- Sedgwick (Hartford, CT)
- …a Great 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… more
- Sedgwick (Hartford, CT)
- …as 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 … more
- Sedgwick (Hartford, CT)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Estimate Review Specialist Sr . (Repair Solutions) **PRIMARY PURPOSE:** To review all estimates ... your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...+ We offer a diverse and comprehensive benefits including medical , dental vision, 401K, PTO and more beginning your… more
- CVS Health (Hartford, CT)
- …handle customer service inquiries and problems. **Additional Responsibilities** + Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** + Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. + Acts as a subject… more
- CVS Health (Hartford, CT)
- …dollar amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine coverage, ... Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance… more
- The Cigna Group (Bloomfield, CT)
- …profile for this position is Business Analytics Advisor, which is a Band 4 Senior Contributor Career Track Role. + **Summary** + Cigna is seeking a highly motivated ... trend and other metrics. You will also partner with network management, medical management, and sales units to understand resulting medical expense… more
- Highmark Health (Hartford, CT)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- The Hartford (Hartford, CT)
- Sr Ability Analyst - C409ANAbility Specialist - C409BN We're determined to make a difference and are proud to be an insurance company that goes well beyond ... applying them to meaningful work at The Hartford. The Senior Ability Analyst primarily investigates claims to...and ongoing Long Term Disability benefit determinations using vocational, medical , and financial claim management. The Senior … more