Pharmacy Prior Authorization Specialist Onco360Pharmacy Prior Authorization SpecialistHartford, ConnecticutWhat You’ll Do The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third-party authorization requests. Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds.
Claims RepresentativeSr. Claims Representative - Auto Property Damage Plymouth Rock Management Company of New JerseyClaims RepresentativeSr. Claims Representative - Auto Property DamageFarmington, CT$50,000–$80,000 / yearThe Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. Claim Investigation: Investigate auto accidents to assess liability by interviewing first- and third-party claimants, witnesses, investigating officers, and other relevant parties.
Claims Associate - Auto Property Damage Plymouth Rock Management Company of New JerseyClaims Associate - Auto Property DamageFarmington, CT$50,000–$55,000 / yearThe Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. Claim Investigation: Investigate auto accidents to assess liability by interviewing first- and third-party claimants, witnesses, investigating officers, and other relevant parties.
Adverse Subrogation Claims Representative Plymouth Rock Management Company of New JerseyAdverse Subrogation Claims RepresentativeFarmington, CT$56,500–$78,000 / yearThe Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.
Senior Architect- Claims (Hybrid) Selective Insurance Group IncSenior Architect- Claims (Hybrid)Hartford, CT$163,000–$220,000 / yearCloud-Native Modernization: Lead architecture strategy for custom and platform-based Claims solutions, guiding cloud-native design using Azure services, microservices, containers (Docker/Kubernetes), and platform engineering capabilities. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work in 2025 for the sixth consecutive year.
Field Sales Support FSS H-CT Cedar Valley ExteriorsField Sales Support FSS H-CTHartford, ConnecticutCedar Valley Exteriors is seeking a detail-driven and highly organized FSS (Sales Team Support Specialist) with direct experience in the roofing and siding insurance restoration industry . This role is vital in supporting our sales team by handling critical tasks related to insurance scope review, supplement preparation , and ensuring our crews have accurate, complete project documentation before build day.
Claims Adjuster Trainee The Progressive CorpClaims Adjuster TraineeFarmington, CT$59,500–$63,500 / yearFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . This is a hybrid role, which means you'll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that's at home or in the office, for a period of 12 months.
Associate Claims Adjuster, Workers Compensation Liberty Mutual Holding Company IncAssociate Claims Adjuster, Workers CompensationCTAssesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves as necessary, during the processing of the claims, and refers claims to the subrogation group or Special Investigations Unit as appropriate. In this role, you'll manage a caseload of routine to moderately complex claims, making key decisions on compensability, evaluating losses, and negotiating fair outcomes.
Injury Claims- Attorney Represented The Progressive CorpInjury Claims- Attorney RepresentedFarmington, CT$69,300–$89,700 / yearAn ideal candidate will have experience managing an inventory independently, experience assessing and evaluating liability, coverage, and damages, as well as working independently and directly with attorneys to negotiate and settle claims. For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ .
Senior Claims Specialist Liberty Mutual Holding Company IncSenior Claims SpecialistCTResponsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements and managing an inventory of commercial property/casualty claims involving bodily injury or property loss.
Claims Adjuster (Workers'''' Compensation) Saint Francis Health SystemClaims Adjuster (Workers'''' Compensation)New Haven, CTEssential Functions and Responsibilities: Receives, reviews, investigates and establishes incident reports, events, claims and reserves in a timely and accurate manner, including OSHA Log tracking. Job Summary: Reports to the Worker's Compensation Attorney, the Claims Adjuster is responsible for all processes related to Workers' Compensation claims.
Mgr, Claims Operations Aflac IncMgr, Claims OperationsWindsor, CT$90,000–$120,000 / yearManages the daily operations of the Claims business unit; manages employees and operations of the business unit at the functional level; gathers and analyzes data and reports that pertain to the overall operation of the Claims business unit and completes reports summarizing activities and trends; assists in strategic and tactical operational plans to ensure achievement of company and departmental goals; performs independent review of problem situations; develops solutions and implements actions to resolve problems and ensure customer satisfaction; reviews processes and procedures to streamline activities to enhance service turnaround time, productivity, and quality; coordinates overall workflow of the business unit and ensures that workflow processes facilitate effective and efficient use of corporate resources and enhance customer satisfaction. Coordinates and monitors training efforts to ensure that necessary education tools are provided to employees; identifies and communicates training needs and schedules with training department; projects staffing requirements for the business unit; guides supervisors in coaching and counseling employees; coordinates employee development and incentive initiatives.
Claims Processor Flex Benefits NFP CorpClaims Processor Flex BenefitsCT$43,000–$50,000 / yearPosition Summary:The Claims Processor is responsible for accurate and timely processing of claims which includes claims for Flexible Spending Accounts (FSA), Health Reimbursement Arrangements (HRA), Retiree plans, Lifestyle Accounts, Parking and more. American Benefits Group (ABG) is one of the nation's leading employee benefit solution providers for Consumer Directed Health accounts, COBRA and Direct Billing services.
ESIS Claims Representative, WC Chubb LtdESIS Claims Representative, WCSimsbury, CTContact, interview, and obtain statements (recorded or in person) from insured individuals, claimants, witnesses, medical professionals, legal representatives, law enforcement, and other relevant parties to gather necessary claim information. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
ESIS Claims Representative, AGL Chubb LtdESIS Claims Representative, AGLSimsbury, CTContact, interview, and obtain statements (recorded or in person) from insured individuals, claimants, witnesses, medical professionals, legal representatives, law enforcement, and other relevant parties to gather necessary claim information. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
Mgr, Claims Operations; Hybrid - Windsor, CT Aflac IncMgr, Claims Operations; Hybrid - Windsor, CTWindsor, CT$90,000–$120,000 / yearManages the daily operations of the Claims business unit; manages employees and operations of the business unit at the functional level; gathers and analyzes data and reports that pertain to the overall operation of the Claims business unit and completes reports summarizing activities and trends; assists in strategic and tactical operational plans to ensure achievement of company and departmental goals; performs independent review of problem situations; develops solutions and implements actions to resolve problems and ensure customer satisfaction; reviews processes and procedures to streamline activities to enhance service turnaround time, productivity, and quality; coordinates overall workflow of the business unit and ensures that workflow processes facilitate effective and efficient use of corporate resources and enhance customer satisfaction. Coordinates and monitors training efforts to ensure that necessary education tools are provided to employees; identifies and communicates training needs and schedules with training department; projects staffing requirements for the business unit; guides supervisors in coaching and counseling employees; coordinates employee development and incentive initiatives.
Senior Claims Representative - REMOTE Ryder System IncSenior Claims Representative - REMOTEHartford, CTRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
Pharmacy Technician Non-Certified Costco Wholesale CorporationPharmacy Technician Non-CertifiedSOUTH WINDSOR, ConnecticutAssists Pharmacists in filling prescriptions by bringing stock bottles, counting, pouring, re-stocking, labeling, and pricing prescriptions under direct Pharmacist’s supervision. Answers phones and provides prompt and courteous member service including answering questions at pharmacy windows, directing members to product location.
Pharmacy Technician-Certified Costco Wholesale CorporationPharmacy Technician-CertifiedMILFORD, ConnecticutAssists Pharmacists in filling prescriptions by bringing stock bottles, counting, pouring, re-stocking, labeling, and pricing prescriptions under direct Pharmacist’s supervision. Answers phones and provides prompt and courteous member service including answering questions at pharmacy windows, and directing members to product location.
Sr. Examiner, Homeowner Claims Multi-State - Remote CSAA Insurance GroupSr. Examiner, Homeowner Claims Multi-State - RemoteCTRemote$37.26–$41.40 / hourAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 21 more}. Serves as the owning adjuster for all assigned claims, including low- to higher-complexity losses that may require oversight of service providers conducting physical or virtual inspections.