- 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 ... Claims Unit (CCU) Hartford Global Specialty (HGS) Claims Division. As a Claims Specialist...trials and mediations, as necessary. + Contributing to broader claim and enterprise goals by participating in audits, projects… more
- CVS Health (Hartford, CT)
- …- Hybrid position (onsite in Hartford, CT 3 days per week)** ** Claim Benefit Specialist ** Reviews and adjudicates claims in accordance with claim ... use multiple systems and screens to obtain and record claim information + Review claims information to...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- Travelers Insurance Company (Hartford, CT)
- …Provide quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims ... management and evaluation of some of the Company's severe and complex liability claims by providing claim handling guidance, recommendations and strategies to… more
- Oracle (Hartford, CT)
- …grow your career in this exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to engineering ... for developing the Claim Denial Prevention and Appeals features of Oracle Health...validation) to lead the appeals initiative to review denied claims , create write-ups for appeals packets, identify trends/improvement opportunities… 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 ... team as we help shape the future. As a Claims Specialist , you will be responsible for...caseload of complex, high exposure, auto and general liability claims throughout the claim 's life cycle. As… 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 is a ... Specialist Claims - CH07DE We're determined...to manage, and can involve higher exposures. RESPONSIBILITIES: The Claim Specialist must demonstrate the ability to… more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DE We're determined to make a...our team as we help shape the future. This dynamic Claim Specialist role will be part of a team ... who would enjoy a fast-paced collaborative work environment! The Claim Specialist will handle a caseload of...Specialist will handle a caseload of complex, high-exposure claims on Excess General Liability and Environmental policies from… more
- Zurich NA (Hartford, CT)
- Sr. Claims Specialist (Workers Compensation, NE Region) 129546 Zurich is looking for an accomplished Workers Compensation Sr. Claims Specialist for or ... York, Pennsylvania, Rhode Island, or Vermont. The Senior Workers Compensation Claims Specialist will handle multi-party commercial line Workman's Compensation… more
- Zurich NA (Rocky Hill, CT)
- Litigated Claims Specialist General Liabiity 129547 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when ... attendance should be expected. Zurich is seeking a Litigated Claims Specialist to join our team. In...customer and business partner interactions + Proficiency in presenting claim resolution information to stakeholders At Zurich North America… more
- Zurich NA (Rocky Hill, CT)
- General Liability Claims Specialist I 128802 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it ... our General Liability team. As a General Liability (GL) Claims Specialist , you will work with a...set at 10%. We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about… more
- Zurich NA (Rocky Hill, CT)
- Senior Claims Specialist , General Liability/Construction 126205 Zurich is seeking an individual interested in growing their claims career with our General ... Liability team. As a General Liability (GL) Senior Claims Specialist on our IPZ (international Program) team you will work with a team of claims … more
- Zurich NA (Rocky Hill, CT)
- …service needs of prospective and current customers by developing and delivering claims services marketing presentations and Claim Service Proposal responses that ... Claims Concierge Service Executive - Northeast 127284 Zurich...retention by building lasting relationships with our customers' and brokers' claim contacts. + Business Travel, as required, will be… more
- USAA (Springfield, MA)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... special and impactful. **The Opportunity** As a dedicated Property Adjuster Specialist , you will work within defined guidelines and framework, investigate, evaluate,… more
- Sedgwick (Hartford, CT)
- …of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Acts as a backup for ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall.… more
- Hartford HealthCare (Farmington, CT)
- …organization we now have our own identity with a unique payroll, benefits , performance management system, service recognition programs and other common practices ... highly skilled technical staff that has certified coders to correct and resolve claim and denial issues. In addition, the department includes a team of Revenue… more
- Molina Healthcare (Hartford, CT)
- … claims production standards set by the department. * Applies contract language, benefits and review of covered services to claims review process. * Contacts ... and prepares written response to incoming provider reconsideration requests related to claims payment, requests for claim adjustments, and/or requests from… more
- CVS Health (Hartford, CT)
- …measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost ... both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from standard practices to… more
- Cognizant (Hartford, CT)
- …QNXT benefit configuration matrix. + Strong troubleshooting skills for claim pend issues and configuration validation. + Familiarity with Medicaid and Medicare ... **Job Title:** **Sr. Product Specialist - QNXT Configuration (Remote)** **Job ID:** **66246221**...configuring and maintaining QNXT systems to support provider contracts, benefits , and fee schedules. You will collaborate with stakeholders… more
- The Cigna Group (Bloomfield, CT)
- …Understanding of managed care business processes, data, systems, and applications for claims payment, enrollment, benefit design, and utilization management. + ... sight on rate schedules and projections. + Oversee the claim match and rating area review processes, driving improvements...The Cigna Group, you'll enjoy a comprehensive range of benefits , with a focus on supporting your whole health.… more
- Sedgwick (Hartford, CT)
- …advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. ... Best Workplaces in Financial Services & Insurance Senior Disability Clinical Specialist **PRIMARY PURPOSE** **:** To perform standard and complex clinical… more