The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en

Claims Analyst, CD Full time Hybrid & Remote Opportunities Available It's an exciting time to join Rockville Rockville, a wholly owned subsidiary of the RiverStone Group, is a growing third party claim administrator, setting a new standard of service excellence in the insurance services industry. We handle diverse claims with unique and interesting problems to conquer, pr

The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en

CLAIMS SPECIALIST 3RD PARTY Job Locations US MA TAUNTON ID 2024 142158 Line of Business PharMerica Position Type Full Time Pay Min USD $19.00/Hr. Pay Max USD $21.00/Hr. Our Company PharMerica Overview Join our PharMerica team! PharMerica is a closed door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long term care and senior living clients. We

Review loss notices; confirm and interpret policy coverages; establish adequate reserves; and investigate and handle claims involving primary and excess coverages Responsible for assignment to and control of work of defense counsel, assignment of expert witnesses, and interfacing with peer carriers, including design and execution of defense and indemnity contracts, evalua

Claims Specialist ID 2024 7722 Job Location Location US MA Boston Type Regular Full Time Category/Department Claims Additional Locations US FL Tampa | US FL West Palm Beach | US NY New York Overview About Suffolk Suffolk is a national enterprise that builds, innovates, and invests. Suffolk is an end to end business that provides value throughout the entire project lifecyc

The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en

Develops and maintains corporate payment policies, and works collaboratively with the Clinical Editing Manager to ensure consistency with the Plan's adjudication system(s) Monitors DHHS, EOHHS, and CMS websites, listservs and other sources to identify existing payment practice and upcoming changes Determine the scope and impact of the change on Plan operations and seek to

Claims Analyst, GL Full time Remote & Hybrid Opportunities Available It's an exciting time to join RiverStone We handle diverse claims with unique and interesting problems to conquer, providing flexible and creative claims solutions for our insurance/reinsurance clients. What it's like to work here You work hard, and you deserve more than just a paycheck. RiverStone belie

Under general supervision of the Claims Administration Follow up Supervisor perform all clerical duties necessary to properly process patient bills to customers taking appropriate follow up steps to obtain timely reimbursement of each 3rd party claim and ensure the financial stability of the Hospital. Responsibilities Consistently applies the corporate values of respect h

The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en

Job Location Smithfield, RI Smithfield, RI Position Type Full Time   Travel Percentage Occasional Job Shift Daytime Job Category Some Experience Description Position Overview (In office) This position is responsible to review written inquiries related to claims edit determinations that decrease claim reimbursement. This position also reviews inquiries related to denie

Under general supervision of the Follow up Supervisor performs all duties necessary to follow up on outstanding claims and correct all denied claims for a large physician specialty practice. Responsibilities Review all denied claims correct them in the system and send corrected/appealed claims as written correspondence fax or via electronic submission. Identify and analyz

Job Location Smithfield, RI Smithfield, RI Position Type Full Time Education Level Bachelors Degree   Travel Percentage Occasional Job Shift Daytime Job Category Professional / Experienced Description Position Overview The Member Advocate ensures the interests of the company's members are understood, promoted and addressed by the organization and the larger health car

IMA's Private Equity and M&A Practice provides buyers and targets with a range of insurance, benefits and retirement products and services designed to assist them throughout the life cycle of the M&A transaction. For M&A activity, IMA's in house Transactional Liability Practice, Project Managers and Due Diligence Specialists bring depth and experience to address financial