- GAP Solutions Inc (Hartford, CT)
- **Position Objective:** As a Junior Human Resource Specialist , apply HR skills in support of managers, program staff and customers on the full range of HR topics ... Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice of results or… more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DEConsultant Claims...Specialist level, based on the candidate's experience. The Claim Specialist and Claim Consultant ... handler positions within the Environmental unit of The Hartford's Complex Claims Unit (CCU), responsible for the...matter expertise and can involve higher exposures. The Environmental Claim Specialist or Claim Consultant… more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DESpecialist Claims...This is a visible and important role within our Complex Claims Unit (CCU) Hartford Global Specialty ... (HGS) Claims Division. As a Claims Specialist , you will be responsible for...or commensurate experience + Minimum of seven years handling complex litigated bodily injury claims + Familiarity… more
- The Hartford (Hartford, CT)
- …we help shape the future. The Claim Specialist is the highest claim handling designation within the Complex Claims Unit - Construction (CCU-CD) and ... Specialist Claims - CH07DE We're determined... Specialist Claims - CH07DE We're determined to make a...all aspects of the most complex , high-value claims exhibiting a detailed knowledge of each claim… more
- Lincoln Financial (Hartford, CT)
- …and applying knowledge. You will analyze and manage a caseload of appeals claims . You will review, investigate, and make claim determinations regarding coverage, ... by investigating & obtaining a wide range of complex information. Apply claim policies & procedures...to ensure fair, ethical, & timely management of assigned claims . + Analyze and interpret complex coverage… more
- Zurich NA (Rocky Hill, CT)
- Construction (GL) Litigated Claims Specialist 126205 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when ... At Zurich North America, we are seeking a Litigated Claims Specialist to join our high-performing **Commercial...Ability to assess the scope and exposure of moderately complex claims + Expertise in the reserving… more
- Zurich NA (Hartford, CT)
- Marine Claims Senior Claims Specialist ...applies the component parts of an insurance policy for complex claims + Ability to follow reserving ... 126574 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role...indemnity and expense in analyzing the potential exposure of complex claims + Ability to determine the… more
- Philadelphia Insurance Companies (Glastonbury, CT)
- …and settle more complex first and third party commercial insurance auto claims . JOB RESPONSIBILITIES + Evaluates each claim in light of facts; Affirm ... as a member of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Specialist - Auto to join our team. JOB SUMMARY Investigate, evaluate… more
- CVS Health (Hartford, CT)
- …all with heart, each and every day. **Position Summary** Reviews and adjudicates complex , sensitive, and/or specialized claims in accordance with plan processing ... handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication… more
- Travelers Insurance Company (Hartford, CT)
- … claim and/or legal experience and technical expertise to evaluate severe and complex claims preferred. + Able to make independent decisions on most assigned ... and resolving assigned Auto and Homeowner related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life… more
- CDM Smith (Hartford, CT)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
- Datavant (Hartford, CT)
- …The Specialist is responsible for identifying, analyzing, and resolving claim denials across the entire revenue cycle to ensure optimal reimbursement and ... rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional,… more
- CDM Smith (Hartford, CT)
- …ID:** 40481BR **Business Unit:** FSU **Job Description:** The FEMA Costing Specialist : * Conducts preliminary damage assessments (PDAs) in the field for ... infrastructure projects. * Prepares complex project worksheets for the purposes of determining project...a disaster. * Reviews, evaluates and analyzes applicant-provided cost claims for reasonableness and accuracy as related to the… more
- Cardinal Health (Hartford, CT)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. ... assigned in the appropriate system. + Manages and resolves complex insurance claims , including appeals and denials,...company policy, regulations, or third-party policy. + More challenging claim cases + Investigates and updates the system with… more
- Highmark Health (Hartford, CT)
- …driven by the belief that relationships hold the key to uncovering society's most complex challenges? Do you see medical records not just as disparate facts, but as ... the healthcare continuum. From personalizing patient care pathways to detecting complex fraud rings and understanding population health dynamics, your work will… more
- Hartford HealthCare (Farmington, CT)
- …Terminology(CPT) codes and resulting DRGs/APCs to ensure consistency and efficiency in claims processing, data collection, and quality reporting for HHC * Validates ... regulations related to coding. * Provides coding feedback on complex cases. *Communication* * Insures the appropriate dissemination and...* For Home Health Hospice: * Home Health Coding Specialist - Diagnosis (HCS-D) and/or Home Care Coding … more
- Hartford HealthCare (Hartford, CT)
- …and associated departments. *JOB RESPONSIBILITIES* 1. Oversees the development of complex and advanced ICD-10 and Hierarchical Condition Category (HCC) coding and ... degree or equivalent work experience Experience * Minimum of 3-5 years in medical claims coding required * Experience working with CMS, health insurers and * medical… more
- The Cigna Group (Bloomfield, CT)
- …and Hierarchical Condition Category expertise to the role, evaluates complex medical conditions, determines compliance of medical documentation, identifies trends, ... Professional Coders (AAPC): + Certified Professional Coder (CPC) + Certified Coding Specialist for Providers (CCS-P) + Certified Coding Specialist for Hospitals… more
