- Deloitte (Hartford, CT)
- Manager/ Specialist Master, Operations & Technology Transformation, Insurance, Guidewire Integration & Configuration What we do Operations and Technology ... contributing to the development of junior staff. Your role As a Manager/ Specialist Master you will bring considerable technical expertise to deliver effective… more
- Deloitte (Hartford, CT)
- Manager/ Specialist Master, Operations and Technology Transformation, Guidewire Data Architect What we do Our Operations and Technology Transformation team ... on January 31, 2025 Work you'll do As an OTT Insurance Transformation Manager/ Specialist Master, you will bring technical expertise to deliver effective solutions to… more
- Travelers Insurance Company (Hartford, CT)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site… more
- MetLife (Bloomfield, CT)
- …a meaningful impact in the lives of our customers and our communities. The LTD Claims Specialist II evaluates long term disability insurance claims in ... prescribed time service standards. In this role, the LTD Claims Specialist is required to exercise independent...* Bachelor's degree * 1-3 years of LTD/IDI Insurance Claims experience Business Category Operations - … more
- MetLife (Bloomfield, CT)
- …information relevant to rendering decisions based on the provisions of the policy. . Claim Specialist Trainees will be routinely evaluated for increases in their ... level topics, factors to consider in the administration of claims , and examples of claim situations. Essential...Strong communication skills, both written and oral. Business Category Operations - Claims At MetLife, we're leading… more
- Molina Healthcare (Springfield, MA)
- …managed care experience + Experience in one or more of the following: Claims , Provider Services, Provider Network Operations , Hospital or Physician Billing, or ... and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system… more
- Trinity Health (Hartford, CT)
- …an exciting opportunity to join our team as a **Revenue Integrity Account Specialist ** **The Revenue Integrity Account Specialist ** is responsible for performing ... on requests to or from PBS as needed for payer requests and/or claim adjudication. **_Requirements:_** + Bachelor's or Associate degree in healthcare or business… more
- Walgreens (Springfield, MA)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... (eg, offering help proactively, identifying needs, servicing until satisfied, etc.). ** Operations ** + Executes and coaches team members on warehouse and vendor… more
- State of Massachusetts (Springfield, MA)
- …Office of Housing and Livable Communities (EOHLC)is seeking a Homeless Hearings Specialist /Benefit Eligibility & Referral Social Worker in the Division of Housing ... performs related duties as required. In addition, the Homeless Hearings Specialist prepares cases for administrative appeal hearings by gathering supportive… more
- Fujifilm (Hartford, CT)
- …Compliance Specialist ** **Job purpose** The accomplished Senior Compliance Specialist will support FUJIFILM's Corporate compliance program operations to ... to healthcare Anti-bribery/Anti-corruption laws, Foreign Corrupt Practices Act (FCPA), False Claims Statute, Anti Money Laundering and other applicable US laws and… more
- Trinity Health (Hartford, CT)
- …occupational medicine clinic patient charges. Communicates effectively with clinical operations and administrative personnel concerning the transmission of medical ... 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 +… more
- Air National Guard Units (East Granby, CT)
- …range of IT security requirements for certification and accreditation; network operations and protocols; systems testing and evaluation; and performance management ... computer science, engineering, information science, information systems management, mathematics, operations research, statistics, or technology management or degree that… more
- Highmark Health (Hartford, CT)
- …any changes regarding contracting as it relates to enrollment and operations . (5%) + Communicates updated payer enrollment information including payer provider ... numbers to practice operations in a timely manner while fostering working relationships...a basic understanding of various payer billing requirements and claims processing or experience with payer credentialing/enrollment requirements +… more
- Army National Guard Units (Hartford, CT)
- …science, information science, information systems management, mathematics, statistics, operations research, or engineering, or course work that required ... You must provide transcripts or other documentation to support your educational claims . To receive credit for education, you must provide documentation of proof… more
- HealthEdge Software Inc (Hartford, CT)
- …root-cause issues are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The ... **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and...healthcare edits that drive cost savings and accuracy in claims processing. The successful candidate will be responsible for… more
- Zurich NA (Hartford, CT)
- …a senior level US International Reverse Flow Underwriter to join our International Operations team in our Schaumburg, IL North America Headquarters. We are also open ... underwriter will collaborate with an underwriting assistant and/or international servicing specialist working alongside to support the servicing and processing of… more
- State of Massachusetts (Holyoke, MA)
- …* Report all Elder Abuse issues to the appropriate Domestic Violence Specialist immediately. * Collaborate with internal partners to ensure all clients are ... regulations, policies, procedures, specifications, standards, and guidelines governing agency operations and assigned unit activities. * Capacity to gather… more
- CVS Health (Hartford, CT)
- …location preferred. **What you will do** + Acts as a top-level specialist in contract negotiations with payers, establishing reimbursement rates, terms, and ... payer landscape dynamics. + Evaluates payer performance metrics, such as claims processing, reimbursement accuracy, and contract compliance, and identifies areas for… more