EPL Specialty Claims Associate Munchener Ruckversicherungs-Gesellschaft Aktiengesellschaft (Munich Re)EPL Specialty Claims AssociateHartford, CTRemoteFounded in 1866, The Hartford Steam Boiler Inspection and Insurance Company (HSB) has been a pioneer in industrial safety and loss prevention for over 150 years. We are seeking a highly motivated and experienced Specialty Claim Associate to join our Specialty Liability Claims team.
Senior Casualty Claim Representative/Claims Specialist-Specialty Human Services Great American Insurance CompanySenior Casualty Claim Representative/Claims Specialist-Specialty Human ServicesCT$80,000–$120,000 / yearSHS works with agents to address the coverage needs and loss exposures of more than 16,000 social service and non-profit organizations across the country. Since 1980, we've been Protecting Those Who Improve Your Community and were one of the first carriers to offer niche coverage solutions to nonprofit and service organizations.
Automotive Body Shop Appraiser Liberty HondaAutomotive Body Shop AppraiserHartford, ConnecticutExperience in auto damage estimating a must , auto body repair, or automotive repair roles with a strong understanding of vehicle structures and systems. Conduct thorough inspections of damaged vehicles to assess auto body and mechanical repairs needed.
Claims Phone Support Crum & Forster Holdings Corp.Claims Phone SupportGlastonbury, CTRemote$20–$22 / hourWe believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee driven corporate giving program that lets you participate and support your community. Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions.
Forward Deployed AI Leader- Claims (Hybrid) Selective Insurance Group IncForward Deployed AI Leader- Claims (Hybrid)Hartford, CT$163,000–$220,000 / yearProactively identifies, shapes, and documents AI use cases in partnership with business unit stakeholders, ensuring proposed opportunities are grounded in business need, aligned to the business unit's strategy, mapped to executive sponsorship, and evaluated against intake criteria before advancing to solution design or development. Owns the business unit's AI portfolio view and adoption outcomes, proactively shapes use cases, pushes for innovation, delivers small-scale AI solutions, and escalates misalignment, stalled progress, or resource issues to the AI COE Leader and business unit leadership.
NewLabor Department Community Services Representative(Hybrid) State of ConnecticutLabor Department Community Services Representative(Hybrid)Hartford, CT$60,543–$76,473 / yearCENTRAL UNIT: Performs basic technical tasks within operational support functional areas of claims examination, benefit payment control and merit rating; Reviews employer protest to unemployment insurance benefit charges, researches issues and makes initial charge/non-charge decisions; Audits and recalculates employer tax rates based on protest determinations; Participates in compilation and dissemination of quarterly and annual employer accounts statements; Conducts fraud audits by reviewing quarterly cross match reports and automated files; Obtains information needed to verify overpayments; Calculates overpayment(s) amounts including penalties; Reviews, analyzes and corrects claims under a variety of special programs including military, federal, out of state or multistate claims and claims involving reduced hours, pensions, child support or shared work; Obtains and verifies data; Applies federal and/or state laws and guidelines to make monetary determinations and other disposition of claims; Reviews and processes special program claim appeals; Corresponds with employers, claimants and their representatives on variety of matters; Provides technical support to local offices in pertinent areas; Creates, updates and maintains case management files; Maintains records and prepares reports; May collect overpayments as assigned; Performs related duties as required. FIELD UNIT: Serves as a front-line service provider for all services necessary for determination of monetary eligibility for unemployment insurance benefits; Reviews benefit application and secures additional data needed; Analyzes work history to determine appropriate benefit program; Assesses need for non-monetary hearing based on reason for separation or any barriers to employability; Makes appropriate adjustments to system wage file or refers to a field auditor as needed; Processes adjustments to claims, investigates and resolves held claims and exceptions; Provides information, referral, assessment, eligibility determinations and certification for all job service and employment and training programs; Determines barriers to employment; Assesses needs and refers client to employment counseling, training, employment planning or other support services; Develops job opportunities for clients whose skills do not match current listings; Periodically assesses continuing eligibility; Assists in developing work search plan; Customizes and conducts job search and vocational exploration workshops; Works with employers to seek, place and follow up on workers with appropriate skills; Provides services, including outreach services, to specialized client groups as assigned; Provides and explains information on programs, procedures, policies, laws and regulations to clients, employers and others as appropriate; May assist in training new or lower-level staff; Performs related duties as required.
Sr. Claims Specialist, Commercial Casualty - Remote CSAA Insurance GroupSr. Claims Specialist, Commercial Casualty - RemoteCTRemote$74,295–$82,550 / yearAlabama - 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}. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including Mobilitas offices.
On Site - CT; Accounts Receivable Specialist Summit Health, Inc.On Site - CT; Accounts Receivable SpecialistRocky Hill, CTCore duties include working claim edits, claim rejections, denied claims, and unpaid or underpaid claims with the various payers including but not limited to the following: Medicare, Medicaid, Medicare Advantage, Medicare supplemental, commercial, and Liability insurances. Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.
NewCustomer Service & First Report Claims Associate Plymouth Rock Management Company of New JerseyCustomer Service & First Report Claims AssociateFarmington, CT$45,000–$50,500 / yearOur team is committed to fostering a positive, inclusive, and collaborative workplace where employees are supported, encouraged to grow, and empowered to deliver excellent customer experiences every day. The 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.
Sr. Claims Analyst - Cyber Claims Allied World Assurance Company LtdSr. Claims Analyst - Cyber ClaimsFarmington, 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. Ability to accurately and timely analyze coverage and instruct and collaborate with counsel regarding litigation strategy, claim resolution and resolve claims and otherwise act within the scope of delegated authority.
Medical Front Desk Rep - Quincy, MA Gather HealthMedical Front Desk Rep - Quincy, MAQunicy, MA$18–$25 / hourGather's model achieves superior care by individualizing care and is reinforced by a three-prong approach: a unique care model quarterbacked by PCPs and supported by multi-disciplinary care teams, tailored Social Care Plans that are led by Gather Guides and facilitated by deeply rooted community partners, and a proprietary "Tech Enabled Home Model.". To address the needs of these clinically and socially complex patients, Gather Health's Social Primary Care solution is comprehensive and wholistic in nature, encompassing care and community within the four walls of Gather Health Centers and in the homes of its patients.
NewBodily Injury Adjuster - Extended Handler Allstate Insurance CompanyBodily Injury Adjuster - Extended HandlerDetroit, MI$50,000–$74,350 / yearAuto Insurance Claims, Automobile Accidents, Bodily Injury Claims, Case Management, Claims Administration, Claims Resolution, Claims Review, Insurance Claims Investigations, Insurance Coverage, Insurance Policies, Insurance Policy Review, Multitasking, Negotiation, Personal Injuries, Personal Injury Claims, Policy Interpretation, Prioritization, Soft Tissue, Soft Tissue Injuries, Task Management, Time Management. As a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment.
Auto Adjuster I, II or Sr. Allstate Insurance CompanyAuto Adjuster I, II or Sr.MI$50,000–$74,350 / yearAuto Collision (Inactive), Auto Collision Repair, Auto Insurance, Auto Insurance Claims, Automobile Accidents, Automobile Liability, Case Management, Claims Administration, Claims Resolution, Claims Review, Customer Service, De-Escalation, Insurance Administration, Insurance Claims, Insurance Coverage, Insurance Policies, Investigative Skills, Multitasking, Negotiation, Task Organization, Time Management. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
Healthcare Claims Quality Analyst Integra PartnersHealthcare Claims Quality AnalystTroy, MIRemoteFull timeThe Claims Quality Assurance Analyst is responsible for monitoring and documenting production quality in support of departmental goals and initiatives, with a primary focus on claims auditing and claims-related interactions within the Revenue Cycle Management (RCM) function. Working knowledge of Revenue Cycle Management (RCM) workflows and downstream impacts (e.g., clean claim submission, edits, denials, appeals, payment posting/reconciliation) across commercial, Medicaid, and Medicare.
NewClaims Advisor, Professional Liability | Medical Malpractice Sedgwick Claims Management Services, Inc.Claims Advisor, Professional Liability | Medical MalpracticeMI$120,000–$130,000 / yearEducation & Licensing: 8 years of claims management experience or equivalent combination of education and experience required to include three (3) to five (5) years of experience handling complex claims and experience in negotiation, mediation, arbitration or higher value complex claims. ESSENTIAL RESPONSIBLITIES MAY INCLUDE: Proactively and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional expertise to provide oversight, and directs the handling to achieve the best possible resolution.
NewClaims Processing Representative Great Expressions Dental CentersClaims Processing RepresentativeSouthfield, MIProficient in the use of end-user computer applications regarding productivity (MS Word, Excel, Outlook), Windows file management, database, electronic health/medical records and patient billing and other medical information systems. Our recently appointed leadership team brings over a century of collective dental expertise and is backed by dynamic investment support to pave the way for groundbreaking changes.
Commercial Claims Adjuster Associate - Auto (Hybrid) Amerisure Mutual Insurance CompanyCommercial Claims Adjuster Associate - Auto (Hybrid)Farmington Hills, MIObtain and verify information by gathering missing or incomplete details from relevant parties, including policyholders, claimants, witnesses, and external vendors, to support accurate claim processing. Ranked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus.
Dental Billing Specialist Premier Smiles PLCDental Billing SpecialistHamtramck, MIWe are looking for an experienced Dental Billing Specialist to join our dental office. Previous dental billing experience strongly preferred.
Surveillance Investigator Allied UniversalSurveillance InvestigatorDetroit, MichiganThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
Bodily Injury & Homeowners Liability Adjuster Allstate Insurance CompanyBodily Injury & Homeowners Liability AdjusterMI$53,500–$86,400 / yearAuto Insurance Claims, Case Management, Casualty Insurance, Casualty Management, Claims Administration, Claims Resolution, Claims Review, Commercial Liability, De-Escalation, Home Insurance, Homeowners Claims, Homeowners Insurance, Homeowners Insurance Claims, Insurance Policies, Liability Insurance, Liability Management, Litigation, Multitasking, Personal Injury Claims, Property & Casualty Insurance, Relationship Management, Tort Liability. Team members may have the opportunity to gain exposure to a variety of claim types and handling responsibilities, including extended handling, litigation, and homeowners liability claims, based on business needs, performance, and development goals.