Claims Processor - Flex Benefits NFP CorpClaims Processor - Flex BenefitsVirtual, Massachusetts$43,000–$50,000 / yearFull timeWe help companies and individuals aroundtheglobe address their most significant risk, workforce, wealth management and retirement challenges through custom solutions and a people-first approach. Our core mission is to deliver our empowering technology solutions and exceptional service while building strong long-term relationshipswithour clients, brokers, consultants, and participants.
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.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistCT$17–$31.30 / hourThe candidate will serve as a medical/hospital claim processor for rework projects, compliance, and complex issues for a specific provider/network or large-scale rework projects generated as a result of plan sponsor issues, release fallout and/or legal/regulatory/compliance concerns. CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department.
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.
NewConstruction Claims Representative - Complex Claims Unit The Hartford Insurance Group IncConstruction Claims Representative - Complex Claims UnitHartford, CT$56,391–$84,587 / yearRESPONSIBILITIES: Provide proactive communications and respond to inquiries from customers and business partners in the management of claims; Review and analyze complex policies and coverage parts; Write and articulate coverage positions; Conduct investigations regarding claims and/or lawsuits; Manage litigation with counsel and/or other carriers; Make liability and damages assessments; Pursue risk transfer against other liable parties and insurance carriers; Attend mediations and trials, as necessary; Keep management informed of claim developments; Manage expenses, reserves and financial transactions; QUALIFICATIONS: Strong verbal and written communication skills; Strong analytical, problem solving and critical thinking skills; Strong customer service and active listening skills; Strong time management and organization skills; Strong negotiation and conflict resolution skills; A desire to learn and grow and work as part of a team toward common goals; Proficiency in Microsoft Office applications, including Outlook, Word, Excel, PowerPoint, and Microsoft Teams, with the ability to effectively leverage these tools in a fast-paced professional environment. The Claim Representative will demonstrate the ability to proactively manage high excess and lower-exposure primary claims with an analytical focus, demonstrating the ability to comprehend and communicate facts, issues, and resolution strategies to management and other stakeholders.
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 Manager - Complex Claims Unit The HartfordClaims Manager - Complex Claims UnitHartford, ConnecticutThese 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.
Construction Claims Representative - Complex Claims Unit The HartfordConstruction Claims Representative - Complex Claims UnitHartford, ConnecticutStrong verbal and written communication skills; Strong analytical, problem solving and critical thinking skills; Strong customer service and active listening skills; Strong time management and organization skills; Strong negotiation and conflict resolution skills; A desire to learn and grow and work as part of a team toward common goals; Proficiency in Microsoft Office applications, including Outlook, Word, Excel, PowerPoint, and Microsoft Teams, with the ability to effectively leverage these tools in a fast-paced professional environment. The Claim Representative will demonstrate the ability to proactively manage high excess and lower-exposure primary claims with an analytical focus, demonstrating the ability to comprehend and communicate facts, issues, and resolution strategies to management and other stakeholders. . .
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.
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.
Administrative Transaction Processor Veterans Sourcing GroupAdministrative Transaction ProcessorEast Hartford, 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.
Mailroom Document Processor Conduent IncMailroom Document ProcessorSpringfield, MAThrough our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. Perform repetitive duties in a high-speed environment such as removing staples, rubber bands, repairing torn documents or copying document types and inserting the appropriate patch sheets to separate the claims.
NewIBM ACE Integration Engineer – Healthcare Claims IconmaIBM ACE Integration Engineer – Healthcare ClaimsHartford, CT$16.35–$50 / hourResponsibilities: Sr Developer in a hybrid work model designs and implements robust data integration solutions using IBM Ace ESQL and IBM integration bus to support Medicare and Medicaid claims processing while ensuring high-performance accuracy regulatory compliance and alignment with organizational objectives across complex stakeholder environments. Design and implement scalable data integration solutions using IBM Ace ESQL and IBM integration bus that streamline Medicare and Medicaid claims processing workflows while maintaining high performance and reliability.
IBM ACE Integration Engineer - Healthcare Claims Iconma LLCIBM ACE Integration Engineer - Healthcare ClaimsHartford, CTResponsibilities: Sr Developer in a hybrid work model designs and implements robust data integration solutions using IBM Ace ESQL and IBM integration bus to support Medicare and Medicaid claims processing while ensuring high-performance accuracy regulatory compliance and alignment with organizational objectives across complex stakeholder environments. Design and implement scalable data integration solutions using IBM Ace ESQL and IBM integration bus that streamline Medicare and Medicaid claims processing workflows while maintaining high performance and reliability.
Claims Examiner Baystate HealthClaims ExaminerSpringfield, MA$23.46–$26.97 / hourThe Claims Examiner is responsible for providing claims production to the Claims Production Team to enable the administration of non-auto adjudicated claims which contributes to the overall success of Claims Production ensuring specific individual goals, plans, initiatives are executed and delivered in support of the team’s business strategies and objectives. • Actively pursues effective and efficient operations of their respective areas in accordance with Health New England’s Values, its Code of Conduct and the Associate Handbook, while ensuring the adequacy, adherence to and effectiveness of day-to-day business controls to meet obligations with respect to operational, compliance, and conduct.
Claims 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.