- Parexel (Hartford, CT)
- **Project Lead,** **Meeting Services** We are looking for a Meeting Specialist to join our talented and supportive team of 40+ delivering high quality international ... . Ensures Client receives appropriate status update reports . Proactively identifies complex technical and process issues . Proactively assesses project needs and… more
- GAP Solutions Inc (Hartford, CT)
- **Position Objective:** As a Junior Human Resource Specialist , apply HR skills in support of managers, program staff and customers on the full range of HR topics ... Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice of results or… more
- 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)
- …we help shape the future. The Claim Specialist is the highest claim handling designation within the Complex Claims Unit - Construction (CCU-CD) and ... Specialist Claims - CH07DE We're determined... Specialist Claims - CH07DE We're determined to make a...all aspects of the most complex , high-value claims exhibiting a detailed knowledge of each claim… 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 ... 126574 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)
- … claim and/or legal experience and technical expertise to evaluate severe and complex claims preferred. + Able to make independent decisions on most assigned ... and resolving assigned Auto and Homeowner related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life… more
- Sedgwick (Hartford, CT)
- …unemployment charges for Sedgwick clients.** **PRIMARY PURPOSE** **:** To analyze complex or technically difficult unemployment claims to determine benefits ... driven to deliver great work. + Analyzes and processes complex or technically difficult claims by investigating...to assist employer in determining their position on the claim ; manages claims through well-developed action plans… 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
- CDM Smith (Waterbury, CT)
- …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
- Datavant (Hartford, CT)
- …The Specialist is responsible for identifying, analyzing, and resolving claim denials across the entire revenue cycle to ensure optimal reimbursement and ... rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional,… more
- Deloitte (Hartford, CT)
- …wants to work in a collaborative environment? As an experienced Epic Professional Billing Specialist , you will have the ability to share new ideas and collaborate on ... service delivery. Work you'll do/Responsibilities As a Project Delivery Specialist (PDS) at Deloitte, you will work within an...experience for assigned Epic module + Follow guidelines for complex to critical issue handling and ensure that the… more
- Western Digital (Hartford, CT)
- …**Job Description** **Position Summary** We are looking for a **Retail Compliance Specialist ** to join the Western Digital Fulfillment Operations Team to be ... chargebacks, late deliveries, labeling errors, incorrect shipments. Review and validate claims received from retail partners to determine legitimacy and compliance… more
- Cardinal Health (Hartford, CT)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. ... assigned in the appropriate system. + Manages and resolves complex insurance claims , including appeals and denials,...company policy, regulations, or third-party policy. + More challenging claim cases + Investigates and updates the system with… more
- The Cigna Group (Bloomfield, CT)
- The Quality Review & Audit Senior Analyst exhibits expertise in evaluating complex medical documentation for diagnosis code accuracy and compliance in support of the ... reports or other scoring instrument, as defined per policy. * Performs claims matching and auditing, as required, identifying missing or inaccurate data within… more
- Highmark Health (Hartford, CT)
- …driven by the belief that relationships hold the key to uncovering society's most complex challenges? Do you see medical records not just as disparate facts, but as ... the healthcare continuum. From personalizing patient care pathways to detecting complex fraud rings and understanding population health dynamics, your work will… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …problems and effectiveness of unit workflow procedures; + Acts as unit policy specialist in difficult, unusual and/or complex case resolution; + Processes ... accountable for acting as a working supervisor and policy specialist for this unit of Social Services Investigators. This...+ Testifies in court on cases involving support or claims for reimbursement and determines appropriate actions to enforce… more
- Hartford HealthCare (Hartford, CT)
- …and associated departments. *JOB RESPONSIBILITIES* 1. Oversees the development of complex and advanced ICD-10 and Hierarchical Condition Category (HCC) coding and ... degree or equivalent work experience Experience * Minimum of 3-5 years in medical claims coding required * Experience working with CMS, health insurers and * medical… more
