Access Mental Health Customer Care Rep III Elevance Health IncAccess Mental Health Customer Care Rep IIIRocky Hill, CTProficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment; strong verbal and written communication skills, both with virtual and in-person interactions; Attentive to details, critical thinker, and a problem-solver; Demonstrates empathy and persistence to resolve caller issues completely; Comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts. For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
NewCustomer Service Rep - Senior Tailored ManagementCustomer Service Rep - SeniorBloomfield, CT$20 / hourComplete eligibility decisions during intake call, gather pertinent data when necessary, from employee or other supporting systems as well as perform leave-ups as required, including recertification of health condition, intermittent claim tracking, RTW confirmation, etc. Update systems to accurately reflect leave status and ensure appropriate diary documentation exists.
Social Worker (FTE 1.0) WEST HARTFORD PUBLIC SCHOOLSSocial Worker (FTE 1.0)West Hartford, CT18 - 7.3 Personal Days -- Where Necessary and Unavoidable A. Provided absence from service is necessary and unavoidable, the Superintendent or his designee shall authorize in each regular work year: (1) up to three (3) days leave without loss of salary because of the death of the employee's spouse, son, daughter, parent, sibling, grandparent, aunt, uncle; his/her spouse's parent, sibling, grandparent, aunt, uncle; or any other relative of the employee or his/her spouse who at the time of his/her death was domiciled in the employee's household; one of these days may be taken to attend the funeral of a close friend; (2) up to three (3) days leave without loss of salary because of the need personally to care for the employee's spouse, son, daughter, parent or any other relative of the employee or his/her spouse who is domiciled in the employee's household due to serious illness; and (3) up to two (2) days for formal religious observance of a high holy day. 2.12 Upon successful completion of the process resulting in such certification, the Board shall reimburse any social worker, school psychologist, and speech-language pathologist for required licensure and/or certification maintenance fees required for that bargaining unit member to bill for Medicaid services in which the district receives reimbursement, that exceed requirements to maintain Connecticut teaching certification, to include certifications from: the National Association of Social Workers (NASW), the National Association of School Psychologists (NASP), the American Speech-Language-Hearing Association (ASHA), and the Connecticut Department of Public Health (DPH).
Interim Drama Director WEST HARTFORD PUBLIC SCHOOLSInterim Drama DirectorWest Hartford, CT18 - 7.3 Personal Days -- Where Necessary and Unavoidable A. Provided absence from service is necessary and unavoidable, the Superintendent or his designee shall authorize in each regular work year: (1) up to three (3) days leave without loss of salary because of the death of the employee's spouse, son, daughter, parent, sibling, grandparent, aunt, uncle; his/her spouse's parent, sibling, grandparent, aunt, uncle; or any other relative of the employee or his/her spouse who at the time of his/her death was domiciled in the employee's household; one of these days may be taken to attend the funeral of a close friend; (2) up to three (3) days leave without loss of salary because of the need personally to care for the employee's spouse, son, daughter, parent or any other relative of the employee or his/her spouse who is domiciled in the employee's household due to serious illness; and (3) up to two (2) days for formal religious observance of a high holy day. 2.12 Upon successful completion of the process resulting in such certification, the Board shall reimburse any social worker, school psychologist, and speech-language pathologist for required licensure and/or certification maintenance fees required for that bargaining unit member to bill for Medicaid services in which the district receives reimbursement, that exceed requirements to maintain Connecticut teaching certification, to include certifications from: the National Association of Social Workers (NASW), the National Association of School Psychologists (NASP), the American Speech-Language-Hearing Association (ASHA), and the Connecticut Department of Public Health (DPH).
Pharmacy Intern Grad Walgreen CoPharmacy Intern GradSpringfield, MA$33.50–$45.30 / hourCounsels patients and answers their questions regarding usage of medicine, side effects, interactions, contraindications, patient information privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health needs addressed, and satisfaction with service. Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.).
Pharmacy Operations Manager Walgreen CoPharmacy Operations ManagerSouthington, CT$22.50–$31 / hourAssists Pharmacy Manager in monitoring that all pharmacy and team member licensures, registrations and certifications are active and in good standing/ compliant with all regulatory and legal requirements. Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience.
NewBusiness Transformation System Analyst Baystate Health SystemBusiness Transformation System AnalystSpringfield, MA$83,054–$95,472 / yearYou'll play a critical role in analyzing workflows, configuring system enhancements, supporting testing and implementation, and identifying opportunities to improve efficiency, scalability, and performance. RESPONSIBILITIES: The Business Transformation System Analyst serves as a key bridge between business teams, technology, and vendors, turning complex business needs into effective system solutions.
Absence Management Specialist Unit Leader MetLife IncAbsence Management Specialist Unit LeaderBloomfield, CT$55,600–$99,300 / 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").
Underwriting Audit Supervisor Philadelphia Insurance CompaniesUnderwriting Audit SupervisorGlastonbury, CT$102,200–$114,200 / yearThe role provides management with actionable insights regarding underwriting performance, risk exposure, documentation quality, and compliance trends while fostering a culture of accountability and continuous improvement throughout the underwriting organization. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law.
Medical Case Manager Crawford & CoMedical Case ManagerHartford, CTReviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual''s medical status, identifies needs and obstacles to medical case resolution and RTW by providing proactive case management services. General working knowledge of case management practices and ability to quickly learn and apply workers compensation/case management products and services.
Sr LTD Case Manager Aflac IncSr LTD Case ManagerWindsor, CT$65,000–$85,000 / yearMaintains a superior level of genuine caring and empathetic customer service throughout all interactions; takes appropriate actions to earn the claimants and employers trust and confidence; anticipates customer's needs and takes action as appropriate. Works with internal partners to support flexibility, collaboration, creating a positive work environment, consistently maintaining professionalism and integrity, actively taking steps to foster high morale, and demonstrating a dedication to excellence.
Behav Health Clinician Rev Aflac IncBehav Health Clinician RevWindsor, CT$75,000–$90,000 / yearServes as clinical co-manager on behavioral health claims from inception of STD claims, and provides activities requiring clinical expertise including, but not limited to performing provider interviews, analyzing clinical information submitted, and negotiating return to work plans with employees, treating provider, and employer if applicable. Coordinates a strategy to determine true level of functional capacity, utilizing direct contact with the treating provider and/or utilizing internal clinical resources (e.g., Peer-to-Peer Reviews, internal impairment guides, round table reviews, etc.).
NewUnderwriting Trainee - Specialty Underwriting *2027* CapSpecialtyUnderwriting Trainee - Specialty Underwriting *2027*Hartford, CT$61,680–$87,380By working with select partners through a limited distribution model, CapSpecialty's creative, hard-working team provides personalized service and cultivates mutually successful partnerships to deliver positive results. The program will include hands on training within one or two underwriting units, in addition to time spent with various department heads and leaders across the company to learn more about insurance operations, the history of CapSpecialty, how insurance companies generate profits and the role of reinsurance.
Epic Denials Manager DeloitteEpic Denials ManagerHartford, CTRemote$140,000–$160,000 / yearAs an Epic Denials Manager, you will help deliver back-end revenue cycle management (RCM) services, including denials and claims submission, denials management, payment posting, and credits and refunds, A/R follow-up for health care provider client. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities.
Sr. Mainframe Developer Cognizant Technology Solutions CorpSr. Mainframe DeveloperHartford, CT$60,000–$90,000 / yearOur deep industry, process and engineering expertise enables us to build an organization's unique context into technology systems that amplify human potential, drive tangible outcomes and keep global enterprises ahead in a fast-changing world. If you have a disability that requires reasonable accommodation to search for a job opening or submit an application, please email CareersNA2@cognizant.com for roles based in the Americas or CareersIndia2@cognizant.com for roles based in India.
Collision Center Operations Assistant DeVivo CompaniesCollision Center Operations AssistantMiddletown, CT$25–$35 / hourThis role is ideal for someone who enjoys working with customers, insurance companies, and technicians while keeping the repair process organized from start to finish. DeVivo Companies is looking for a Collision Center Operations Assistant to join our busy Collision Center in Middletown, CT.
Vocational Case Manager - Boston / Springfield, MA Paradigm Management Services LLCVocational Case Manager - Boston / Springfield, MASpringfield, MARemoteQualifications: Bachelor's degree (B.S., B.A.) required in Rehabilitation Counseling or related field with course work in rehabilitation philosophy, rehabilitation history, rehabilitation ethics, medical aspects of disability, psychological aspects of disability, job placement, occupational information, counseling theory, personal and vocation adjustment, work evaluation (minimum of 24 credit hours). We are seeking a Vocational Case Manager (VCM) to cover the Boston and Springfield areas, including Cambridge, Rockport, Concord as well as other areas in Massachusetts.
Head of Data Products, Commercial Insurance, NA Chubb LtdHead of Data Products, Commercial Insurance, NASimsbury, CT$196,000–$284,000 / yearThe successful candidate has experience supporting large Data Transformation programs and this role requires a continuous improvement mindset along with strong technical and data acumen and experience to ensure programs are delivered as efficiently and effectively as possible. The role will encompass building and sharing our North America commercial insurance Data Strategy, developing and deploying Data Products, storytelling & effectively communicating to internal stakeholders and our data leadership team.
Accts Rec & Denial Spec 1 / PA Third Party Follow Up Hartford HealthCare CorpAccts Rec & Denial Spec 1 / 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 EFT (Electronic File Transmission) 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. When a claim is denied; A. Follows up directly with commercial and governmental payors to resolve denials, underpayments, no pays, payor rejections, claim edits and credit balances.
Legal Audit Counsel BerkleyLegal Audit CounselWest Hartford, ConnecticutThe role includes resolving billing disputes, handling legal bill review appeals, educating law firms and staff on the bill review process, and analyzing billing discrepancies to assess law firm performance and billing trends while supporting multiple independent operating units within W. • Engage in written and/or verbal communications with law firms and/or the Berkley operating unit employees managing the claim, serving as the technical resource for appeal oversight and/or discretionary reviews.