- Sedgwick (Providence, RI)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Complex Claims Advisor | Remote **This ... manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional expertise to...preferred. **Skills & Knowledge** + Subject matter expertise in worker 's compensation claims and/or liability… more
- MetLife (Warwick, RI)
- …Key Responsibilities: * Independently manage an assigned caseload of the most complex claims which consists of pending, ongoing/active and appeal reviews. ... of our customers and our communities. The Lead LTD Claims Specialist manages a caseload of long term disability...Bachelor's degree and knowledge of STD/FML, state leave laws, worker 's compensation , ERISA, and Social Security. At… more
- Elevance Health (Smithfield, RI)
- …help from co- workers , specialists and managers on non-basic issues. The ** Claims Representative II** is responsible for keying, processing health claims in ... Claims Representative II** + Able to handle more complex claim with a good understanding of the application...in good faith believes is the range of possible compensation for this role at the time of this… more
- Travelers Insurance Company (Providence, RI)
- …involving one or more lines of business other than property (ie auto, workers compensation , premium audit, underwriting) may be required. Provides quality claim ... Imagine loving what you do and where you do it. **Job Category** Claim ** Compensation Overview** The annual base salary range provided for this position is a… more
- Sedgwick (Providence, RI)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker , attorney and supervisor. + Identifies ... Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker , employer, and medical providers, create a case management strategy to facilitate… more
- SolomonEdwards (Providence, RI)
- …understanding of regulatory requirements (eg, IFRS, GAAP, Solvency II). * Familiarity with Worker 's Compensation regulations is a plus. * Proven track record of ... ability to collaborate effectively with cross-functional teams and communicate complex concepts to non-technical stakeholders. * Detail-oriented with a commitment… more
- Lincoln Financial Group (Providence, RI)
- …preferred * Experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation , Utilization Review and/or nurse case management ... reviewing, analyzing, and interpreting medical information available for disability claims . In this role you will act as a...clinical resources (ie IME, FCE, Peer Reviews) * Discuss complex medical issues with health care providers as needed… more