- The Cigna Group (Bloomfield, CT)
- …claims and health care experience, required + 1+ years of experience in medical Claims Systems Configuration, required + 1+ years of Microsoft Access ... Supervisor and Quality Assurance Associates + You'll work claims systems configuration tasks independently with configuration design assistance from… more
- HomeSafe Alliance (Hartford, CT)
- **Title:** Claims Adjuster (SCA) HHG/Military Move **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military Household ... are currently seeking a highly skilled and motivated Assistant Claims Manager to assist in all aspects of ... adjusting experience preferred + Prior experience in a Supervisor or leadership role. + Prior experience assessing employee… more
- Sedgwick (Hartford, CT)
- …to line-of-business + Extensive knowledge and comprehension of insurance coverage + Claims expertise in medical malpractice, errors and omissions, directors and ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Advisor, Professional Liability To analyze complex or technically difficult… more
- Sedgwick (Hartford, CT)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist Professional Liability, Public Entity **PRIMARY PURPOSE** **:** To ... entity; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry best practices… more
- Lowe's (East Hartford, CT)
- …training Admin Service Associates o Inventory Flow related to Vendor Returns, 3PL claims and Inventory Processing o Managing and assigning tasks to Admin Service ... continuous dialogue with 3PL vendor partner(s) to address and resolve claims and complaints received involving In Home Customer Delivery experiences. *Leads… more
- Crawford & Company (Waterbury, CT)
- …effective case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and ... records and reports, collects and analyzes data, evaluates injured worker/disabled individual's medical status, identifies needs and obstacles to medical case… more
- Travelers Insurance Company (Hartford, CT)
- …and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... not manage staff. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality and timely coverage… more
- Baystate Health (Springfield, MA)
- **Summary:** Under the direction of the Receivables Supervisor and Lead; identifies medical insurance denials/appeals, makes appropriate system changes, ... through the Enterprise Task Management System (ETM). **2)** Reviews all denied claims for third party payer on "Explanation of Benefits" and remittance advises… more
- The Cigna Group (Bloomfield, CT)
- …issues, implications and decisions. The Case Management Analyst reports to the Supervisor /Manager of Appeals and will coordinate and perform all appeal related ... Advantage Plan. These appeals will include requests for decisions regarding denials of medical services as well as Part B drugs. The Case Management Analyst will… more
- The Cigna Group (Bloomfield, CT)
- …Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor , Sr. Manager, Director, and Other Administrators. Provider Performance Enablement ... with other internal departments, including but not limited to Health Services, Medical Economics, Sales and Coding in order to develop solutions for strategic… more
- Hartford HealthCare (Newington, CT)
- …collection of third party revenue cycle activities associated with outstanding insurance claims across all Hartford HealthCare hospitals, medical group and ... reports directly to the AR Follow UP & Denials Supervisor and works closely with other staff throughout the...management or finance. *Experience* . Minimal: 2 -4 years medical billing and/or accounts receivables experience in a facility… more
- State of Massachusetts (Springfield, MA)
- …for this position works under the supervision of the Regional Homeless Supervisor . *_DUTIES AND RESPONSIBILITIES (NOT ALL INCLUSIVE):_* *_1) Agency Representative at ... if clients need benefits such as transitional assistance, food stamps (SNAP) and/or medical assistance and encourage clients to participate in program for which they… more
- Walgreens (Bristol, CT)
- …the unique communities we serve as requested by Store Manager, Healthcare Supervisor , or District Manager. Operations + Counsels patients and answers questions ... generics, less expensive medicines, and over-the-counter products. Refers to the medical provider, as needed, to ensure medication is taken correctly, health… more
- Walgreens (Hartford, CT)
- …the unique communities we serve as requested by Store Manager, Healthcare Supervisor , District Manager or Pharmacy Manager. Operations + Counsels' patients and ... privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health… more
- Walgreens (Manchester, CT)
- …privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health ... to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with… more
- The Cigna Group (Bloomfield, CT)
- …external partners as necessary. + Other duties as assigned by supervisor /organizational leadership. + Maintain professional contact with other departments as needed; ... in a matrix Health Care environment.** + **Expert knowledge and understanding of Claims , Encounters and Supplemental Data** + **Expert knowledge of CMS rules and… more
- Walgreens (Glastonbury, CT)
- …Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... insurance companies as well as medical providers and conducts or participates in 3rd party...own performance, solicits for constructive feedback, and leverages Healthcare Supervisor as mentor and coach. **Communication** + Communicates with… more