- CVS Health (Hartford, CT)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** The ** Senior Claims Benefit Specialist ** will review and adjust SF ( ... claims . They will adjudicate complex, sensitive, and/or specialized claims in accordance with claim processing guidelines....every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- CVS Health (Hartford, CT)
- …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for ... handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication… more
- Prime Therapeutics (Hartford, CT)
- …+ MISCELLANEOUS DUTIES: + Provide backup support to team members (SIU Coordinator and Senior SIU Specialist ) in the performance of job duties as assigned. + ... drives every decision we make. **Job Posting Title** SIU Specialist - Remote in the California market **Job Description**...Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the… more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DESpecialist Claims CA - CH07DN We're determined to make a difference and are proud to be an insurance company that goes well beyond ... Claims Unit (CCU) Hartford Global Specialty (HGS) Claims Division. As a Claims Specialist...initiatives. + Preparing comprehensive reports and delivering presentations to senior claim leadership on case developments, policy… more
- The Cigna Group (Bloomfield, CT)
- …Understanding of managed care business processes, data, systems, and applications for claims payment, enrollment, benefit design, and utilization management + ... is Business Analytics Advisor, which is a Band 4 Senior Contributor Career Track Role. + **Summary** + Cigna...manage multiple tasks and projects + Experience working with claim data and familiarity with standard medical coding: CPT,… more
- Highmark Health (Hartford, CT)
- …months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP) **Language ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... development initiatives + Prepare comprehensive reports and deliver presentations to senior claim leadership on case developments, policy issues, industry… more
- Highmark Health (Hartford, CT)
- …twelve months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health Insurance Plans (AHIP) ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more