- Sedgwick (Hartford, CT)
- …Top Companies Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist , General Liability (Property) ... **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving… more
- Sedgwick (Hartford, CT)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Professional Liability **PRIMARY PURPOSE** **:** To analyze complex ... or technically difficult miscellaneous professional liability claims ; to coordinate case management within Company standards, industry best practices and specific… more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DEConsultant Claims - CH08CE We're determined to make a difference and are proud to be an insurance company that goes well beyond ... and trials as necessary; + Proactively manage accurate expense, reserve and financial transactions; + Consistently maintain up-to-date claims metrics. Required… more
- Lincoln Financial (Hartford, CT)
- …this opportunity. **Requisition #:** 74565 **The Role at a Glance** As an Appeals Specialist you will be responsible for being a product subject matter expert to ... multiple product lines. You will perform and deliver on appeals claims assignments/projects while simultaneously leveraging and applying knowledge. You will analyze… more
- Zurich NA (Hartford, CT)
- Marine Claims Senior Claims Specialist 126574 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and ... Basic Qualifications: + Bachelor's Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.OR + Juris Doctor and 2 or more years of… more
- Zurich NA (Rocky Hill, CT)
- General Liability Litigated Claims Specialist 126205 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when ... should be expected. At Zurich North America, we are seeking a Litigated Claims Specialist to join our high-performing **Commercial General Liability Construction… more
- Kelly Services (Glastonbury, CT)
- **Job Title:** **Bilingual** Medical Claims Processor / Medical Claims Specialist **Pay Rate:** $24.00 + /hour (Depending on exp) **Schedule:** 11:30 AM - ... Summary:** We are currently seeking a detail-oriented, organized, and compassionate **Medical Claims Processor / Medical Claims Specialist ** to join… more
- Lincoln Financial (Hartford, CT)
- …to staff our ever-growing claims organization. As a STAT / PFL Claims Specialist , you will be responsible for conducting initial and ongoing interviews ... approval durations and future action planning + Completing accurate financial calculations consistent with company and state guidelines. +...diploma or GED + 1-2 years of experience in claims , leaves or customer service + Strong written and… more
- Nuvance Health (Danbury, CT)
- *Description* Summary: Coordinates and monitors all aspects of Patient Financial Services daily functions, including billing compliance and accounts receivable ... functions. Responsible for the assigned areai? 1/2s claims submission, payment application, denial management, and account follow-up to ensure optimal reimbursement.… more
- Travelers Insurance Company (Hartford, CT)
- …tort, latent injury, sexual misconduct, environmental claims and/or excess claims that present significant financial exposures and multiple factors impacting ... will independently manage our most challenging high frequency and high severity claims and accounts which routinely present unique, complex liability and coverage… more
- Nuvance Health (Danbury, CT)
- …submission for designated groups of accounts by payer. Insures that all claims are compliant with State and Federal billing regulations and contractual obligations. ... Confirmation of electronic and hard-copy billing of any delinquent claims . Rebilling & follow-up of all delinquent claims... claims . Rebilling & follow-up of all delinquent claims . 3. Responds to all patient and payer inquiries,… more
- Nuvance Health (Danbury, CT)
- …for designated groups of accounts by payer.i? 1/2i? 1/2Insures that all claims are compliant with State and Federal billing regulations and contractual ... Confirmation of electronic and hard-copy billing of any delinquent claims . Rebilling & follow-up of all delinquent claims... claims . Rebilling & follow-up of all delinquent claims . 3. Responds to all patient and payer inquiries,… more
- Travelers Insurance Company (Hartford, CT)
- …tort, latent injury, sexual misconduct, environmental claims and/or excess claims that present significant financial exposures. With general supervision, you ... will manage challenging large exposure claims which routinely present unique, complex liability and coverage...meetings, presentations and negotiations with other account contacts. + Financial Analysis - Estimate financial exposures on… more
- AIG (Wilton, CT)
- Reinsurance Specialist This role is responsible for managing reinsurance claims and collections within Reinsurance Finance and reports to the Head of Reinsurance ... Claims and Collections. The individual should have solid claim...analytical teams (Actuarial, Accounting, IAG, etc.) to provide critical financial and claim data. + Assist with the analysis,… more
- CVS Health (CT)
- …handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Sedgwick (Hartford, CT)
- …Companies Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Provider Network Specialist **PRIMARY PURPOSE** **:** ... with clients relative to their MCO status. + Ensures claims management system parameters are set for MCO flags....other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- MetLife (Bloomfield, CT)
- …maintain data integrity through accurate benefit decision and payment * Accountable for accurate financial decisions on block of claims with financial base ... A MONTH. Key Responsibilities: * Manages overall STD block of claims and possible companion claims to include Statutory plans, Federal, Company, State and other… more
- Hartford HealthCare (Farmington, CT)
- …Business Office in Newington. *_Position Summary:_* The Revenue Integrity Specialist determines the appropriateness of patient charges, and Charge Description ... coding and billing expertise with some clinical knowledge that are delaying claims from processing in the Patient Accounting system; This includes the verification… more
- Robert Half Accountemps (Cheshire, CT)
- Description We are looking for a skilled Collections Specialist to join our team in Cheshire, Connecticut. In this role, you will oversee various aspects of the ... to ensure data integrity. * Review and resubmit denied or incomplete claims while ensuring proper follow-up and documentation. * Collaborate with internal teams… more
- Performance Optimal Health (Stamford, CT)
- …through exceptional care, service, and teamwork. We are seeking a Billing Specialist to join our growing Practice Administration/Billing team. This role combines all ... and thrives in a collaborative environment. Responsibilities + Review and process patient claims and invoices accurately and in a timely manner. + Verify insurance… more