Woonsocket, RI
    25 days ago 25d
    Healthcare Analyst will translate business needs into analytic questions; design and conduct rigorous analyses of pharmacy claims, medical… medical claims, and other data; and translate these analytic findings into predictive models for our business partners. Key…
  • 4.7
    J. Morrissey & Co. – Warwick, RI
    30+ days ago 30d+
    SQL-Healthcare Claims Data-Predictive Modeling Analyst Healthcare metrics of quality and utilization, data mining, risk… Industry Analytics experience-Population Health and OR Claims Data. EMR-Claims Data or Managed Care Industry Healthcare Metrics…
  • 2.7
    Twin River Casino – Providence, RI
    Est. Salary $45k-$68k
    16 days ago 16d
    resume or job interview. I hereby waive any and all rights and claims I may otherwise have against Twin River, its agents, employees… information in the employment process. I also waive any right and claims I may otherwise have against all other persons, corporations…
  • 3.1
    Lifespan – Providence, RI
    7 days ago 7d
    Denials Manager, responsible for resolving, appealing and managing claim edit denials. Ensures accounts are resolved quickly and accurately… and exposure caused by concurrent and retrospective denial of claims. Responsible for ensuring that all health plan guidelines are…
  • 5.0
    TalentCare – Providence, RI
    9 days ago 9d
    matter expertise in Claims Processing, understanding backend claims payment process and reconciling claims AP/AR. Makes recommendations… matter expertise in Claims Processing, understanding backend claims payment process and reconciling claims AP/AR. Familiarity…
  • 2.8
    Blue Cross & Blue Shield of Rhode Island – Providence, RI
    Est. Salary $59k-$76k
    21 days ago 21d
    Working Knowledge of Risk Adjustment Knowledge of claims processing and membership processing for all BCBSRI lines of…
  • 3.2
    NTT DATA – Providence, RI
    21 days ago 21d
    care claim processing experience -CMS health claims experience -Knowledge of CMS pricing guidelines for health claims -Captivate… -Minimum 2 years training experience or equivalent health claims experience -Strong communication (written/oral), organization…
  • 3.2
    Arthur J. Gallagher & Co. – Warwick, RI
    Est. Salary $36k-$54k
    NEW
    and actuarial services in the United States. We also offer claims and information management, risk control consulting, and appraisal…
  • 2.5
    RYZE Claim Solutions – Providence, RI
    Est. Salary $40k-$58k
    27 days ago 27d
    backs and you get paid when the claim is completed by you and not when we get paid on the claim. We pay on a bi-weekly basis and… factor that earns and sustains client relationships. RYZE Claim Solutions, (RYZE) is an independent insurance adjusting company…
  • 3.9
    Volvo Group – Warwick, RI
    7 days ago 7d
    improve Bus Contracts performance, costs and quality of Contract Claims processing. •To be the primary contact for non-standard Contract… contract offering •To identify potential contract and warranty claim process issues with a view to control implementation and potential…
  • 2.8
    CVS Health – Cumberland, RI
    9 days ago 9d
    in retail pharmacy, PBM, banking/health insurance claims processing, or analyst experience strongly preferred 1+ years of MS Office… and regulations relating to the billing/claims processing of health insurance claims to government and private payers. Excellent…
  • 3.9
    Axelon, Inc. – Warwick, RI
    Est. Salary $65k-$97k
    16 days ago 16d
    Billing Center Claims Center - MUST HAVE • Oversees medium to large projects and/or phases of projects of larger scope to implement… Guidewire application experience – Policy Center Billing Center Claims Center - MUST HAVE !…
  • 2.8
    CVS Health – Woonsocket, RI
    6 days ago 6d
    Triage employee issues that arise from plan design questions, claim issues, etc. with guidance from other team members, and works… Location Code OF001 Position Summary: In this role as a Senior Analyst - Benefits Strategy, you will: Participate in the execution…
  • 3.1
    Sapiens – Uxbridge, MA
    Est. Salary $64k-$93k
    7 days ago 7d
    familiarity with operational aspects of policy administration, claims processing and agency administration. Legislation – an understanding… Active participation in delivery by taking on role of Business Analyst in delivery projects as required. In all these context, the…
  • 3.6
    Progressive Insurance – Johnston, RI
    Est. Salary $45k-$60k
    10 days ago 10d
    Claims Adjuster - Auto Damage As an auto damage claims adjuster, you'll have a key role on our claims team. You will be responsible… write estimates, documenting claim related information and making decisions consistent with claims standards and local laws * Complete…
  • 3.5
    USI Insurance Services – Warwick, RI
    Est. Salary $39k-$58k
    NEW
    adjust non lost time claims utilizing the features of the TPA claim management systems. Participates in claim advocacy and negotiation… Description: Adjust non lost-time claims for workers compensation Responsibilities: Knowledge of claims function and processes.…
  • 4.0
    Prestige Staffing – Warwick, RI
    12 days ago 12d
    Prestige Staffing is looking for an On-site Claims Representative in Warwick, RI. This will be a 4.5 month temp to permanent opportunity… on the processing and resolution of Motor Vehicle Accident Claims. The position entails working as part of a team but also requires…
  • 3.2
    Complete Staffing Solutions, Inc – Attleboro, MA
    30+ days ago 30d+
    reconciliation. Expedite credit processing of valid claims and pursue payback of invalid claims with external customers Review customer…
  • 3.6
    Medtronic – Mansfield, MA
    17 days ago 17d
    Careers that Change Lives Interpret US healthcare policy and reimbursement and lead health economic strategies…
  • 3.9
    Milford Regional Medical Center – Milford, MA
    Est. Salary $30k-$45k
    24 days ago 24d
    responsible for all aspects of claims management. Claims management includes electronic and paper claim generation, submission and… the training and development of our employees. Insurance Claims Representatives for Tri-County Medical Associates Statement…
  • 3.8
    Tri-County Medical Associates – Milford, MA
    Est. Salary $27k-$40k
    24 days ago 24d
    responsible for all aspects of claims management. Claims management includes electronic and paper claim generation, submission and… the training and development of our employees. Insurance Claims Representatives for Tri-County Medical Associates Statement…
  • 2.6
    LogistiCare, Inc. – Norton, MA
    Est. Salary $25k-$35k
    30+ days ago 30d+
    of hours between Claims Processing and CSR tasks will be determined by management and may vary. The Flex Claims Processor will be… invoice forms at a rate of 180 manual claims per hour or 540 Web Billing/Electronic claims per hour with a 98% minimum quality score…
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