RCM Enrollment Specialist

Claims Specialist
- Medical Malpractice
- East Providence, RI

Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice Med Mal Allied Healthcare _.REMOTE - WORK FROM ...

The Operational Risk Manager (ORM) serves as the regional leader for operational risk mitigation, safety, and compliance. This role is responsible for driving a culture of risk awareness and ensuring adherence to regulatory and internal audit requirements.

This position supports the Property Claims operation by handling claims reported on Homeowner policies written by the Interinsurance Exchange in compliance with all applicable guidelines and best practices.

The Reimbursement Liaison will serve as an expert in reimbursement policies, as well as patient and provider support, to ensure patients have access to Glauk products and services.

We are seeking a skilled and experienced Public Adjuster to advocate for policyholders in the negotiation and settlement of property insurance claims.

The Claims Analyst handles complex and high exposure bodily injury and property damage claims under Ryder's self-administered liability program. This position investigates and adjusts claims, as well as maintaining documentation and communicating findings to stakeholders.

Commercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control services, providing comprehensive risk assessments and tailored risk mitigation strategies.

We’re building a world of health around every individual shaping a more connected, convenient, and compassionate health experience. At CVS Health, you’ll be surrounded by passionate colleagues who create innovative solutions to patient challenges.

Investigates, evaluates, reserves, negotiates and settles assigned claims in accordance with best practices. Provides quality claim handling and superior customer service on assigned claims, while ensuring accuracy and compliance with company policies.

• Eligibility must be verified against policy coverage and regulatory requirements.
• All claims data must be updated within 24 hours of receipt of new evidence.
• Reports on claim status and trend indicators are prepared weekly for senior management.

A national independent insurance adjusting firm has immediate openings for Multi-Line Claims adjusters that possess the ability to work remotely and have the experience to handle both property and commercial lines.