Claims Case Investigator Jobs in Rhode Island
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FM Global is a leading property insurer of the world's largest businesses, providing more than one-third of FORTUNE 1000-size companies with engineering-based risk management and property insurance solutions. FM Global helps clients maintain continuity in their business operations by drawing upon state-of-the-art loss-prevention engineering and research; risk management skills and support services...
Description: For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm) Join our exceptional Evercare team in the Rhode Island area. As an Evercare Nurse you will provide primary care and Case Mana...
Description: What makes your clinical career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You can work with in an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, youâll open doors for yourself that simply do not exist in any other organization, anywhere....
The Strategic Sourcing Business Analyst will lead sub-projects or independent projects under the direction of the Strategic Procurement Application/Infrastructure Manager. The Strategic Sourcing Business Analyst leads teams to solution planning for all third-party SaaS applications owned and managed by Strategic Procurement; in addition they will work collaboratively with IT teams to deliver busin...
The Business Analyst is responsible for assisting the Applications Manager or independently managing the solutions planning process throughout the solutions planning and development lifecycle. The Business Analyst leads business teams and cross-competency teams completing tasks related to business solution planning, business case development and documenting and managing customer requirements throu...
The IS Business Analyst Leads business teams and cross-competency teams completing tasks related to business solution planning, business case development, documenting and managing customer requirements throughout the development lifecycle. This includes requirements definition, requirements analysis, process analysis; requirements change management, use case and business process modeling, logical...
MetLife, a leading provider of insurance and other financial services to individual and institutional customers, is seeking a Business Procedures Consultant in Dayton, OH, Tulsa, OK, or West Warwick, RI! Beyond meaningful and challenging work, MetLife provides a variety of flexible work arrangements, as well as a tuition reimbursement program, competitive benefits, and retirement and pension plans...
Director, Business Evaluations will provide objective and consistent business case evaluation capabilities and advice to company management that results in the creation of value both strategically and economically for new business opportunities worldwide. The ideal candidate will have prior experience working in a Business Evaluations role. PRINCIPLE DUTIES AND RESPONSIBILITIES Provides business e...
DEPARTMENT: Operations REPORTS TO: Claims Operations Team Lead HOURS: 37.5 FLSA: Non-Exempt SALARY GRADE: 9 Overview: The role of the Claims Analyst is to ensure that claims are processed according to state and federal regulations and meet NHPRI’s contractual obligations. Qualifications: Required: - High school graduate or equivalent - Demonstrated knowledge of industry standard coding and medical...
MetLife, a leading provider of insurance and other financial services to individual and institutional customers, is seeking a Long Term Disability Claims Support Specialist (Work From Home) in Bloomfield, CT! Beyond meaningful and challenging work, MetLife provides a variety of flexible work arrangements, as well as a tuition reimbursement program, competitive benefits, and retirement and pension...
Overview: The Medical Case Manager works collaboratively with the health care team to manage and coordinate care for a specific population of members whose needs represent high clinical and social risk in order to ensure quality and cost-effective member-centered care. Qualifications: Required: · Licensed RN, State of RI · BS Degree or Certification as a CM or RN with 3 years clinical practice · 3...
POSITION TITLE: Medical Case Manager DEPARTMENT: Medical Management REPORTS TO: Medical Management Team Lead HOURS: 37.5 FLSA: Exempt SALARY GRADE: 12 Overview: The Medical Case Manager works collaboratively with the health care team to manage and coordinate care for a specific population of members whose needs represent high clinical and social risk in order to ensure quality and cost-effective m...
VNA of Care New England is expanding its current case management team. Position requires individual to show initiative and good judgment. Excellent communication and organization skills required. Must possess strong interpersonal skills. Must be able to work independently and complete assignment with minimum supervision. Must be able to coordinate, prioritize and complete several tasks simultaneou...
Full Time (40 hours); Monday-Friday 8:00 a.m.-4:30 p.m. with rotating weekend and holiday coverage Description HHCRI is looking for a qualified RN Case Managers for our Home Team and Long Term Care Teams. The Registered Nurse (RN) provides skilled professional nursing care to the patient/family/ caregiver as prescribed by the physician and in compliance with regulations and accepted standards of p...
CVS Caremark is continuing to grow and offers exciting career opportunities throughout our enterprise organizations. The Business Intelligence Architect is responsible for establishing standards and best practices for enterprise business intelligence tools and solutions. The BI Architect will design and develop reporting frameworks of varied levels of complexity; working directly with end users an...
Responsibilities The Business Compliance Risk Manager will serve as the executive responsible for the development, coordination and oversight of an operational risk management framework, and related initiatives which conform with guidelines imposed by regulatory authorities and related operational policies and Citizens Financial Group. Manage the development and implementation of the operational r...
Responsibilities The Business Analysis Manager (BAM) is responsible for directing a staff of Sr. BAs, Sr. BSAs, BAs, and BSAs to understand the business’ needs and identify how best to meet them from a business and functional requirements perspective. This includes working with the business and the technology areas to gather requirements for development and management. The role oversees the effort...
The Merchandising Analysis Business Manager is responsible for proving analytical leadership and support for the Beauty/Personal Care Business Unit within Merchandising by providing and interpreting various financial and business specific analysis and forecasts, with a specific focus on allowances. Examples include category performance analyses, vendor P&L’s, category forecasting and funding manag...
Capacity Management ensures optimal capacity for core datacenter shared infrastructure, while maintaining stability, failover and performance; guarding against both over and under-utilization of infrastructure. Infrastructure services may include physical servers, virtual servers, storage, networks, power, space and incoming demand. Capacity Management experience, strong execution for results, tec...
Document business requirements for Home Lending Business - Facilitate meetings between all business stakeholders and technology group - Identify and note risks associated with the project Qualification: - Must have background in Mortgage or Home Equity Products and business process - Excellent written and verbal communication skills - Understanding of technology or software development life cycle...
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Business Career Tools
Case Investigator - Claims
$31,200.00 - $72,100.00
Typical Salary for Case Investigator - Claims in Rhode Island
Source: Monster.com Careerbenchmarking Tool
Education / Training
Some College Coursework Completed
Some High School Coursework
Source: Monster.com Careerbenchmarking Tool
Case Investigator - Claims
Develops and explores claim information.
Rate of Growth
Size of Industry in 2006:
Source: Bureau of Labor Statistics, May 2006
Data Entry Skills
Present cases and participate in their discussion at claim committee meetings.
Verifies information by conducting telephone and personal interviews.
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