Current jobs related to Fraud Claims Sr Specialist - East Providence - Citizens


  • East Walpole, Massachusetts, United States Advantage Surveillance LLC Full time

    Job OverviewAdvantage Surveillance LLC is a premier firm specializing in insurance defense investigations, dedicated to enhancing operational efficiencies that yield reliable, high-quality outcomes. Our mission is to empower clients to "See What's True." By leveraging strategic methodologies alongside advanced technology, we provide our clients with a...

  • Fraud Investigator

    1 week ago


    East Glenville, United States MVP Health Care Full time

    Fraud Investigator Headquarters Office, 625 State Street, Schenectady, New York, United States of America Req #2125 Tuesday, August 27, 2024 At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Fraud Investigator to join...

  • Claims Specialist

    17 hours ago


    East Syracuse, New York, United States Liberty Mutual Insurance Full time

    Job Summary:We are seeking a highly skilled and detail-oriented Claims Specialist to join our team at Liberty Mutual Insurance. As a Claims Specialist, you will be responsible for managing an inventory of claims, evaluating compensability and liability, and negotiating settlements.Key Responsibilities:Manage an inventory of claims to evaluate compensability...


  • Providence, Rhode Island, United States Brown Medicine Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Medical Claims Specialist to join our team at Brown Medicine. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely submission of medical claims to third-party payers.Key ResponsibilitiesClaims Submission and Follow-up: Verify completeness and...

  • Claims Examiner

    17 hours ago


    Providence, Rhode Island, United States Sedgwick Full time

    About the RoleSedgwick is seeking a highly skilled Claims Examiner - Workers Compensation Specialist to join our team. As a key member of our claims team, you will be responsible for analyzing and processing complex workers' compensation claims to ensure timely and accurate resolution.Key ResponsibilitiesAnalyze and process claims through well-developed...

  • Specialist, Claims

    2 days ago


    East Syracuse, United States RXO Full time

    Accelerate your career at RXO. RXO is a leading provider of transportation solutions. With cutting-edge technology at the center, were revolutionizing the industry with our massive network and commitment to finding solutions for every challenge. We create more efficient ways for shippers and carriers to transport goods across North America. Compensation...

  • Specialist, Claims

    3 weeks ago


    East Syracuse, United States RXO Full time

    Accelerate your career at RXO. RXO is a leading provider of transportation solutions. With cutting-edge technology at the center, we're revolutionizing the industry with our massive network and commitment to finding solutions for every challenge. We create more efficient ways for shippers and carriers to transport goods across North America. Compensation...

  • Specialist, Claims

    3 weeks ago


    East Syracuse, United States RXO Full time

    Accelerate your career at RXO. RXO is a leading provider of transportation solutions. With cutting-edge technology at the center, we’re revolutionizing the industry with our massive network and commitment to finding solutions for every challenge. We create more efficient ways for shippers and carriers to transport goods across North America. ...


  • East Syracuse, New York, United States RXO Full time

    About the RoleRXO is a leading provider of transportation solutions, revolutionizing the industry with cutting-edge technology and a massive network. As a Claims Resolution Specialist, you will play a crucial role in managing and administering claims on behalf of contracted carriers and technicians.Key ResponsibilitiesConduct thorough investigations of...


  • Providence, Rhode Island, United States Lifespan Health System Full time

    About the Role:Lifespan Health System is seeking a Claims Follow-up Representative to join our team. As a Claims Follow-up Representative, you will be responsible for reviewing and correcting denied claims for our large physician multi-specialty practice.Key Responsibilities:Review all denied claims and correct them to ensure accurate paymentWork closely...


  • Providence, Rhode Island, United States Lifespan Health System Full time

    About the Role:Lifespan Health System is seeking a skilled Claims Follow-up Representative to join our team. As a Claims Follow-up Representative, you will be responsible for reviewing and correcting denied claims for our large physician multi-specialty practice.Key Responsibilities:Review all denied claims and correct them to ensure accurate paymentWork...


  • East Syracuse, New York, United States Liberty Mutual Insurance Full time

    Schedule: Full-Time Salary Range: USD $ $ Job Category: Claims Pay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the...


  • East Syracuse, United States Liberty Mutual Group Full time

    Investigates claims to determine whether coverage is provided, establish compensability, and verify exposure. Resolves claims within authority and makes recommendations regarding case value and resolution strategy to Branch Office Management on cases Workers Compensation, Claims Specialist, Claims, Technical, Specialist, Worker, Administrative, Insurance


  • Providence, Rhode Island, United States Lemieux & Associates LLC Full time

    Job OverviewJoin Our Team with a $500 Sign-On Bonus!Lemieux & Associates LLC, a prominent name in the investigative sector, is currently looking for skilled SIU/Claims Investigators. This role is initially part-time, with the potential to transition into a full-time position for the right candidate. Our leadership team consists of seasoned professionals with...


  • Providence, Rhode Island, United States City Personnel Full time

    Job OverviewWe are seeking a meticulous and knowledgeable Medical Billing Specialist to become a vital part of our growing healthcare team. The successful candidate will have a robust understanding of medical billing practices, insurance claim processing, and overall revenue cycle management. This position plays a significant role in ensuring prompt and...

  • Claims coordinator

    3 weeks ago


    East Syracuse, United States Randstad Full time

    As a claims specialist, you will facilitate communications between contract carriers, insurance and customers. You will also review property damage claims and resolve the claims. On our team, you'll have the support to excel at work and the resources to build a career you can be proud of. Full time, onsite Monday - Friday 8am - 4pm salary: $19 - $19.35 per...


  • East Syracuse, New York, United States Liberty Mutual Insurance Full time

    Job Summary:The Workers Compensation Claims Specialist plays a critical role in the Claims Team, utilizing the latest technology to manage an assigned caseload of routine to moderately complex claims from investigation to resolution.Key Responsibilities:Manage an inventory of claims to evaluate compensability/liability and establish action plans based on...


  • East Longmeadow, United States The MH Group LLC Full time

    Job DescriptionJob DescriptionDescription:The Claims Compliance Analyst occupies an essential role, necessitating a thorough knowledge of policies and procedures, a profound expertise in the claims process, and the ability to process claims effectively. The ideal candidate will lead the establishment, oversight, and enactment of compliance-centered...

  • Claims Professional

    16 hours ago


    East Hartford, Connecticut, United States Gallagherbassett Full time

    Job Summary:Gallagher Bassett is seeking a skilled Claims Adjuster - Workers Compensation Specialist to join our team. As a key member of our claims team, you will be responsible for investigating, evaluating, and settling less complex claims with moderate supervision.Key Responsibilities:Exercise proper judgment and decision-making to analyze claims...


  • Providence, United States Sunrun Full time

    Sunrun Sr. Affiliate Experience Manager Providence, Rhode Island Apply Now Everything we do at Sunrun is driven by a determination to transform the way we power our lives. We know that starts at the individual employee level. We strive to foster an environment you can thrive in through our commitment to diversity, inclusion and belonging. Sunrun is seeking a...

Fraud Claims Sr Specialist

2 months ago


East Providence, United States Citizens Full time

As a Fraud Claims Sr. Specialist, you’ll play a pivotal role in our Fraud and Claims Operations group, one of our most critical departments at Citizens. Our team is dedicated to protecting our customers, maintaining the highest standards of service, and ensuring the integrity of financial transactions. You’ll use critical thinking skills to assist customers with existing claims and determine the best next step for the customer and the bank. This role requires the application of various methods, procedures, and knowledge of the business unit’s product(s) and system application(s). Specialists manage competing priorities in an accurate and timely manner and may participate in process enhancements requiring coordination with other teams. Come join our best-in-class team making a difference for our customers every day. Growth opportunities await you inside our department and within other business areas. Primary Responsibilities Review Claims – Responsible for reviewing claims filed by customers for fraud and risk activity and analyzing information across multiple applications and documentation. Determine the proper next steps based on the scenario and within the guidelines of the regulations. Customer Assistance – Handle all elements related to existing claims. Gather evidence through conversations with customer and records with accurate and complete documentation to establish the legitimacy of a claim. Digital Literacy – Utilize multiple digital platforms, technologies, and software to investigate and appropriately process the initial steps of a fraud claim. Work independently to apply digital literacy skills to resolve cases effectively. Required Skills and Qualifications Experience – 1 year or more of banking and/or claims investigations experience. Adaptability – Ability to thrive in a fast-paced environment and quickly shift priorities as needed. Precision – Strong attention to detail in all tasks and deliverables. Preferred Skills and Qualifications Proficiency in Microsoft Tools – Knowledge of Outlook for effective communication and SharePoint for collaborative work and document management. Banking Knowledge – Previous experience in the banking industry, including an understanding of banking operations, compliance, and customer service best practices. Workflow Application Navigation – Experience in effectively navigating workflow tool applications to streamline processes and enhance productivity. Education Required high school degree or equivalent. Preferred completed associate degree or above. Work Schedule: 8:30AM-5:00PM Monday - Friday Some job boards have started using jobseeker-reported data to estimate salary ranges for roles. If you apply and qualify for this role, a recruiter will discuss accurate pay guidance. At Citizens we value diversity, equity and inclusion, and treat everyone with respect and professionalism. Employment decisions are based solely on experience, performance, and ability. Citizens, its parent, subsidiaries, and related companies (Citizens) provide equal employment and advancement opportunities to all colleagues and applicants for employment without regard to age, ancestry, color, citizenship, physical or mental disability, perceived disability or history or record of a disability, ethnicity, gender, gender identity or expression (including transgender individuals who are transitioning, have transitioned, or are perceived to be transitioning to the gender with which they identify), genetic information, genetic characteristic, marital or domestic partner status, victim of domestic violence, family status/parenthood, medical condition, military or veteran status, national origin, pregnancy/childbirth/lactation, colleague’s or a dependent’s reproductive health decision making, race, religion, sex, sexual orientation, or any other category protected by federal, state and/or local laws. Equal Employment and Opportunity Employer Citizens is a brand name of Citizens Bank, N.A. and each of its respective affiliates. Why Work for Us At Citizens, you'll find a customer-centric culture built around helping our customers and giving back to our local communities. When you join our team, you are part of a supportive and collaborative workforce, with access to training and tools to accelerate your potential and maximize your career growth Any offer of employment is conditioned upon the candidate successfully passing a background check, which may include initial credit, motor vehicle record, public record, prior employment verification, and criminal background checks. Results of the background check are individually reviewed based upon legal requirements imposed by our regulators and with consideration of the nature and gravity of the background history and the job offered. Any offer of employment will include further information.

#J-18808-Ljbffr