- The Hartford (Hartford, CT)
- Specialist Claims - CH07DESpecialist Claims...This is a visible and important role within our Complex Claims Unit (CCU) Hartford Global Specialty ... (HGS) Claims Division. As a Claims Specialist , you will be responsible for...or commensurate experience + Minimum of seven years handling complex litigated bodily injury claims + Familiarity… more
- The Hartford (Hartford, CT)
- …self-starter who would enjoy a fast-paced collaborative work environment! The Claim Specialist will handle a caseload of complex , high-exposure claims on ... Specialist Claims - CH07DE We're determined... Specialist Claims - CH07DE We're determined to make a...opportunities. Key responsibilities of this position include: + Conduct complex investigations and extensive claim file reviews… more
- Zurich NA (Hartford, CT)
- Marine Claims Senior Claims Specialist ...applies the component parts of an insurance policy for complex claims + Ability to follow reserving ... share that Zurich North America is hiring a Marine Claims Senior Claims Specialist Role...indemnity and expense in analyzing the potential exposure of complex claims + Ability to determine the… more
- Travelers Insurance Company (Hartford, CT)
- …units in the management and evaluation of some of the Company's severe and complex liability claims by providing claim handling guidance, recommendations and ... equivalent business experience. + 5-10 years experience handling serious injury and complex liability claims preferred (casualty claim operations environment… more
- Sedgwick (Hartford, CT)
- …Fortune Best Workplaces in Financial Services & Insurance PL CLAIM SPECIALIST **PRIMARY PURPOSE** **:** To analyze complex or technically difficult medical ... malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to...and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans… more
- USAA (Springfield, MA)
- …liability. + Partners with vendors and internal business partners to facilitate complex claims resolution. May also involve external regulatory coordination to ... complex policy terms and contingencies. + Determines and negotiates complex claims settlement within authority limits. Develops recommendations and… more
- Travelers Insurance Company (Hartford, CT)
- …Compensation claims including catastrophic loss, specified serious injury and other complex claims . Attempt to resolve through innovative and expert claim ... involve one or multiple back, shoulder or knee surgeries, knee replacements, claims involving complex offsets, permanent restrictions and/or fatalities. … more
- Sedgwick (Hartford, CT)
- …of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Acts as a backup for ... Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims… more
- Sedgwick (Hartford, CT)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance (REMOTE) Compliance Specialist - Workers Compensation **PRIMARY PURPOSE** : To ensure the company's ... state workers compensation agencies as appropriate. + Provides required reporting on claims , penalty and compliance issues to ensure compliance within the state(s).… more
- Sedgwick (Hartford, CT)
- …Clinical Specialist **PRIMARY PURPOSE** **:** To perform standard and complex clinical evaluations as determined by clinical screenings and patient assessments. ... absence from work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs and completes complex clinical reviews of referred medical claims to ensure accurate… more
- CDM Smith (Springfield, MA)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
- Prime Therapeutics (Hartford, CT)
- …build the future of pharmacy with us. **Job Posting Title** Client Concierge Specialist Sr - Remote **Job Description** The Senior Client Concierge Specialist ... is responsible for processing, communicating, documenting, and tracking more complex member cases for Pharmacy Concierge Services. This position is also responsible… more
- Zurich NA (Hartford, CT)
- Sr Supplier Medical Process Specialist 128416 Zurich North America is seeking am experienced Sr. Supplier Medical Process Specialist to join our team in one of ... to work/life balance, and outstanding culture. As a Sr. Supplier Medical Process Specialist , you will manage supplier performance and work product in area(s) of… more
- MetLife (Bloomfield, CT)
- …and partners with all parties to achieve a positive outcome Follows established claim policies and practices to resolve claims issues Performs other related ... EST. Start Date: 03/2/2026 Key Responsibilities: Manages assigned caseload of complex cases; applies specialized training/knowledge to the assessment of cases;… more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DE We're determined...oversight of claims , including high exposure and complex claims , handled by The Hartford's Third ... The Hartford's unbundled business), and the handling of excess claims . The TPA Consultant is responsible for helping limit...trials and mediations as necessary + Contribute to broader claim and enterprise goals by participating in audits, projects… more
- Molina Healthcare (Hartford, CT)
- …health plan strategy, and acts as a trusted voice in resolving complex business challenges that impact cost-containment and regulatory compliance. **Essential Job ... all payment integrity (PI) solutions. * Independently leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis and financial… more
- Sedgwick (Hartford, CT)
- …Housing Coordinator serves as both a client advocate and housing specialist -blending empathetic support, strategic property research, and lease coordination to ... housing best practices to advise clients and partners effectively. + Handle multiple claims and assignments at once with professionalism and urgency. + Serves as the… more