- Lincoln Financial (Hartford, CT)
- …**Requisition #:** 74647 **The Role at a Glance** We are excited to bring on a Claims Customer Care Associate to join our claimant excellence team supporting ... coaching and development to perform in this fast-paced environment. As a Claims Customer Care Associate , you will be responsible for answering claimants… more
- Sedgwick (Hartford, CT)
- …(CPCU), Associate in Risk Management (ARM), Associate in Insurance Claims (AIC), Certified Professional in Health Care Risk Management (CPHRM) preferred. ... including but not limited to Bachelor of Science in Nursing, Legal Nurse Consultant, Associate in Claims (AIC), Chartered Property and Casualty Underwriter… more
- Evolent (Hartford, CT)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...our specialty programs and administrative platform. **Role Overview** The Associate Director role on Client Analytics will support both… more
- Travelers Insurance Company (Hartford, CT)
- **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our ... Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and to… more
- Hartford HealthCare (Wethersfield, CT)
- …and work where every moment matters! Hartford HealthCare at Home doesn't just take great care of our patients; we take great care of our therapists too! Our ... Hartford HealthCare at Home are designed so you can care for yourself and your family, just as you...Home Hospice. Performs various duties for accounts payable preparation, claims management, and security badging. Files, maintains records, data… more
- Prime Therapeutics (Hartford, CT)
- …our passion and drives every decision we make. **Job Posting Title** Associate Health Informatics Analyst **Job Description** Design, document, develop and roll out ... **Responsibilities** + Performs exploratory data analysis and data mining of healthcare claims and authorizations data. + Designs, documents, develops and rolls out… more
- Walgreens (Enfield, CT)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Cherry Bekaert (Hartford, CT)
- **Description** **Summary of Responsibilities:** The Senior Associate will work closely with the Cherry Bekaert FAO (Finance & Accounting Outsourcing) team, ... our clients in the insurance, service and related industries. The Sr. Associate will also assist in an administrative project management capacity, spearheading… more
- Walmart (Newington, CT)
- …Floor in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and ... digital tools to drive sales, improve the shopping experience, and elevate associate engagement; utilizing hand held technology to make immediate business decisions… more
- Highmark Health (Hartford, CT)
- …opportunities aligned to the Quadruple Aim of Healthcare: lower per capita health care costs, improved outcomes and quality of care received, and optimal ... member/patient and provider experiences with care delivery. A key responsibility is developing methodologies to identify impactable cohorts for cost savings… more
- Walmart (Newington, CT)
- …thinking You will make an impact by: * Ensuring high-quality products are taken care of and available for our members * Ensuring shelves are clean, maintaining ... accordance with Company policies and procedures by properly handling claims and returns; zoning the area; receiving and stocking...Paid time off benefits include PTO, parental leave, family care leave, bereavement, jury duty, and voting. You will… more
- Walmart (Newington, CT)
- …appropriately merchandising and completing required documentation Tracks and processes claims by returning damaged goods handling liquidation merchandise maintaining ... company-paid life insurance **-Paid time off benefits** include PTO, parental leave, family care leave, bereavement, jury duty, and voting. You will also receive PTO… more
- Humana (Hartford, CT)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs… more
- Commonwealth Care Alliance (Springfield, MA)
- 023430 Clin Alli-Clin Assessment & CP **Position Summary:** Commonwealth Care Alliance's (CCA) Assessment unit conducts initial and ongoing face-to-face assessments ... and unmet needs. This individual works collaboratively with other members of the care team and staff in other departments as needed to support timely interventions… more
- Hartford HealthCare (Farmington, CT)
- …*Education* . Minimum: High school diploma, GED or equivalent . Preferred: Associate 's degree in health care administration, business management or finance. ... Under the direction of Patient Financial Service (PFS), Accounts Receivable (AR)or Claims Supervisor, assure timely and accurate submission of claims on… more
- Humana (Hartford, CT)
- …this role, you will conduct quality reviews of coding processes within the Claims Cost Management organization, including offshore and vendor partners, with a focus ... and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and… more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- …Specialty Medicine products at different stages of development for a global health- care market. The specific duties assigned to the Director, Global Clinical ... research experience (as a general guideline, 1-3 years for Associate Director level; 3-6 years for Director and 6-9...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- …Specialty Medicine products at different stages of development for a global health- care market. The duties assigned to the Director, Global Clinical Development ... research experience (as a general guideline, 1-3 years for Associate Director level; 3-6 years for Director is typically...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Humana (Hartford, CT)
- …to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its ... to make an impact** **Required Qualifications** **5 years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep dive… more
- Humana (Hartford, CT)
- …and/or other end compliant inquiries. + Has 6-7 direct reports including Associate Directors, Managers, and Senior Professionals + Provides strategic direction and ... operational efficiencies + Collaborates with upstream business partners such as Claims , Clinical Guidance, and the Provider Network to identify opportunities and… more