- Commonwealth Care Alliance (Springfield, MA)
- …+ Experience with electronic medical records strongly preferred + Care Management experience **Required Knowledge, Skills & Abilities (must have):** + Proven ... to escalate members with urgent needs to the Regional RN Supervisor and/or manager during or immediately following the visit. + Utilize our electronic health record,… more
- Travelers Insurance Company (Hartford, CT)
- …innovating the future state to make every interaction a competitive advantage. As a Manager , Experience Management , you will contribute to the successful ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...- $175,400.00 **Target Openings** 1 **What Is the Opportunity?** Experience Management (XM) teams create shareholder value… more
- Travelers Insurance Company (Hartford, CT)
- …negotiating and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim ... facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel....appropriate records and damages documentation. + Keeps effective diary management system to ensure that all claims … more
- HUB International (East Longmeadow, MA)
- …culture. We currently have an opportunity for a **Senior Claim Technical Manager ** . Reporting to the Technical Claims Leader, this individual is responsible ... decision-making, negotiation, and settlement. This individual MUST have strong property claims experience . Responsibilities include work related to assigned… more
- The Hartford (Hartford, CT)
- …liability and WRAP policies for general contractor, developer, owner, and construction manager claims + Experience in handling affirmative/defensive risk ... highly specialized claim organization responsible for the management of construction defect and construction related claims... metrics Required Qualifications: + 5+ years construction defect claim handling experience + Experience … more
- AIG (Farmington, CT)
- Manager - Reinsurance Claims and Collections (Ceded)... in claims and/or accounting. + Prior management experience a plus. + Able to prioritize ... What you need to know: This role is responsible for managing reinsurance claims and collections for North American ceded business within Reinsurance Finance and… more
- Grant Thornton (Hartford, CT)
- …their vision and help you achieve more, confidently. Your day-to-day may include: + Leverage claims operations experience and claim audit experience to ... As a Process Risk & Claims Audit Manager , you will get...+ Proven track record managing and resolving complex insurance claims , including property, casualty, and liability. + Experience… more
- Zurich NA (Hartford, CT)
- Claims Manager , Workers Compensation 127684 Zurich... management + 6+ years of direct people management experience + Self-Insured License + WCCA, ... is looking for an accomplished Workers Compensation Claims Team Manager for our Northeast region....+ Juris Doctor and 5 or more years of experience in the Claims areaOR + Bachelors… more
- Travelers Insurance Company (Hartford, CT)
- …leadership skills with the ability to mentor and develop employees. + Project Management : Experience leading and managing complex projects. + Technology: ... complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our… more
- CVS Health (Hartford, CT)
- …Adept at execution and delivery (planning, delivering, and supporting) skills + Prior experience working with HRP + Knowledge of Claims adjudication and Medicare ... unrivaled presence in local communities and their pharmacy benefits management capabilities, we're joining members on their path to...exciting ways every day. Aetna is seeking a **Senior Manager - HRP Testing Subject Matter Expert (SME)** who… more
- Prime Therapeutics (Hartford, CT)
- …for software in a Product Owner role + SAFe Product Owner / Product Manager (POPM) Certification + Experience with minimum viable product, Scrum, and/or Lean ... + Experience delivering on premise and cloud/mobility products + Experience in Pharmacy Benefit Management (PBM) or related industry + Technical… more
- Travelers Insurance Company (Hartford, CT)
- …Openings** 1 **What Is the Opportunity?** Under general direction of AVP-Assistant Risk Manager of Corporate Insurance and Risk Management , takes a lead or ... on certain lines of corporate insurance. + Assists the manager with insurance and risk management questions...internally/externally. + Ten or more years of insurance industry experience . + Knowledge of the claim process… more
- Cardinal Health (Hartford, CT)
- **Job Summary:** The Manager , Revenue Cycle Management , is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate ... resolution of outstanding insurance claims . This role leads strategy development, performance monitoring, and...collection targets. + Develop and implement processes to improve claim resolution timelines and reduce denials and underpayments. +… more
- Travelers Insurance Company (Hartford, CT)
- …and statutory law and expert litigation management skills preferred. + Extensive claim and/or legal experience and technical expertise to evaluate severe and ... tools in accordance with department guidelines. + Utilizes diary management system to ensure that all claims ...with a minimum of 2 years bodily injury liability claim experience and/or comparable litigation claim… more
- Sedgwick (Springfield, MA)
- …telemarketing, social media, local marketing events, and direct contact with property claims adjusters and manager level professionals. To engage potential ... Best Workplaces in Financial Services & Insurance Regional Account Manager As a Regional Account Manager at... Experience : Three to Five years outside sales experience calling on the property & casualty claims… more
- The Cigna Group (Bloomfield, CT)
- …a key member of the account management team responsible for Accounts Receivable Management + Collaborates with experience manager and matrix partners to ... in benefits and claims administration and/or relationship or project management experience + Advanced working knowledge of Proclaim and Facets required… more
- CVS Health (Hartford, CT)
- …We are seeking a highly skilled and experienced Engineer to join our Commercial Claim Adjudication team. As a Release Manager , you will contribute to product ... and innovation of engineering projects that impact the Commercial Claim systems. As a Staff Software Engineer/Release Manager...of work experience . + 5+ years of experience with Claim in software development, collaborating… more
- CDM Smith (Hartford, CT)
- …strategies. Assist the project team in developing and maintaining a project risk register. Claim management : Early support for claims and disputes on the ... to those requirements. Ensure that proper documentation is developed and maintained for claims . **Job Title:** Commercial Manager - Pacific **Group:** CCI ESS… more
- CDM Smith (Hartford, CT)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...potential fraud, and ensure the integrity and fairness of claim settlements. By applying advanced accounting, auditing, and investigative… more
- Sedgwick (Hartford, CT)
- …to deliver great work. + Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, ... in nursing (BSN) from accredited college or university or equivalent work experience preferred. Certification in case management , rehabilitation nursing or a… more
