• Medical Claims Account

    Kelly Services (Glastonbury, CT)
    **Now Hiring:** ** Medical Claims Account Manager -Direct Hire** **_Location_** _: Glastonbury, CT_ **Pay Rate:** $85,000/yr **Schedule:** Monday-Friday ... impact. Apply today to take the next step in your career as a Medical Claims Account Manager ! As part of our promise to talent, Kelly supports those… more
    Kelly Services (01/18/25)
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  • Claims Adjuster (SCA) HHG/Military Move

    HomeSafe Alliance (Hartford, CT)
    …is better than the last. We are currently seeking a highly skilled and motivated Assistant Claims Manager to assist in all aspects of claims management, to ... **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military Household Goods moves per...with experience in HHG/Military Move to process and settle claims according to DOD regulations and/or account more
    HomeSafe Alliance (12/21/24)
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  • Medical Claims Payment Specialist…

    Kelly Services (Glastonbury, CT)
    Now Hiring- Job Title: Medical Claims Processor - Payment Specialist (Bilingual-English/Spanish) Location: Glastonbury, CT Pay Rate: $21-$22/hr FLSA Status: ... Performs administrative tasks related to client health premiums and out-of-pocket medical expenses, interacts with clients to provide information in response to… more
    Kelly Services (01/17/25)
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  • Workers Compensation Client Performance…

    Sedgwick (Hartford, CT)
    …Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Client Performance Manager | Dedicated Client | Remote **PRIMARY PURPOSE** **:** To be ... client reserves for accurate reflection of client's book of claims ; ensures reserves are within an appropriate range. +...control report issues. + Ensures timely payment of TTD, medical and vendor bills; ensures appropriate vendor utilization. +… more
    Sedgwick (01/22/25)
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  • Manager ; Medical Underwriter

    CVS Health (Hartford, CT)
    …Analyzes trends in claim experience. Conducts analysis of autopsy, police reports, and medical records for rationale for claims and assists in making financial ... large group contracts. Collaborates with underwriting teams to review large claims for future cost projections based on diagnosis/prognosis. Provides consulting and… more
    CVS Health (01/31/25)
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  • General Manager , Commercial Risk Solutions…

    The Cigna Group (Bloomfield, CT)
    …+ **Operational Excellence** : Oversee end-to-end Stop Loss operations, including claims management, contract administration, account management, and producer ... annually with gross margin of approximately $1B. The General Manager of Stop Loss will be responsible for protecting...development, maximizing Cigna's ability to assess risk, working with medical and Rx solution leads to deliver high cost… more
    The Cigna Group (11/20/24)
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  • Telephonic Case Manager

    Sedgwick (Hartford, CT)
    …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured ... worker, employer, and medical providers, create a...systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor. +… more
    Sedgwick (01/22/25)
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  • Business Torts Life Sciences Major Case Specialist

    Travelers Insurance Company (Hartford, CT)
    …and complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O ... medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B ...facts or allegations of each case. + Consult with Manager on use of Claim Coverage Counsel as needed.… more
    Travelers Insurance Company (01/16/25)
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  • Rewards and Wellbeing Manager

    Deloitte (Hartford, CT)
    …the C-Suite. Our services extend beyond HR to include the CEO, CFO, Risk Manager , and Business Unit leaders, delivering value and creating impact for our clients. ... client expectations and working with leading global businesses? Your RoleAs a Manager in Employer Health, you will provide strategic and technical employee benefit… more
    Deloitte (01/14/25)
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  • Life Sciences Market Access Senior Manager

    Deloitte (Hartford, CT)
    Life Sciences Market Access Senior Manager An evolving customer and regulatory landscape, mounting pipeline of next-gen assets and portfolio pressures, and ... Life Sciences organizations from bio-technology firms to global big pharma to medical devices, to drive business value through end-to-end delivery of solutions based… more
    Deloitte (01/12/25)
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  • Sr. Field Reimbursement Manager - HIV…

    Gilead Sciences, Inc. (Springfield, MA)
    …the lives of patients with life-threatening illnesses worldwide. The Sr. Field Reimbursement Manager - HIV Prevention (Sr. FRM) plays a critical role in enhancing ... including Gilead support programs, payer policies, prior authorization processes, and claims submissions, ensuring that HCPs and their staff have the necessary… more
    Gilead Sciences, Inc. (12/21/24)
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  • Supv Accts Rec FollowUp Denial / Rev Cycle Prof…

    Hartford HealthCare (Farmington, CT)
    …collection of third-party revenue cycle activities associated with outstanding insurance claims across all Hartford HealthCare Hospitals, Medical Group and ... resources, vendors, and client relations. This position reports directly to the Manager of Patient Financial Services Accounts Receivables and works closely with… more
    Hartford HealthCare (01/16/25)
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  • RN Nurse Case Management Lead Analyst - Pathwell…

    The Cigna Group (Bloomfield, CT)
    …alternatives to care as appropriate. As an owner of cases, the Case Manager performs clinical review of medical specialty pharmacy services, coordinates ... healthcare needs. Through communication and available resources, the Case Manager promotes care coordination, provider collaboration, quality case outcomes, and… more
    The Cigna Group (01/28/25)
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  • Sr Mgr, Medicare Business Analytics - FEP

    CVS Health (Hartford, CT)
    …- FEP - Sr. Manager incorporates these into all aspects of the claims quality assurance as well as initiates corrective actions to resolve any issues. The role ... clients. The Medicare Business Analytics - FEP - Sr. Manager provides technical, analytical and business support for the...provides technical, analytical and business support for the FEP Account team. The role serves as the authority for… more
    CVS Health (12/21/24)
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  • P&C Actuarial Senior Consultant - Personal Lines…

    WTW (Hartford, CT)
    …Benefits:** Medical (including prescription coverage), Dental, Vision, Health Savings Account , Commuter Account , Health Care and Dependent Care Flexible ... our team of pricing, portfolio management, underwriting, finance and claims experts to deliver consulting and technology solutions to...cross-functional teams + Serve as a mentor and project manager to more junior colleagues, training them on both… more
    WTW (12/18/24)
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  • Buyer

    Kelly Services (Windsor, CT)
    …of open orders based on production planning modifications + Manage vendor warranty claims and Return to Vendor activities + Manage Inventory for assigned parts + ... meetings and prepare needed materials + Other duties as designated by department manager . + Strive to meet Key Performance Metrics as assigned by Leadership… more
    Kelly Services (01/31/25)
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