54 jobs found in rhode island

The Carlisle Group has been retained to search for a Director of Regional Underwriting – New England. Our preferred client is an A.M. Best “A” rated, $1.4B award-winning, nationally recognized insurance company. They have over 1,300 employees and are headquartered in northern New York. They provide personal and commercial property and casualty insurance products in 17 states through a network of 2,200 independent agents. Our client continues to grow while maintaining a strong foundation and reputation of providing “best in class” service for their policyholders and independent agency partners since 1914. This is a remote location role. Director of Regional Underwriting – New England The Director of Regional Underwriting (DRUO) will ensure that the underwriting teams reporting to them are properly underwriting and pricing new and renewal business that is handled in the region. The DRUO will also be responsible for ensuring that underwriters are effectively...

Inbound Customer Service Representatives In this position, candidates will be responsible for providing frontline support for members. Inquiries could include questions about current insurance coverage, previous insurance coverage, doctors in their programs, co-pays, and claims questions. Roles on our contact center are FAST paced and we need dynamic, talented, multi-taskers who can help us continue to provide top level service. This is a fast-paced environment, navigating multiple systems and multitasking while taking 30-40 inbound calls per day from members and potential members Verifying proper completion of enrollment and change documentation. High attention to detail Identifying and resolving both regular and non-routine problems or escalate to more proficient team members Adhering to attendance, professional conduct and member confidentiality policies and guidelines Accepting and implementing coaching and feedback to achieve individual and team performance goals...

The Carlisle Group has been retained to search for a Director of Regional Underwriting – New England. Our preferred client is an A.M. Best “A” rated, $1.4B award-winning, nationally recognized insurance company. They have over 1,300 employees and are headquartered in northern New York. They provide personal and commercial property and casualty insurance products in 17 states through a network of 2,200 independent agents. Our client continues to grow while maintaining a strong foundation and reputation of providing “best in class” service for their policyholders and independent agency partners since 1914. This is a remote location role. Director of Regional Underwriting – New England The Director of Regional Underwriting (DRUO) will ensure that the underwriting teams reporting to them are properly underwriting and pricing new and renewal business that is handled in the region. The DRUO will also be responsible for ensuring that underwriters are effectively...

Gainwell Technologies LLC Summary Customer service professional responsible for answering claims and eligibility related questions from physicians, hospitals and other medical providers that participate in Rhode Island Medicaid.  Additionally, providing updates to members on Benefit Plan Choice Selection.  Answering the customer inquiries to ensure processing is in accordance to billing procedures.  Follow up with supervisor and/or provider representatives on more complex, non-routine customer inquiries, including member requests and concerns.   Responsible for follow up and call resolution including call backs and closing call references.  Excellent verbal communication skills required.  Previous medical or medical billing experience is a plus, but not necessary. Your role in our mission Answer inbound calls from the Rhode Island Medicaid provider and member network.  Providing excellent oral communications with quality customer service.  Follow through on responding and...

Gainwell Technologies LLC Summary Perform routine but moderately complex tasks that are related to healthcare policy and claims processing including prior authorizations, third-party liability, and manual pricing. Apply knowledge of established procedures and policy to research and resolve customer questions or management requests utilizing policy manuals. Ensure that claims are processed according to state and federal regulations while meeting contractual obligations.  Resolve most problems and escalates only the most complex issues to immediate supervisor. Examples of work performed may include preparing correspondence, report preparation, verifying data, researching, completing forms collections and data entry. Performs other duties as assigned.  Involved in the training of new employees and may take the lead in areas of expertise.  Document process and procedures. Your role in our mission Entry and/or approval of medical Prior Authorizations.    Entry and maintenance of...

Gainwell Technologies LLC Summary Perform routine but moderately complex tasks that are related to healthcare policy and claims processing including prior authorizations, third-party liability, and manual pricing. Apply knowledge of established procedures and policy to research and resolve customer questions or management requests utilizing policy manuals. Ensure that claims are processed according to state and federal regulations while meeting contractual obligations.  Resolve most problems and escalates only the most complex issues to immediate supervisor. Examples of work performed may include preparing correspondence, report preparation, verifying data, researching, completing forms collections and data entry. Performs other duties as assigned.  Involved in the training of new employees and may take the lead in areas of expertise.  Document process and procedures. Your role in our mission Entry and/or approval of medical Prior Authorizations.    Entry and maintenance of...

Marketing Specialist Marketing 50 Amica Way, Lincoln, RI 02865 Want to join a company where doing good is what we do? The feeling is mutual! Our office in Lincoln, RI is looking for a Marketing Specialist. This position is responsible for supporting the planning, implementation and optimization of Amica’s cross channel targeting strategy and the direct mail programs. This individual is also responsible for assisting with target planning activities, marketing campaign logistics as well as managing agency partner relationships to meet corporate and departmental goals.   Responsibilities:   Working with agency partners, data providers, and internal partners, assist with direct mail marketing campaign planning, development, execution and performance assessment in support of Amica's lead generation and policy growth.  Apply proven targeting strategies of the direct mail program to other relevant channels to improve marketing campaign effectiveness and continue to...

Associate Marketing Specialist 50 Amica Way, Lincoln, RI 02865 Want to join a company where doing good is what we do? The feeling is mutual! Our office in Lincoln, RI is looking for an Associate Marketing Specialist on our Digital team. This position is responsible for the management and delivery of email projects to support and advance Amica’s overall marketing objectives. Responsibilities: Assume responsibility of assisting with email projects with responsibilities including prioritization of campaigns, providing analytics for testing and dynamic journey options, building out timelines and monitoring ongoing campaigns.  Engage with internal teams and outside resources to effectively manage on-time delivery of projects and ensure expectations are met. Include customization and segmentation when possible to ensure message is relevant to audience.  Create and maintain success metrics for email marketing campaigns, making recommendations for metrics driven...

Business Intelligence Analyst Claims Executive Department 100 Amica Way, Lincoln, RI   Think data and analytics are key parts of the solution? The feeling is mutual. The responsibilities of this position include but are not limited to: designing and implementing data management procedures, transforming data and analytics into actionable insights, and identifying and analyzing significant trends. The Business Intelligence Analyst will serve as a liaison between business users and technical resources, and will evaluate new technology to ensure the alignment of business unit data and analytics with enterprise data processes and best practices. Responsibilities: Driving business value by transforming data and analytics into actionable insights Gathering and translating user requirements for reports, analysis, and business opportunities into technical specifications Serving as a liaison between business users and technical resources Reviewing and documenting new...

Gainwell Technologies LLC Summary Perform routine but moderately complex tasks that are related to healthcare policy and claims processing including prior authorizations, third-party liability, and manual pricing. Apply knowledge of established procedures and policy to research and resolve customer questions or management requests utilizing policy manuals. Ensure that claims are processed according to state and federal regulations while meeting contractual obligations.  Resolve most problems and escalates only the most complex issues to immediate supervisor. Examples of work performed may include preparing correspondence, report preparation, verifying data, researching, completing forms collections and data entry. Performs other duties as assigned.  Involved in the training of new employees and may take the lead in areas of expertise.  Document process and procedures. Your role in our mission Entry and/or approval of medical Prior Authorizations.    Entry and maintenance of...

Job Summary: This role is responsible for applying strategic thought and recommending a course of action for the investigation and confirmation of the facts of loss for the most complex or specialized large loss Homeowners Claims located in the New England states (CT/RI/MA/ME/NH/VT). Determines coverage, damages and otherwise adjusts and negotiates claims within limit of authority. This role mentors and coaches other members of the team. Key Responsibilities: Handles investigation regarding all aspects of the most complex or specialized Homeowners first party large loss claims involving building and personal property damage and fair rental value/additional living expenses (coverage, damages and subrogation) with the exercise of discretion/independence within increased level of authority Demonstrates advanced understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department. Determines...

Gainwell Technologies LLC Summary Perform routine but moderately complex tasks that are related to healthcare policy and claims processing including prior authorizations, third-party liability, and manual pricing. Apply knowledge of established procedures and policy to research and resolve customer questions or management requests utilizing policy manuals. Ensure that claims are processed according to state and federal regulations while meeting contractual obligations.  Resolve most problems and escalates only the most complex issues to immediate supervisor. Examples of work performed may include preparing correspondence, report preparation, verifying data, researching, completing forms collections and data entry. Performs other duties as assigned.  Involved in the training of new employees and may take the lead in areas of expertise.  Document process and procedures. Your role in our mission Entry and/or approval of medical Prior Authorizations.    Entry and maintenance of...

Job Summary: This role is responsible for applying strategic thought and recommending a course of action for the investigation and confirmation of the facts of loss for the most complex or specialized large loss Homeowners Claims located in the New England states (CT/RI/MA/ME/NH/VT). Determines coverage, damages and otherwise adjusts and negotiates claims within limit of authority. This role mentors and coaches other members of the team. Key Responsibilities: Handles investigation regarding all aspects of the most complex or specialized Homeowners first party large loss claims involving building and personal property damage and fair rental value/additional living expenses (coverage, damages and subrogation) with the exercise of discretion/independence within increased level of authority Demonstrates advanced understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department. Determines...

Gainwell Technologies LLC Summary As a  Senior Professional Application Designer at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.​ Your role in our mission Design your career for growth, new possibilities and refining your valuable skills:​ Head up workstreams to design, develop, test and install complex applications software that spans server, client and web components Help guide closer connections between application architects and developers to ensure design requirements are accurate and deliver a solid ROI for clients Show your skill at writing highly complex design, coding and testing documentation to create a technical product that...

QA Developer (Corporate Information Systems Department) 25 Amica Way Lincoln, RI 02865 Want to turn your IT expertise into customer solutions? The feeling is mutual. Our Lincoln, RI office is seeking Software Development Engineer in Test (QA Developer) who will design, develop, build and execute technical solutions to perform verification and validation activities on a variety of business applications, with a focus on Salesforce. They are expected to maintain and expand their knowledge of QA practices and technical skills that allow them to identify and effectively improve the quality of a business applications. This position is eligible for fulltime remote work. Responsibilities: Build technical and application expertise, including the use of existing and emerging technologies, tools, programming, and technology concepts Act mostly independently to develop, configure tools, or leverage other application-based solutions for the purpose of ensuring high quality...

Marketing Specialist Marketing 50 Amica Way, Lincoln, RI 02865 Want to join a company where doing good is what we do? The feeling is mutual! Our office in Lincoln, RI is looking for a Marketing Specialist. This position is responsible for supporting the planning, implementation and optimization of Amica’s cross channel targeting strategy and the direct mail programs. This individual is also responsible for assisting with target planning activities, marketing campaign logistics as well as managing agency partner relationships to meet corporate and departmental goals.   Responsibilities:   Working with agency partners, data providers, and internal partners, assist with direct mail marketing campaign planning, development, execution and performance assessment in support of Amica's lead generation and policy growth.  Apply proven targeting strategies of the direct mail program to other relevant channels to improve marketing campaign effectiveness and continue to...

Marketing Specialist Marketing Department  50 Amica Way Lincoln, RI 02865   Want to work for a company where doing good is what we do? The feeling is mutual. Our office in Lincoln, RI is seeking a Marketing Specialist. This position supports the Media team through the coordination, production and execution of media planning and buying.   Responsibilities:  Conduct research and collaborates with agency partners to monitor evolving media trends.  Evaluate new and existing opportunities for fit within budget and marketing goals.  Manage day-to-day communications with vendors, agencies, measurement partners and internal stakeholders including negotiations, approvals, creative assets, data needs and reporting. Report on media delivery metrics (impressions, CPM, R/F, daypart mix) and provides actionable insights.  Work with Marketing Manager and Marketing Analytics team to analyze campaign performance and provide recommendations in line with objectives and key...

Marketing Analyst (Marketing Department) 50 Amica Way Lincoln, RI 02865 Think data and marketing analytics are key parts of the solution? The feeling is mutual. Our marketing team is growing. We are looking for an experienced Marketing Analyst with digital background to join our team. Candidates are required to have a broad knowledge of marketing analytics and marketing operations, and have experience in consolidating and analyzing cross-channel marketing data to extract actionable business insights. The incumbent will report to a senior marketing manager and work closely with senior members of the Marketing department. Position Duties and Responsibilities: Work with outside agencies and inside partners to collaborate, troubleshoot and review data tracking and reporting for consistency and accuracy Develop reports and data visualizations for ongoing measurement for omnichannel marketing including advertising, direct mail, addressable media, online marketing, SEM,...

Business Intelligence Analyst Claims Executive Department 100 Amica Way, Lincoln, RI   Think data and analytics are key parts of the solution? The feeling is mutual. The responsibilities of this position include but are not limited to: designing and implementing data management procedures, transforming data and analytics into actionable insights, and identifying and analyzing significant trends. The Business Intelligence Analyst will serve as a liaison between business users and technical resources, and will evaluate new technology to ensure the alignment of business unit data and analytics with enterprise data processes and best practices. Responsibilities: Driving business value by transforming data and analytics into actionable insights Gathering and translating user requirements for reports, analysis, and business opportunities into technical specifications Serving as a liaison between business users and technical resources Reviewing and documenting new...

Associate Marketing Specialist 50 Amica Way, Lincoln, RI 02865 Want to join a company where doing good is what we do? The feeling is mutual! Our office in Lincoln, RI is looking for an Associate Marketing Specialist on our Digital team. This position is responsible for the management and delivery of email projects to support and advance Amica’s overall marketing objectives. Responsibilities: Assume responsibility of assisting with email projects with responsibilities including prioritization of campaigns, providing analytics for testing and dynamic journey options, building out timelines and monitoring ongoing campaigns.  Engage with internal teams and outside resources to effectively manage on-time delivery of projects and ensure expectations are met. Include customization and segmentation when possible to ensure message is relevant to audience.  Create and maintain success metrics for email marketing campaigns, making recommendations for metrics driven...