- CVS Health (Hartford, CT)
- …personal, convenient and affordable. On-site in Hartford, CT required Claim Supervisor : Responsible for the overall supervision of Medical Claim Processing ... employees. Achieve superior service performance through an integrated process of operational, quality, medical cost and resource management tools and applications; meeting and/or exceeding department and company goals. Fundamental Components: + Develop, train,… more
- Sedgwick (Hartford, CT)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead (Auto) **PRIMARY PURPOSE** : To supervise the operation of… more
- Hartford HealthCare (Farmington, CT)
- …by other areas as determined by departmental procedures. * Responsible to notify supervisor of electronic claims not received by payers. * Responsible to ... from all carriers. Biller must efficiently and accurately correct and release claims to payers, while adhering to all client, state and federal guidelines.… more
- Sedgwick (Hartford, CT)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically difficult ... surety and surety bond claims ; to provide resolution of highly complex nature and/or...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Hartford, CT)
- …mainly Australia. If this does not apply to you please use the 'Apply' option.** Claims Examiner - Liability IF YOU CARE, THERE'S A PLACE FOR YOU HERE For a ... Sedgwick supports and resolves property, general, auto, product and professional liability claims . We help our clients maintain brand protection in times of crisis.… more
- Highmark Health (Hartford, CT)
- …are met. Represent the department in compliance audits as it relates to the supervisor functions. + Act as subject matter expert for benefit plan and claims ... processing + Research and investigate any privacy or compliance concerns (CMS, HIPAA, internal policy, etc).Complete root cause analysis and address remediation process with impacted employees. + Participate in process improvement initiatives as appropriate,… more
- Travelers Insurance Company (Hartford, CT)
- …reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims by completing essential… 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)
- …as designated by the Director. May receive directions from the Practice Supervisor , Practice Manager, and other members of the Service Line/Department leadership ... for identifying and rectifying all outstanding charge issues to ensure claims are billed timely and accurately. **Job Responsibilities:** **1)** Coordinates staff… more
- Mathematica (Hartford, CT)
- …large secondary data sources such as Medicaid (T-MSIS, TAF) administrative claims data to effectively answer research questions and guide decision-making about ... and practical knowledge of administrative healthcare data (eg commercial claims , hospital claims , and Medicare or Medicaid...obtain work outside CMS. Staff will work with their supervisor to get re-staffed, however if they are unable… more
- Elderwood (Plainville, CT)
- …support to the billing department by processing and resolving pharmacy claims based on pharmacy delivery schedules, adding in insurance, tracking prior ... regarding medication inquires. + Reviews and investigates rejected third party claims ; resolves/adjudicates as deemed necessary. + Reviews and establishes cycle fill… more
- Sedgwick (Hartford, CT)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor . + Identifies ... their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more… more
- Defense Contract Management Agency (East Hartford, CT)
- …Contract Management Team (CMT) members. Provides technical assistance to the supervisor of record or other senior engineers in progressively responsible assignments ... at the time of application) to support your educational claims . Or, if you are using education to qualify...at the time of application) to support your educational claims . The transcripts must include your name, the name… more
- State of Connecticut, Department of Administrative Services (Newington, CT)
- …Review and approve grant applications for various projects + Review and process reimbursement claims + Review and process claims from state agencies for various ... activities. EXAMPLES OF DUTIES WORKING LEAD LEVEL: + As assigned by a supervisor , distributes, prioritizes, oversees and reviews office unit work; + Provides staff… more
- Hartford HealthCare (Newington, CT)
- …of third party revenue cycle activities associated with outstanding insurance claims across all Hartford HealthCare hospitals, medical group and homecare to ... reports directly to the AR Follow UP & Denials Supervisor and works closely with other staff throughout the...*This Job Reports To (Job Title):* AR Follow Up/Denials Supervisor . *If applicable, describe nature of supervision of… more
- Walgreens (Hartford, CT)
- …the unique communities we serve as requested by Store Manager, Healthcare Supervisor , or District Manager. Operations + Counsels' patients and answers their ... ways to further promote productivity. + Ensures the accurate processing of insurance claims to resolve patient issues and prevent payment rejections. Follows up with… more
- State of Connecticut, Department of Administrative Services (Newington, CT)
- …this class is accountable for acting as a working lead who assists a supervisor in supervising a designated group of employees and/or for performing the most complex ... work; advises departmental auditors on acceptability of credits offered or claims for payment made; conducts field and office investigations of engineering,… more
- State of Connecticut, Department of Administrative Services (Newington, CT)
- …this class is accountable for acting as a working lead who assists a supervisor in supervising a designated group of employees and/or for performing the most complex ... work; advises departmental auditors on acceptability of credits offered or claims for payment made; conducts field and office investigations of engineering,… more
- State of Connecticut, Department of Administrative Services (Newington, CT)
- …this class is accountable for acting as a working lead who assists a supervisor in supervising a designated group of employees and/or for performing the most complex ... work; advises departmental auditors on acceptability of credits offered or claims for payment made; conducts field and office investigations of engineering,… more
- Intermountain Health (Hartford, CT)
- …with business systems or in healthcare, with a thorough understanding of claims processing and billing + Intermediate proficiency to demonstrate skills with the ... labor market analysis have been included. Other duties may be assigned by the supervisor . All positions subject to close without notice. Thanks for your interest in… more