- Humana (Hartford, CT)
- **Become a part of our caring community and help us put health first** The Claims Review Representative makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative performs advanced administrative/operational/customer… more
- Sedgwick (Hartford, CT)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to ... YOU AN IDEAL CANDIDATE?** Join our team as a Claims Representative focused on Property Damage and...and commercial lines policies and endorsements + Ability to review and assess Property Damage estimates, total loss evaluations,… more
- The Hartford (Hartford, CT)
- Claims Representative - CH09CN We're determined...with customers and business partners in the management of claims ; + Review and analyze policies and ... our team as we help shape the future. The Claim Representative is a claim handling role within Complex Claims Unit - Bodily Injury (CCU-BI). CCU is a highly… more
- Ryder System (Hartford, CT)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position handles worker's compensation claims under Ryder's self-insured, self administered worker's comp program....to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- Ryder System (Hartford, CT)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The ... Director Claims directs...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- Zurich NA (Rocky Hill, CT)
- Claims Concierge Service Executive - Northeast 127284 Zurich is looking to hire a ** Claims Concierge Service Executive** in our Claims Relationship ... business units and functional groups to execute strategies that promote claims value-added services, drive profitable growth, and improve technical excellence,… more
- Robert Half Office Team (Bristol, CT)
- Description We are looking for a dedicated Customer Service Representative to join our client's team on a contract basis in Bristol, Connecticut. In this role, you ... in delivering exceptional service and exceeding expectations. Responsibilities: * Review contracts, quotes, purchase orders, and project documents to understand… more
- Highmark Health (Hartford, CT)
- …position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist distribution. Interpret ... added benefits. Meet with all identified practices in assigned territory to review practice financial and quality performance. + Perform effective on-site visits… more
- Ryder System (Hartford, CT)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- Highmark Health (Hartford, CT)
- …for the implementation of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the… more
- CVS Health (Hartford, CT)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the Accounts Receivable Supervisor include:** +… more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- …maintain the effectiveness of Quality Systems for managing the batch record review and release process Quality Management Activities supporting all phases of ... compliance. + Manages reports and trends to the Management Representative to help in the preparation of Management reviews...above. + Improves supplier quality performance for batch record review and release process for OAPI GMP release of… more
- Prime Therapeutics (Hartford, CT)
- …with various levels of leadership within the organization, acting as a representative of the broader Financial Systems team + Provide consulting services to ... experience, preferably leveraging AI + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in… more
- Newtown Savings Bank (Newtown, CT)
- …to determine restructure options for workouts. + As a quality control function, review the following account types on a weekly basis to ensure collection and ... bringing delinquent mortgage loans current in as short a time as possible. + Review all Investor Loss Mitigation packages prior to submission to Fannie Mae, Freddie… more
- Point32Health (CT)
- …works collaboratively with the member and/or the member's authorized representative and must demonstrate superior customer service and benefit interpretation ... skills in all interactions. This individual prepares cases for presentation, discussion, review , and final disposition at the Member Appeals Committee (MAC) and… more
- Boehringer Ingelheim (Ridgefield, CT)
- …regard for our employees. The Fellow will serve as the Regulatory Affairs representative on the Human Pharma Review Committee (HPRC) team, working ... (FDCA), FDA Guidance, and the current Regulatory landscape. The Fellow will review promotional claims and materials for Boehringer Ingelheim prescription drugs… more
- RxBenefits (Bridgeport, CT)
- …team also assists with resolving client issues involving performance discrepancies, claims issues, and reporting. The successful Pharmacy Pricing Senior Manager will ... across internal stakeholders to foster collaborative and efficient work products + Review for accuracy and finalize all current account pricing comparisons for… more