- C&S Wholesale Grocers, Inc. (Windsor Locks, CT)
- **Position Overview** As a Claims Investigator, you will be researching shortage claims based on calls received from our customer locations. These investigations ... Hatfield, MA **Description** + This position will report directly to the Claims Manager and conduct detailed investigations by recovering all documentation regarding… more
- Zurich NA (Hartford, CT)
- Sr. TPA Specialist , Complex Claims 125068 Zurich Insurance is currently looking for a Sr TPA Specialist . This position will oversee complex Liability ... and ensure the resolution of a variety of high exposure liability claims including Trucking, Auto, UM/UIM, PIP, Employers Liability, Excess claims , Premises,… more
- Sedgwick (Hartford, CT)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage 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… more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... The Claim Specialist will handle a caseload of complex, high-exposure claims on Excess General Liability and Environmental policies from inception to final … more
- Sedgwick (Hartford, CT)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Medical Malpractice (LTC) **PRIMARY PURPOSE** : To analyze ... complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case… more
- Zurich NA (Rocky Hill, CT)
- Claims Specialist , Auto Bodily Injury 121837 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it ... part of our Commercial Auto team. As an Auto Claims Specialist , you will work alongside a...concepts + Strong negotiation skills, including alternative approaches to resolution + Excellent organizational and time management skills +… more
- Travelers Insurance Company (Hartford, CT)
- …of claim and litigation strategy. + Recognize and implement alternate means of resolution . + Manages litigated claims . Develop litigation plan with staff or ... reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality… more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DESpecialist Claims CA - CH07DN We're determined to make a difference and are proud to be an insurance company that goes well beyond ... important role within our Complex Claims Unit (CCU) Hartford Global Specialty (HGS) Claims Division. As a Claims Specialist , you will be responsible for… more
- Trinity Health (Hartford, CT)
- …provider, and charge information as required and according to payer guidelines. The resolution of these items ensures claims are billed out accurately and ... of Trinity Health Of New England! **Position Purpose** The Patient Access Accounts Specialist is a highly skilled, detail-oriented colleague that is an integral part… more
- Molina Healthcare (Hartford, CT)
- …for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with ... Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution of the appeals, dispute, grievances, and/or complaints from… more
- Hartford HealthCare (Farmington, CT)
- …Business Office in Newington. *_Position Summary:_* The Revenue Integrity Specialist determines the appropriateness of patient charges, and Charge Description ... coding and billing expertise with some clinical knowledge that are delaying claims from processing in the Patient Accounting system; This includes the verification… more
- Trinity Health (Hartford, CT)
- …+ Review EOB denials and identifies denial trends along with solutions for resolution + Run accounts receivable aging report to follow up on outstanding insurance ... payments that need to be reviewed for additional follow up + Identify claims that need to be appealed and process appeal in a timely manner + Establish working… more
- Highmark Health (Hartford, CT)
- …of the change or problems and takes appropriate steps to effect resolution . (10%) + Reviews and interprets medical information, classifies that information into ... or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder… more