Claims jobs in rhode island state USA
148 claims jobs found in rhode island state: showing 1 - 50
Prior Authorization Pharmacy Technician - Rhode Island Pharmacy License
Company: Shields Health Solutions |
. Navigate pharmacy operating systems to enter data, adjudicate claims, process refills, and create follow-up action plans... in managing pharmacy insurance claims and resolving coverage-related issues. Partner closely with pharmacists and pharmacyLocation: Rhode Island, USA
| Salary: US$20 - 22 per hour | Date posted: 23 Oct 2026
Investigator
Company: Ethos Risk Services |
ABOUT US: Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing... to conduct surveillance and investigative activities to identify potential fraudulent insurance claims. This role involvesLocation: Providence, RI, USA
| Salary: US$30 - 35 per hour | Date posted: 22 Oct 2026
Rxo - Customer Service Specialist (1st Shift)
Company: EssilorLuxottica |
service levels provided to customers Own the collection & resolution of customer claims from the commercial organization ActLocation: Warwick, RI, USA
| Salary: unspecified | Date posted: 22 Oct 2026
Pharmacy Operations Manager
Company: Walgreens |
of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with insurance companies as wellLocation: North Providence, RI, USA
| Salary: US$22.5 - 35.75 per hour | Date posted: 21 Oct 2026
Senior Provider Relations Advocate - Remote Within Rhode Island
Company: LHC Group |
and strategic liaison responsible for managing complex provider relationships and resolving high-impact claims, payment... strong analytical, problem-solving, relationship-management, and influencing skills. Claims expertise is solidly preferredLocation: Providence, RI, USA
| Salary: US$72800 - 130000 per year | Date posted: 21 Oct 2026
Rxo - Customer Service Specialist (1st Shift)
Company: EssilorLuxottica |
service levels provided to customers Own the collection & resolution of customer claims from the commercial organization ActLocation: Warwick, RI, USA
| Salary: unspecified | Date posted: 21 Oct 2026
Informatica Developer (medicaid Systems)
Company: Gainwell Technologies |
, and support Medicaid systems involving member, eligibility, provider, and claims data. The ideal candidate will have experience..., Claims) 3+ years of experience working with Root Cause Analysis and Production Incident Resolution On-call supportLocation: Rhode Island, USA
| Salary: US$58200 - 83200 per year | Date posted: 18 Oct 2026
Informatica Developer (medicaid Systems)
Company: Gainwell Technologies |
, and support Medicaid systems involving member, eligibility, provider, and claims data. The ideal candidate will have experience..., Claims) 3+ years of experience working with Root Cause Analysis and Production Incident Resolution On-call supportLocation: Rhode Island, USA
| Salary: US$58200 - 83200 per year | Date posted: 18 Oct 2026
Pharmacy Customer Service Associate
Company: Walgreens |
, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services... of pharmaceuticals. Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandiseLocation: Woonsocket, RI, USA
| Salary: unspecified | Date posted: 18 Oct 2026
Pharmacy Customer Service Associate
Company: Walgreens |
, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services... of pharmaceuticals. Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandiseLocation: Pawtucket, RI, USA
| Salary: unspecified | Date posted: 17 Oct 2026
Pharmacy Technician / Pharm Tech Apprenticeship
Company: Walgreens |
(corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner... of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortagesLocation: Woonsocket, RI, USA
| Salary: unspecified | Date posted: 17 Oct 2026
Licensed Vocational Nurse
Company: Apidel Technologies |
Review chart notes, claims history, and prior authorization history to make accurate determinations Submit complete... Experience using CoverMyMeds or similar authorization platforms Familiarity with chart notes, claims history, and insuranceLocation: Rhode Island, USA
| Salary: unspecified | Date posted: 17 Oct 2026
Medical Billing Specialist
Company: The Sisters of Mercy of the Americas |
Americas we breed winners. Responsibilities Process medical claims accurately and submit timely to insurance payersLocation: Cumberland, RI, USA
| Salary: US$22 - 30 per hour | Date posted: 16 Oct 2026
R&is Department Customer Advocate
Company: Axelon Services |
and address changes, beneficiary and death notifications. Aid throughout the claims process. Explain complex financialLocation: Warwick, RI, USA
| Salary: unspecified | Date posted: 16 Oct 2026
Pharmacy Technician / Pharm Tech Apprenticeship
Company: Walgreens |
(corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner... of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortagesLocation: Boston, MA - Narragansett, RI, USA
| Salary: unspecified | Date posted: 16 Oct 2026
Workers' Compensation Analyst
Company: General Dynamics |
Overview: Workers' Compensation Analyst will manage all aspects of assigned workers' compensation claims, includingLocation: North Kingstown, RI, USA
| Salary: unspecified | Date posted: 16 Oct 2026
Pharmacy Customer Service Associate
Company: Walgreens |
, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services... of pharmaceuticals. Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandiseLocation: Boston, MA - Narragansett, RI, USA
| Salary: unspecified | Date posted: 16 Oct 2026
Customer Service Representative
Company: Axelon Services |
and death notifications. Aid throughout the claims process. Requirements: High school diploma or equivalent (AssociateLocation: Warwick, RI, USA
| Salary: unspecified | Date posted: 14 Oct 2026
Customer Service Representative
Company: Axelon Services |
and aid throughout the claims process. Use AI enhancements to complete job tasks and handle sensitive financial informationLocation: Warwick, RI, USA
| Salary: unspecified | Date posted: 14 Oct 2026
Pharmacy Customer Service Associate
Company: Walgreens |
, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services... of pharmaceuticals. Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandiseLocation: Providence, RI, USA
| Salary: unspecified | Date posted: 14 Oct 2026
Sales Internship
Company: Aerotek |
unemployment process including claims and hearings Minimum Education/Experience/Abilities/Skills: Currently enrolled in collegeLocation: Providence, RI, USA
| Salary: unspecified | Date posted: 14 Oct 2026
Customer Service Representative
Company: Axelon Services |
changes, beneficiary and death notifications. Aid throughout the claims process. Requirements: High school diplomaLocation: Warwick, RI, USA
| Salary: unspecified | Date posted: 13 Oct 2026
Insurance Csr
Company: TGG Accounting |
cancellations take effect so no one is caught off guard Report claims to insurance carriers and guide clients through the processLocation: Pawtucket, RI, USA
| Salary: US$55000 per year | Date posted: 13 Oct 2026
Csr Personal Lines
Company: Talent Edge Recruiting |
, and address basic claims inquiries. Explain coverage options, terms, and conditions in simple, understandable language. Identify... to ensure continuity of service. Collaborate with underwriting, claims, and support teams to expedite resolutions. MaintainLocation: Rhode Island, USA
| Salary: US$50000 - 55000 per year | Date posted: 10 Oct 2026
Ambulatory Pharmacy Technician
Company: Care New England Health System |
test claims, and preparing follow-up action plans. Manages, organizes, and updates data using various databaseLocation: Warwick, RI, USA
| Salary: unspecified | Date posted: 10 Oct 2026
Senior Sdet, Back End [remote-us]
Company: Quanata |
and casualty insurance experience is preferred, including policy administration, billing, rating, claims, or related integrationsLocation: San Francisco, CA - Providence, RI, USA
| Salary: unspecified | Date posted: 10 Oct 2026
Pre-litigation Attorney
Company: Providence Staffing |
status and strategy. Review liability, damages, medical records, and insurance coverage to evaluate claims. Draft... for clients. Work closely with case managers, medical providers, and support staff to develop strong claims. Identify casesLocation: Providence, RI, USA
| Salary: US$125000 - 175000 per year | Date posted: 09 Oct 2026
Managing Senior Counsel - Benefits & Compensation
Company: CVS Health |
, benefit claims, appeals, and regulatory matters. 3. Employee Benefits Compliance and Governance Support benefit planLocation: Rhode Island, USA
| Salary: unspecified | Date posted: 09 Oct 2026
Pharmacy Intern
Company: Walgreens |
of pharmaceuticals. Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandiseLocation: Warwick, RI, USA
| Salary: US$18 - 31 per hour | Date posted: 09 Oct 2026
Independent Insurance Claims Adjuster In Johnston, Rhode Island
Company: MileHigh Adjusters Houston |
Insurance Claims Adjuster? With continued storm activity and catastrophic weather events across the country, experienced... licensing and professional training. FOR EXPERIENCED ADJUSTERS: Already licensed with claims experience? ExperiencedLocation: Johnston, RI, USA
| Salary: unspecified | Date posted: 08 Oct 2026
Independent Insurance Claims Adjuster In Pawtucket, Rhode Island
Company: MileHigh Adjusters Houston |
Insurance Claims Adjuster? With continued storm activity and catastrophic weather events across the country, experienced... licensing and professional training. FOR EXPERIENCED ADJUSTERS: Already licensed with claims experience? ExperiencedLocation: Pawtucket, RI, USA
| Salary: unspecified | Date posted: 08 Oct 2026
Independent Insurance Claims Adjuster In Coventry, Rhode Island
Company: MileHigh Adjusters Houston |
Insurance Claims Adjuster? With continued storm activity and catastrophic weather events across the country, experienced... licensing and professional training. FOR EXPERIENCED ADJUSTERS: Already licensed with claims experience? ExperiencedLocation: Coventry, RI, USA
| Salary: unspecified | Date posted: 08 Oct 2026
Independent Insurance Claims Adjuster In East Providence, Rhode Island
Company: MileHigh Adjusters Houston |
Insurance Claims Adjuster? With continued storm activity and catastrophic weather events across the country, experienced... licensing and professional training. FOR EXPERIENCED ADJUSTERS: Already licensed with claims experience? ExperiencedLocation: East Providence, RI, USA
| Salary: unspecified | Date posted: 08 Oct 2026
Independent Insurance Claims Adjuster In Cranston, Rhode Island
Company: MileHigh Adjusters Houston |
Insurance Claims Adjuster? With continued storm activity and catastrophic weather events across the country, experienced... licensing and professional training. FOR EXPERIENCED ADJUSTERS: Already licensed with claims experience? ExperiencedLocation: Cranston, RI, USA
| Salary: unspecified | Date posted: 08 Oct 2026
Territory Manager - Rhode Island
Company: ZOLL Medical Corporation |
is provided to intake and reimbursement to ensure appropriate and timely filing of billing claims Maintain credentialing/accessLocation: Providence, RI, USA
| Salary: US$100000 per year | Date posted: 08 Oct 2026
Independent Insurance Claims Adjuster In North Kingstown, Rhode Island
Company: MileHigh Adjusters Houston |
Insurance Claims Adjuster? With continued storm activity and catastrophic weather events across the country, experienced... licensing and professional training. FOR EXPERIENCED ADJUSTERS: Already licensed with claims experience? ExperiencedLocation: North Kingstown, RI, USA
| Salary: unspecified | Date posted: 08 Oct 2026
Independent Insurance Claims Adjuster In Newport, Rhode Island
Company: MileHigh Adjusters Houston |
Insurance Claims Adjuster? With continued storm activity and catastrophic weather events across the country, experienced... licensing and professional training. FOR EXPERIENCED ADJUSTERS: Already licensed with claims experience? ExperiencedLocation: Newport, RI, USA
| Salary: unspecified | Date posted: 08 Oct 2026
Independent Insurance Claims Adjuster In Bristol, Rhode Island
Company: MileHigh Adjusters Houston |
Insurance Claims Adjuster? With continued storm activity and catastrophic weather events across the country, experienced... licensing and professional training. FOR EXPERIENCED ADJUSTERS: Already licensed with claims experience? ExperiencedLocation: Bristol, RI, USA
| Salary: unspecified | Date posted: 08 Oct 2026
Pharmacy Technician / Pharm Tech Apprenticeship
Company: Walgreens |
(corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner... of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortagesLocation: Pawtucket, RI, USA
| Salary: unspecified | Date posted: 08 Oct 2026
Independent Insurance Claims Adjuster In Cumberland, Rhode Island
Company: MileHigh Adjusters Houston |
Insurance Claims Adjuster? With continued storm activity and catastrophic weather events across the country, experienced... licensing and professional training. FOR EXPERIENCED ADJUSTERS: Already licensed with claims experience? ExperiencedLocation: Cumberland, RI, USA
| Salary: unspecified | Date posted: 07 Oct 2026
Independent Insurance Claims Adjuster In Providence, Rhode Island
Company: MileHigh Adjusters Houston |
Insurance Claims Adjuster? With continued storm activity and catastrophic weather events across the country, experienced... licensing and professional training. FOR EXPERIENCED ADJUSTERS: Already licensed with claims experience? ExperiencedLocation: Providence, RI, USA
| Salary: unspecified | Date posted: 07 Oct 2026
R&is Department Customer Advocate
Company: Axelon Services |
and address changes, beneficiary and death notifications. Aid throughout the claims process. Explain complex financialLocation: Warwick, RI, USA
| Salary: unspecified | Date posted: 07 Oct 2026
Customer Service Representative
Company: Axelon Services |
and address changes. Handle beneficiary and death notifications, and aid throughout the claims process. Requirements: HighLocation: Warwick, RI, USA
| Salary: unspecified | Date posted: 07 Oct 2026
Customer Service Rep
Company: Tailored Management |
: Direct deposit changes, Address changes,Beneficiary updates, Death notifications Assist customers throughout the claimsLocation: Warwick, RI, USA
| Salary: unspecified | Date posted: 07 Oct 2026
Customer Service Representative
Company: Axelon Services |
throughout the claims process. Explain complex financial information clearly and accurately. Multitask across multiple systemsLocation: Warwick, RI, USA
| Salary: unspecified | Date posted: 07 Oct 2026
Customer Service Representative
Company: Axelon Services |
and death notifications. Aid throughout the claims process. Use AI enhancements to complete job tasks and handle sensitiveLocation: Warwick, RI, USA
| Salary: unspecified | Date posted: 07 Oct 2026
Customer Service Representative
Company: Axelon Services |
deposit and address changes. Handle beneficiary and death notifications and assist throughout the claims processLocation: Warwick, RI, USA
| Salary: unspecified | Date posted: 07 Oct 2026
Project Executive– Construction Operations & Client Leadership
Company: Arden Engineering Constructors |
administration, change order management, risk mitigation, claims resolution, and project controls. Partner with Project ManagersLocation: Pawtucket, RI, USA
| Salary: US$120000 - 170000 per year | Date posted: 07 Oct 2026
Certified Pharmacy Technician
Company: Walgreens |
(corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner... of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortagesLocation: Warwick, RI, USA
| Salary: unspecified | Date posted: 07 Oct 2026
Customer Service Representative
Company: Axelon Services |
and death notifications, and aid throughout the claims process. The ideal candidate can clearly explain complex financial