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4 results for Insurance Authorization Specialist in Providence, RI

Claims Administrator/Specialist

Randolph, MA
onsite
Contract / Temporary to Hire
30 - 35 USD / Hourly
We are looking for a detail-oriented Claims Administrator to support a general contractor in the greater Boston area . This is a contract-to-permanent position, where you will play a pivotal role in supporting the Director of Risk Management with managing various insurance claims. You will collaborate with adjusters, attorneys, and other stakeholders to ensure claims are investigated thoroughly, processed efficiently, and resolved in a timely manner. Responsibilities:• Assist in managing and overseeing insurance claims, including general liability, workers' compensation, and auto liability.• Collaborate with adjusters, attorneys, and third-party carriers to investigate claims and determine liability.• Prepare comprehensive loss runs and claims reports to identify trends and areas of focus.• Compile and organize documentation required for Discovery requests and litigation processes.• Handle small nuisance claims that may not fall under existing insurance coverage.• Assess tender opportunities and make recommendations on settlements.• Provide support for claims related to construction, environmental liability, and property risks.• Ensure accurate processing of claims and maintain compliance with industry standards.• Utilize industry knowledge to interpret construction documents and evaluate construction litigation cases.• Work closely with stakeholders to address inquiries and provide updates on claim statuses.
2026-04-15T00:00:00Z

Medical Claims Analyst

North Providence, RI
onsite
Temporary
17.1 - 19.8 USD / Hourly
Position SummaryWe are seeking a detail-oriented Claims Analyst for a long-term contract on site in Providence, RI. Strong experience in Coordination of Benefits (COB), orthodontic or medical claims processing, and suspended/pended claims resolution. This role requires a thorough understanding of industry guidelines, plan provisions, and claim adjudication processes to ensure accurate and timely claim outcomes. Key ResponsibilitiesCoordination of Benefits (COB) Processing<ul><li>Review and adjudicate claims to determine primary and secondary coverage in accordance with COB rules</li><li>Verify subscriber and dependent eligibility across multiple insurance plans</li><li>Apply industry-standard guidelines to ensure accurate benefit determination</li><li>Calculate correct payment amounts following primary insurer adjudication</li><li>Adjust claims based on Explanations of Benefits (EOBs) received from other carriers</li></ul>Orthodontic Claims Processing<ul><li>Evaluate orthodontic treatment plans for coverage eligibility and plan compliance</li><li>Verify lifetime maximums, age limits, and plan-specific orthodontic provisions</li><li>Process initial banding/bonding claims and ongoing periodic payments</li><li>Calculate prorated payments over the course of treatment</li><li>Monitor continuation of treatment and confirm ongoing patient eligibility</li></ul>Suspended / Pended Claims Handling<ul><li>Analyze suspended or pended claims to identify errors, missing documentation, or review flags</li><li>Determine root causes such as eligibility discrepancies, coding issues, or COB conflicts</li><li>Prioritize suspended claims based on aging, urgency, and service-level agreements (SLAs)</li><li>Escalate complex or high-risk issues to senior analysts or supervisors as appropriate</li><li>Ensure timely and compliant resolution in accordance with turnaround time standards</li></ul>
2026-04-07T00:00:00Z

Legal Billing Specialist

Boston, MA
onsite
Permanent
100000 - 125000 USD / Yearly
Our client, a successful civil litigation law firm, is seeking an experienced Legal Billing Specialist to join their team in Boston, Massachusetts. In this role, you will play a crucial part in managing all aspects of legal billing and invoice processing, ensuring compliance and accuracy across various client platforms. Location: Boston, MASchedule: Hybrid (3 or 4 days in office, other days remote)Salary: $100,000 - $125,000 (depending on experience) Responsibilities:<ul><li>Prepare, generate, and manage attorney pre-bills for review and submission</li><li>Maintain and manage attorney time entries and billing data</li><li>Must be conversant in LEDES (Legal Electronic Data Exchange Standard)</li><li>Submit invoices and manage billing through client e-billing platforms, including but not limited to: TimeSlips, Tymetrix, Legal Tracker, Legal X, SimpleLegal, TeamConnect, Acuity, and Brightflag.</li><li>Ensure compliance with client billing guidelines and resolve billing rejections or issues</li><li>Track billing status and follow up on outstanding invoices</li><li>Coordinate vendor payments and ensure expenses are properly invoiced and billed</li><li>Work closely with the firm’s external bookkeeper during monthly visits</li><li>Assist with check requests and internal financial coordination</li><li>Interface with outsourced payroll and HR vendors as needed</li><li>Provide general administrative and billing support to attorneys and managing partners</li></ul>
2026-04-03T00:00:00Z

Contracts Specialist

Storrs-Mansfield, CT
onsite
Temporary
39.5865 - 45.837 USD / Hourly
We are looking for an experienced Contracts Specialist to join our team in Storrs, Connecticut. In this role, you will be responsible for drafting, negotiating, and managing terms and conditions for contracts related to information technology and telecommunications. This position offers the opportunity to work on diverse agreements, including IT hardware, software, maintenance services, and consulting contracts. This is a long-term contract position ideal for candidates with strong expertise in contract administration and management. Responsibilities: • Draft and negotiate detailed terms and conditions for IT and telecommunications contracts, ensuring compliance with established policies and legal requirements. • Review and manage contracts related to IT hardware, software solutions, maintenance agreements, and consulting services. • Collaborate with internal stakeholders to address contract-related concerns and align agreements with organizational goals. • Conduct thorough evaluations of pricing and contract structures for accuracy and efficiency. • Provide guidance on contract compliance and ensure adherence to relevant statutes and regulations. • Develop and maintain standardized templates for agreements to streamline contract processes. • Resolve contract disputes effectively, ensuring favorable outcomes for the organization. • Analyze contracts to identify risks and propose solutions to mitigate potential issues. • Build and maintain strong relationships with vendors and external partners to facilitate smooth contract negotiations.
2026-03-25T00:00:00Z