Claims Processing Clerk, Sr. jobs in Rhode Island

Claims Processing Clerk, Sr. receives and inputs new healthcare claims, processes payments, conducts billing research, and responds to telephone inquires. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Being a Claims Processing Clerk, Sr. produces routine and ad hoc reports. Requires a high school diploma. Additionally, Claims Processing Clerk, Sr. typically reports to a supervisor. The Claims Processing Clerk, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Claims Processing Clerk, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)

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RI - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Providence, RI FULL_TIME
  • 1099 Property Claims Adjuster

    Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA.

    Copper Claims Services excels in providing custom claims solutions for Property and Casualty, Transportation and High Net Worth, with an emphasis on Specialized Programs.

    We are currently looking for licensed adjusters (or individuals who will obtain their license upon onboarding) to assist with daily claims handling for the Rhode Island area. In this role, you will manage, investigate and resolve homeowner and commercial property losses of moderate to severe complexity with minimal supervision to include completing field investigations, evaluating and analyzing coverage, completing property damage estimates, reporting findings to various clients, and handling files to the conclusion of the claim.

    In this role, you will:

    • Handle claims during local catastrophes
    • Complete field investigations including inspections, interviews, preparing diagrams, taking photographs, and various other tasks
    • Analyze insurance coverage issues on specific claims and make appropriate recommendations to our clients
    • Prepare detailed estimates in Xactimate based on our client’s specifications and parameters
    • Prepare clear, concise, and timely narrative reports for our clients
    • Create ITV reports
    • Evaluate co-insurance calculations and penalties if applicable
    • Maintain continuous and professional communication with our clients to ensure their needs are being met.
    • Analyze and evaluate damages including reserves, property estimates, business personal property inventories, business interruption, and business income losses
    • Investigate, analyze, adjust and negotiate settlements with insured’s in compliance with our client’s direction
    • Coordinate and oversee vendors such as emergency service contractors, origin and cause investigators, general contractors, engineers, etc.

    Qualifications:

    • 5 years of field Property adjusting experience
    • Ability to climb ladders/Access roofs
    • Thorough knowledge and understanding of roofing, HVAC, and various other mechanical specialties
    • Knowledge of Commercial Lines insurance policies
    • Proficient in Xactimate including Sketch
    • Previous experience with Xactanalysis preferred
    • Proficient in Microsoft Office (Word, Excel, and Outlook)
    • Effective negotiation skills
    • Ability to effectively and independently manage workload
    • Proven ability to provide exceptional customer service
    • Strong written and verbal communication skills
    • Exceptional organization and time management skills

    Job Type: Full-time

    Pay: $30.00 - $35.00 per hour

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Work setting:

    • Outdoor work

    Work Location: On the road

  • 29 Days Ago

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AE - Sr Brand Ambassador (Sr Sales Associate) - US
  • Sr Brand Ambassador (Sr Sales Associate) - US - American Eagle Outfitters Careers
  • United States, RI FULL_TIME
  • BE PART OF SOMETHING REAL YOUR ROLE As a part-time Sr Brand Ambassador, you bring our brand to life every day! Your goal is to provide everyone who comes in the store with an amazing shopping experien...
  • 1 Month Ago

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Claims Appraiser
  • State Farm Mutual Automobile Insurance Company
  • Woonsocket, RI FULL_TIME
  • Claims Appraiser - Auto Estimatics US-RI-Providence Job ID: 2024-36297 Type: Regular Full Time # of Openings: 1 Category: Claims and Investigation Providence, RI Overview Build your career at one of t...
  • 12 Days Ago

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Processing Staff
  • Pat's Pastured
  • East Greenwich, RI FULL_TIME
  • About Our Farm: Founded in 2002, Pat’s Pastured provides the highest quality pasture-raised and grass-fed meats. Our goal is to provide our livestock with a life that allows them to express their natu...
  • 21 Days Ago

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Processing technician
  • CSL
  • East Providence, RI FULL_TIME
  • Description 1 In compliance with Standard Operating Procedures (SOPs), responsible for collecting plasma samples and moving plasma units to freezer to ensure product quality. 2 Ensures plasma units ar...
  • 2 Months Ago

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Customer Claims Coordinator
  • Kenney Manufacturing Company
  • Warwick, RI FULL_TIME
  • Kenney believes in our vision and values as strongly today as we did when we started our business over 100 years ago. We will continue to provide quality, fashion forward and innovative consumer produ...
  • 18 Days Ago

Rhode Island (/ˌroʊd -/ (listen)), officially the State of Rhode Island and Providence Plantations, is a state in the New England region of the United States. It is the smallest state in area, the seventh least populous, the second most densely populated, and it has the longest official name of any state. Rhode Island is bordered by Connecticut to the west, Massachusetts to the north and east, and the Atlantic Ocean to the south via Rhode Island Sound and Block Island Sound. It also shares a small maritime border with New York. Providence is the state capital and most populous city in Rhode Is...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Clerk, Sr. jobs
$50,143 to $61,847

Claims Processing Clerk, Sr. in Dallas, TX
Get full salary data for Insurance Claims and Policy Processing Clerk, including data for your industry, geographic region or metro area and employer size.
January 17, 2020
Claims Processing Clerk, Sr. in Moline, IL
Claims or legal experience is preferred, but not mandatory.
January 27, 2020
Claims Processing Clerk, Sr. in Lawrence, MA
These professionals handle much of the paperwork required when issuing and processing insurance policies and claims.
November 28, 2019