- Humana (Hartford, CT)
- **Become a part of our caring community and help us put health first** The Supervisor , Claims Review makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Supervisor , Claims Review works within thorough, prescribed guidelines and… more
- Sedgwick (Hartford, CT)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and… more
- Sedgwick (Springfield, MA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Environmental | Professional Liability | REMOTE **Job Description Summary** ... To analyze complex or technically difficult environmental claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case… more
- Ryder System (Hartford, CT)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- Lowe's (East Hartford, CT)
- …management of the third-party logistics operated Bulk Distribution Center. The Supervisor is responsible for resolving store claims , reconciling weekly ... What You Will Do The BDC Support Supervisor is the subject matter expert and is...Statements *Daily debrief with BDC Clerks for status updates. Review voicemails, emails and resolve all emergent issues. … more
- Hartford HealthCare (Farmington, CT)
- …collection of third-party revenue cycle activities associated with outstanding insurance claims across all Hartford HealthCare Hospitals, Medical Group and Homecare ... to insure optimal revenue cycle performance. The Supervisor is responsible for resolving unpaid third-party balances on $550 million in active inventory and provides… more
- Cardinal Health (Hartford, CT)
- …Collections is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of outstanding balances ... receivable and increase cash flow for the organization. **_Responsibilities:_** + Review aging reports and work insurance accounts to ensure timely resolution… more
- Walgreens (Wethersfield, CT)
- …the unique communities we serve as requested by Store Manager, Healthcare Supervisor , or District Manager. Operations + Counsels patients and answers questions ... and federal controlled substance laws when filling prescriptions. The Product Review /Retail Fill Process Pharmacist is responsible for ensuring that elements of… more
- State of Connecticut, Department of Administrative Services (Newington, CT)
- …) and named the Women's Transportation Seminar ( WTS (https://user-qiydjxo.cld.bz/WTS-CT-2023-Year-in- Review -Newsletter/4-5/) ) CT Employer of the Year for 2024! + ... training are most aligned with the role. To prepare, review this helpful Interview Preparation Guide to make the...for acting as a working lead who assists a supervisor in supervising a designated group of employees and/or… more
- Cardinal Health (Hartford, CT)
- …to patient inquiries in a professional and timely manner. **_Responsibilities:_** + Review aging reports and work patient accounts to ensure timely resolution and ... billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs)… more
- Sedgwick (Hartford, CT)
- …initial and ongoing clinical assessment through provider outreach, specialized document review , and analysis and interpretation of interventions for the preparation ... clear and concise information with handling planner, specialist, client, and supervisor while maintaining client's privacy and confidentiality; adheres to ethical,… more
- Cardinal Health (Hartford, CT)
- …payment + Work average of 50 to 100 denials per day based on supervisor requirements and accounts assigned + Works closely with insurance carriers for reimbursement ... + Consults with appeals department for disputed / denied claims . + Works / Understands electronic claim interchange +...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Walgreens (Enfield, CT)
- …as immunizations. Responsible for ensuring the proper compounding, dispensation, review and verification of prescribed medications within regulatory guidelines, ... and federal controlled substance laws when filling prescriptions. The Product Review /Retail Fill Process Pharmacist has the ultimate responsibility for ensuring that… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …benefits, plan options, and other retirement-related information; + Process and review transactions in Core-CT, ensuring accuracy and compliance with policies, ... training are most aligned with the role. To prepare, review this Interview Preparation Guide to make the best...benefit statements, other employee records and reports, and benefit claims and cost data; + interpret and apply statutes,… more
- Walgreens (Springfield, MA)
- …Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... one's own performance, solicits for constructive feedback, and leverages Healthcare Supervisor as mentor and coach. **Communication** + Communicates with pharmacy… more
- Hartford HealthCare (Farmington, CT)
- …the medical record, facility protocol, and other applicable documentation. This review includes the verification of billing data for accuracy and completeness, ... coding and billing expertise with some clinical knowledge that are delaying claims from processing in the Patient Accounting system; This includes the verification… more