NewMedical-Denial Management Specialist Orthopedic Associates of HartfordMedical-Denial Management SpecialistFarmington, CTThe Medical-Denial Management Specialist analyzes and resolves healthcare insurance claim denials by investigating reasons, preparing appeals, communicating with payers, and collaborating with billing staff to ensure proper reimbursement and prevent future denials. Our growing practice is currently seeking a Medical-Denial Management Specialist with Epic experience to join our Billing & Collections team in our Farmington, Connecticut business office.
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.
Transaction Processor II MMC GroupTransaction Processor IIEast Hartford, CT$20–$22 / hourThroughout the past 30 years plus, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.
Claims Manager - Complex Claims Unit The Hartford Insurance Group IncClaims Manager - Complex Claims UnitHartford, CT$112,000–$168,000 / yearThese claims often involve environmental contamination, toxic torts, asbestos, sexual molestation, and other latent bodily injury or property damage exposures, and frequently present complex coverage, liability, causation, allocation, and litigation management challenges spanning multiple years of insurance coverage. Strong understanding of complex insurance coverage issues, including occurrence-based liability coverage, allocation, trigger theories, long-tail exposures, bankruptcy trust considerations, and multi-year claim analysis.
Associate, Claims Representative - Complex Claims Unit The HartfordAssociate, Claims Representative - Complex Claims UnitHartford, ConnecticutMinimum of 1 year of customer service experience, applicable insurance knowledge is a plus • Experience adjusting auto claims for a minimum of 1 year within Property Damage Only • Ability to contribute and promote an inclusive culture of continuous learning that is built on teamwork, collaboration, transparency, and accountability to one another • Passionate desire to help both internal and external customers • Ability to embrace change and flourish with industry-changing technology and trends • Critical thinking skills inclusive of investigation, decision making and conflict resolution • Ability to create and maintain loyal customers by creating a service experience that differentiates us within the industry • Ability to listen attentively to our customer’s needs and exhibit empathy during difficult situations • Ability to produce clear and grammatically accurate correspondence • Ability to handle competing priorities while positively impacting the quality and service we are committed to delivering ADDITIONAL INFORMATION: • As a condition of employment, you will be required to successfully complete a multi-week New Hire Training Course and, upon completion, obtain a passing score on the final course assessment. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role.
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.
Senior Workers' Compensation Claims Examiner - Federal Claims American International GroupSenior Workers' Compensation Claims Examiner - Federal ClaimsFarmington, CT$73,000–$96,000 / yearOur Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. #insurancecareers #insurancejobs #claimsexaminer #WorkersCompClaims #WorkersCompensationClaims #paralegalcareers.
Claims Expert, Professional Liability Claims Swiss Re LtdClaims Expert, Professional Liability ClaimsWindsor, CT$116,000–$194,000 / yearThe specific salary offered for this or any given role will take into account a number of factors including but not limited to job location, scope of role, qualifications, complexity/specialization/scarcity of talent, experience, education, and employer budget. Key Responsibilities Include: Confidently navigate in both primary and excess insurance claim environments while actively managing Construction Professional Liability claims, as well as other Professional Liability claims, including Lawyers, Insurance Agents, and Miscellaneous Professional claims.
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.
Claims Specialist - Life Global Claims General Re CorporationClaims Specialist - Life Global ClaimsStamford, CTMay participate in client / TPA due diligence activities such as supporting audit activity, identifying emerging trends and themes not only in the client's inventory but within the industry; supporting manager with industry gleaned best practices via building and delivering customer specific training programs and seminars; emphasizing and implementing technical solutions to business needs to achieve desired improvements when asked. Incumbent contributes to the accurate and efficient adjudication of claims by supporting the department and client's investigation or coaching/mentoring on claims in all ranges of complexity to ensure compliance with policy provisions, state/federal regulations and reinsurance treaties in effect.
Administrative ^ Transaction Processor ^ Jnr Veterans Sourcing GroupAdministrative ^ Transaction Processor ^ JnrEast Hartford, CTThe ideal candidate has strong data entry skills, excellent attention to detail, and the ability to maintain accuracy while working in a fast-paced, production-driven environment. Candidates must have some scheduling flexibility, as overtime, evening hours, and occasional weekend work may be required, particularly during the open enrollment period.
Administrative ^ Transaction Processor ^ Inter Veterans Sourcing GroupAdministrative ^ Transaction Processor ^ InterEast Hartford, CTSuccessful candidates will be comfortable working with large amounts of data, following detailed procedures, meeting daily productivity goals, and maintaining a high level of accuracy. We are seeking detail-oriented Transaction Processor Associates to support a fast-paced healthcare transaction processing operation in East Hartford, CT.
Administrative Transaction Processor Veterans Sourcing GroupAdministrative Transaction ProcessorHartford, CTWe are seeking detail-oriented and motivated Transaction Processor Associate II professionals to support high-volume transaction processing operations in a fast-paced office environment. Previous experience in eligibility determination, transaction processing, claims processing, medical benefits administration, or similar administrative processing environments preferred.
Claims Specialist II - Rideshare Commercial Auto - Attorney Represented Bodily Injury Claims Adjuster Liberty Mutual Holding Company IncClaims Specialist II - Rideshare Commercial Auto - Attorney Represented Bodily Injury Claims AdjusterCTDetermines amounts owed, evaluates settlement value, negotiates with plaintiff counsel and other parties, and authorizes settlements and payments within assigned authority; recommends or issues denials when appropriate. The Claims Specialist works within a Claims Team, using the latest technology to manage a caseload of commercial rideshare, also known as Transportation Network Company (TNC), claims from initial investigation through resolution.
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.
NewClaims and Financial Analyst Hybrid Gainwell Technologies LLCClaims and Financial Analyst HybridFarmington, CTRemote$29,100–$41,600 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. The pay range for this position is $29,100.00 - $41,600.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
Stop Loss Claims Resolution Consultant Sun Life Financial IncStop Loss Claims Resolution ConsultantHartford, CT$54,100–$81,200 / yearThis role combines deep technical expertise as a Stop Loss Health Claims Analyst with responsibility for managing end-to-end inquiry resolution, including research, claim determination support, documentation review, and clear customer communication. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation.
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.
Process Consultant, Stop Loss Claims Sun Life FinancialProcess Consultant, Stop Loss ClaimsHartford, CT$60,400–$90,600 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. Job Description: The opportunity: The Process Consultant, Stop Loss Claims is accountable for process governance, end-to-end documentation strategy, and continuous improvement that strengthens quality, compliance, scalability, and risk management within Stop Loss Claims Operations.
Claims Supervisor II - Commercial G/L Philadelphia Insurance CompaniesClaims Supervisor II - Commercial G/LGlastonbury, CT$114,000–$128,000 / yearSummary: Supervises claims adjusters and technical support staff to manage the day-to-day handling and settlement of claims, the processing and tracking of documents, making payments, tracking trends and communicating with underwriting. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.