Claims Case Investigator Jobs in Rhode Island

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MetLife, a leading provider of insurance and other financial services to individual and institutional customers, is seeking a Clerical Claims Support Assistant – Full Time in 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. MetLife’s resp...
Insurance Overload Services, a national staffing ser vices focusing on the placement of insurance industry professionals, is working with a self-insured client in Washington County, RI, who is need of a multi-line claims adjuster to fill a need in their staff on a temporary, temp to hire or direct hire basis! In this role, you will utilize your 5+ years of claims experience to handle commercial lo...
We are seeking a Lead Analyst to provide end to end systems analysis on a Workplace Managed Accounts Technology Product Team. The analyst will start by focusing on a single project within a product delivery track. Qualifications: Minimum of 10 years of experience with at least 5 years in Financial Services Industry Strong SQL and Data Analysis Skills Demonstrate strong client engagement and relati...
Managing Business Development Manager RI and Central MASS New England Ice Cream, a regional leader in frozen dessert sales and distribution representing Ben & Jerry's as well as many other brands, has an immediate salaried opening for a Managing Business Development Manager. This role is responsible for identifying, qualifying and cultivating all potential sales leads and prospects in the independ...
The Washington Trust Company has an opportunity for an experienced Wealth Management project manager to support our growing Wealth Management division. The VP, Business Support, Wealth Manager will be responsible for identifying opportunities for operational improvements and will influence the strategic direction for the group. Because this is a hands-on role, a solid background in the financial s...
We are looking for a Business Analyst on behalf of our client, Fidelity Investments. This position is based in Smithfield, RI. Overview: As part of the Solution Delivery organization, the Business Analysis function is responsible for delivering quality products to customers by understanding product strategy and customer needs, developing business requirements, and supporting product development an...
POSITION TITLE:Healthcare EDI Analyst DEPARTMENT: Information Services Overview: The Health Care EDI Analyst is the primary point of contact for system interfaces between Neighborhood and our vendors. The Health Care EDI Analyst has primary responsibility to triage EDI/Interface issues and support operational needs. The Health Care EDI Analyst works directly with business units, our trading partne...
Company Confidential Groton, CT
* WORK FROM HOME * Title: LeadBiostatistician Duration: 1+ Year Location: Onsite ( Groton CT ) or Remote( with occasional travel) • Partner with business, data, technology, statistical and other colleagues/SMEs to develop hypothesizes regarding what makes an Investigator Site "Healthy”, • Review and analyze hypothesis, questions or problems in order to deliver optimal plans/solutions to meet the n...
Company Confidential Multiple
ELECTRICAL PROJECT MANAGER: POSITIVE ANNUITY BUSINESS The differentiation here is cultural. This is an organization that is based on making it easy to work with us inside and out. Keeping and building long term relationships with clients equates with profitable work and a great working environment. Based on a very good system of sharing, profitable work is a personal idea here. The company does as...
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...
MetLife, a leading provider of insurance and other financial services to individual and institutional customers, is seeking a Supervisor – Subrogation Claims in 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. MetLife’s responsiveness to...
This position requires licensure as a registered nurse (RN) and is a SURS (fraud) analyst position that is critical to the account's ability to meet SLA's for work output. The position works closely with the client, Rhode Island Medicaid, to analyze claims and medical charts to investigate and refer potential produce reports analyzing various healthcare reform programs. Candidate must ha...
Adecco is currently assisting a local client seeking an experienced Data Entry/Claims Analyst in Providence, RI. This position is a long-term temporary to hire opportunity. If you meet the qualifications listed below please Apply Now! Responsibilities for this job include: *Sort, batch, count and create file jackets *Data entry of all HCFA and UB-92 claims into system *Daily inventory of mail for...
Company Confidential Pawtucket, RI, 02860
HEALTH HOME CASE MANAGER -WARWICK & PAWTUCKET Outpatient Opioid Treatment Program looking for F/T Case Managers to be part of our Health Home Team. We are looking for motivated individuals with the skill sets to be able to work from the ground up. Case Management experience preferred. Competitive Salary & Benefits. Email Resume to: *****...
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) Field-based Case Managers will lead the new frontier in care coordination in the emerging provider market through full partne...
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) Field-based Case Managers will lead the new frontier in care coordination in the emerging provider market through full partne...
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) Field-based Case Managers will lead the new frontier in care coordination in the emerging provider market through full partne...
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 years...
Job Description The RN Case Manager performs utilization management, case management, and discharge planning activities for high risk, GYN, and/or extended care patients, including NICU. The incumbent tracks and records patient care, collects data for insurance reimbursement, and ensures compliance with hospital standards. Participates in case management and discharge processes, including identify...
Registered Nurse RN Case Manager/Continuing Care Contract Available in Pawtucket, RI! Must Have 1+ Years of Recent Case Manager Experience Case Manager Registered Nurse Details: • 13 Week Continuing Care Nurse Contract • Will assist with Physician documentation • Work Monday - Friday, 8am - 4:30pm • Immediate Start Date • Location: Pawtucket, RI Continuing Care Requirements: • Must have Case Manag...
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Business Career Tools

Case Investigator - Claims

Salaries

$31,200.00 - $72,100.00
Typical Salary for Case Investigator - Claims in Rhode Island
(36 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
47.8%
Associates
13%
Master's
13%
High School
8.7%
Some College Coursework Completed
8.7%
Some High School Coursework
4.3%
Professional
4.3%
(23 Respondents)
Source: Monster.com Careerbenchmarking Tool
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