NewREMOTE OPPORTUNITY - Physician Advisor, Utilization Review (Orthopedic Surgeon) Dane StreetREMOTE OPPORTUNITY - Physician Advisor, Utilization Review (Orthopedic Surgeon)Hartford, CTRemoteOur organization is a URAC accredited leader in IME and Record Review services, currently working with over 170 Work Comp, Disability, Group Health, Auto Liability Carriers, Third Party Administrators, Managed Care Organizations, Employers, Pharmacy Benefit Managers, and Medicare Set-Aside providers to provide customized peer review and IME programs which assist their RN's and adjustors in reaching appropriate medical determinations as part of the claims management process. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers and Pharmacy Benefit Managers.
Account Follow-Up Representative I Harris Computer SystemsAccount Follow-Up Representative IHartford, CTRemote$18–$26 / hourTimely follow-up on hospital patient accounts that are outstanding for insurance payment, including but not limited to the following processes: verify claim payment status, rebill to patient's insurance, proration to correct financial class and notation of patient accounts with steps taken for resolution. As a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals.
Liability Litigation Claims Examiner | Litigation, Premise, Auto, BI & Product Claims Experience | Remote Sedgwick Claims Management Services, Inc.Liability Litigation Claims Examiner | Litigation, Premise, Auto, BI & Product Claims Experience | RemoteCTRemote$63,404–$88,765 / yearTo analyze GL Litigated, Premise, Auto, Bodily Injury & Product claims on behalf of our valued dedicated client to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
Workers Compensation Claims Examiner | NY Jurisdiction | NY Licensing | Remote Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | NY Jurisdiction | NY Licensing | RemoteCTRemote$75,000–$85,000 / yearTo analyze Workers Compensation Lost-Time claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
Workers Compensation Claims Examiner | Dedicated Client & Capped Caseloads | CT, MA, NJ, VT Jurisdiction Experience | VT & CT Licensing Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | Dedicated Client & Capped Caseloads | CT, MA, NJ, VT Jurisdiction Experience | VT & CT LicensingCTRemote$80,000–$90,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. PRIMARY PURPOSE OF THE ROLE To analyze Lost-time Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Workers Compensation Claims Examiner | Strong VT Jurisdictional Experience & VT Licensing Required | Additional Jurisdictions: CT, MA, NH, RI Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | Strong VT Jurisdictional Experience & VT Licensing Required | Additional Jurisdictions: CT, MA, NH, RICTRemote$80,000–$90,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. PRIMARY PURPOSE OF THE ROLE To analyze Workers Compensation Lost-Time claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
NewRevenue Cycle & Coding Specialist CFSRevenue Cycle & Coding SpecialistWestbrook, CTThis is a great opportunity for someone who knows medical billing inside and out but also understands the bigger picture — coding accuracy, reimbursement, denials, A/R and the overall revenue cycle. We’re partnering with an established healthcare organization looking for an experienced Revenue Cycle & Coding Specialist to join their team.
NewSIU Investigator Centene Corporation GroupSIU InvestigatorCT$56,200–$101,000 / year5+ years in healthcare field working in fraud, waste and abuse investigations and audits, (or) 5+ years of insurance claims investigation experience or professional investigation experience with law enforcement agencies, (or) 7+ years of professional investigation experience involving economic or insurance related matters required. Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.
VP, North American Claims Group Allied World Assurance Company LtdVP, North American Claims GroupFarmington, CTHeadquartered in Bermuda, Allied World has offices in Atlanta, Boston, Brisbane, Chicago, Costa Mesa, Dallas, Dublin, Farmington (CT), Hong Kong, Houston, London, Los Angeles, Malaysia, Manchester, Miami, Nashville, New Jersey, New York, Philadelphia, San Francisco, Singapore, Sydney, Switzerland and Toronto. For assigned files, promptly analyze matter, retain counsel, develop and oversee litigation strategy and manage litigation by effectively interacting with counsel and other parties, as required.
Commercial General Liability Claims Representative CNA Financial Corp.Commercial General Liability Claims RepresentativeGlastonbury, CT$47,000–$78,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of low to moderate complexity and exposure commercial claims by following company protocols to verify policy coverage, gather necessary information, maintain appropriate file documentation and authorize disbursements within authority limit. Exercises judgement to determine liability and compensability by conducting investigations to gather pertinent information, taking recorded statements from insureds, witnesses and working with experts to verify the facts of the claim.
Property Field Claims Specialist- CT - Remote Selective Insurance Group IncProperty Field Claims Specialist- CT - RemoteCTRemote$83,000–$108,000 / yearSelective'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. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences - and empowers employees to contribute new ideas that support our continued and growing success.
Assistant Vice President, Employee Benefits Claims The HartfordAssistant Vice President, Employee Benefits ClaimsHartford, ConnecticutAs a member of the Employee Benefits Claims Senior Leadership Team, the Employee Benefits Claims Assistant Vice President serves as a strategic partner to the Senior Vice President and leadership team, helping translate the organization’s vision and priorities into coordinated action and measurable results. Drive organizational performance and operational health by analyzing business and workforce insights, partnering with leaders to implement Strategic Workforce Planning strategies that evolve routines, strengthen critical capabilities, and prepare the organization for future workforce and business needs.
Accts Rec & Denial Spec 2 / PA Third Party Follow Up Hartford HealthCare CorpAccts Rec & Denial Spec 2 / PA Third Party Follow UpFarmington, CTPosition Summary: Under the direction of Patient Financial Service (PFS), Accounts Receivable (AR) or Claims Supervisor, assure timely and accurate submission of claims on UB04 or HCFA1500 (bills), monitor responses from clearinghouse, review Electronic Fund Transmission (EFT) responses, respond on underpayments or overpayments via payer portal, payer chat or payer customer service, analyze claim adjustment reason codes, analyze remittance advice remark codes and any revenue cycle activities associated with outstanding insurance balances across all Hartford HealthCare hospitals, medical group and homecare. Initiates, updates, resolves denials and payment variances and takes action to resolve account including drafting and submitting appeals, identifying specific reason for underpayments, denials and cause of payment delays.
Environmental Claims Specialist - Complex Claims Unit The HartfordEnvironmental Claims Specialist - Complex Claims UnitHartford, ConnecticutREQUIRED QUALIFICATIONS : 5+ years general liability claim handling experiencewith environmental or other latent injury claims or claims under affirmative pollution coverages; Experience in handling affirmative/defensive risk transfer; including additional insured tenders; Excellent verbal and written communication skills; Excellent analytical and critical thinking ability; Ability to present in a roundtable setting with a well-reasoned and analytical evaluation; Superior customer service skills and active listening skills; Proven track record of prioritizing and managing multiple responsibilities; Proven track record of effective negotiations/settlement of high-value general liability claims; Demonstrated negotiation and conflict resolution skills; Proficiency with MS Office, especially Word and Excel; Proficiency handling litigated claims; Active Property & Casualty State Insurance Adjuster license or ability to obtain licensing within 3 months of hire. The Claim Specialist role is the most advanced claim handler position within the ENVIRONMENTAL unit of The Hartford’s Complex Claims Unit (CCU), responsible for the management of various complex claims brought against The Hartford’s insureds.
Short Term Disability Claims Specialist MetLife IncShort Term Disability Claims SpecialistBloomfield, CT$40,000–$52,000 / yearRecognized on Fortune magazine\''s list of the "World\''s Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
Pharmacist - Sign-On Bonus Available Walgreen CoPharmacist - Sign-On Bonus AvailableDeep River, CT$60.90–$82.30 / hourWalgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Opportunities for growth - Many pharmacists advance quickly into leadership roles in pharmacy operations, retail management, multi-site leadership, and corporate support functions.
Pharmacist - $50,000 Sign-On Bonus Walgreen CoPharmacist - $50,000 Sign-On BonusUncasville, CT$60.90–$82.30 / hourWalgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Opportunities for growth - Many pharmacists advance quickly into leadership roles in pharmacy operations, retail management, multi-site leadership, and corporate support functions.
Pharmacy Manager - $50,000 Sign-On Bonus Walgreen CoPharmacy Manager - $50,000 Sign-On BonusWest Hartford, CT$67.05–$90.55 / hourWalgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Models and shares customer service best practices with all team members to deliver a distinctive and joyful patient experience, including interpersonal habits that show care (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., demonstrating curiosity to identify needs and proactively helping, servicing until satisfied, championing empathy and inclusivity, etc.).
Medical Receptionist 2 - Hartford County Connecticut Children's Medical CenterMedical Receptionist 2 - Hartford CountyHartford, CTSpecial Considerations: Under CCSG, this role will entail planned flex time which includes flexing to other work locations including to the satellite locations and/or flexing schedules to include evenings as well as weekends. Experience Required: 2 years experience as a Medical Assistant/Medical Receptionist in a Physician/Medical/hospital setting or 2 years administrative, general receptionist and/or direct customer service related experience.
Pharmacist - $50,000 Sign-on Bonus Walgreen CoPharmacist - $50,000 Sign-on BonusWest Hartford, CT$60.90–$82.30 / hourWalgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Opportunities for growth - Many pharmacists advance quickly into leadership roles in pharmacy operations, retail management, multi-site leadership, and corporate support functions.