- Trustmark (Hartford, CT)
- … claims . + Fosters a culture of continuous improvement and innovation within the claims organization . + Works with Claims Compliance Liaison to ensure ... bring the best to our colleagues, clients and communities. Responsible for overseeing a claims processing organization . Ensures claims are processed in a… more
- Guardian Life (Hartford, CT)
- The **Team Leader, Absence Claims Management** is responsible for leading a team of Absence Management Case Managers to get results within their team and the ... organization . The Team Leader will serve as a primary...action plans for improvement. + Review processes/reports regularly for process improvement opportunities. + Own relationship with client and… more
- CVS Health (Hartford, CT)
- …accurate payment of provider contracts through **Health Rules Payor (HRP** ) a claims processing platform. As part of the Network Contract Validation team, you will ... contract setup against contract intent and evaluate the pricing performance of claims . Accurate provider pricing configuration is critical to claims … more
- Burns & McDonnell (Wallingford, CT)
- …contracts, CM contracts, subcontracts, and change orders. + Participate in risk review process . + Implement assigned sections of the Project Execution Plan, ... execution, construction quality assurance plan, safety & health plan, subcontracting plan, project staffing plan, organization chart, and procurement plan. +… more
- Travelers Insurance Company (Hartford, CT)
- …leading best practices for the most serious and complex workers' compensation claims . Drives performance of a Workers Compensation severity claim team, field claim ... offices, and vendors handling serious and complex claims to include excellent claim file quality, reserve adequacy, and results. Provides direction for claim… more
- Trustmark (Hartford, CT)
- …benefits products (ie, sales, implementation and enrollment, underwriting, billing, servicing, claims ) using DMAIC, PDCA, etc. methods. Develop the approach and ... impacted departments/teams to plan and implement improvements. + Execute business process design and continuous improvement activities with the business to affect… more
- American Heart Association (Hartford, CT)
- …such as code book, Case Report Forms, Surveys, EHR queries and other data project documentation process . + Develop and implement guidelines to manage data ... for you to be able to integrate data from different sources (clinical, claims , patient-reported survey data, food vendors). The Database Designer is responsible for… more
- CVS Health (Hartford, CT)
- …for changes to improve the accuracy and efficiency of the monthly claims completion process + Proactively identify and communicate issues affecting ... highly motivated and experienced actuary to join our fast-growing organization . The actuary will be a key person on...actionable insights for our partners and our ACOs using claims and real-time data. + Build models to help… more
- Humana (Hartford, CT)
- …systems, databases, and applications used within the Insurance domain. + ** Process Optimization:** Collaborate with stakeholders including claims adjusters, ... operational efficiency, reduce manual processes, and improve accuracy in insurance claims processing, policy management, and other key areas. A strong background… more
- Deloitte (Hartford, CT)
- …the power of hybrid services and products, and unlocking the power of Process Bionics to deliver sustainable and impactful solutions to our clients. We advise, ... relevant processes and technologies for their industry-and apply them with a process and mindset that tailors transformational change to their specific … more
- GAF (Hartford, CT)
- …and measure the impact of technical training and process improvements across the organization + ... (CARE), Storm Restoration training focuses on educating contractors working insurance claims . A CARE Training Manager works with Marketing, Sales, and other… more
- Deloitte (Hartford, CT)
- …the power of hybrid services and products, and unlocking the power of Process Bionics to deliver sustainable and impactful solutions to our clients. We advise, ... relevant processes and technologies for their industry-and apply them with a process and mindset that tailors transformational change to their specific … more
- Prime Therapeutics (Hartford, CT)
- …collaborates with business partners across client facing divisions, product/ project management, analytics, operations, and IT to enable data-driven strategic ... new product development. **Responsibilities** + Analyze or produce reports of varied claims data to assess Prime's products and/or programs; utilize analytics to… more
- The Cigna Group (Bloomfield, CT)
- …to assess risk, and presenting innovative solutions to the market. The management process will pull in dedicated leaders who drive the stop loss solution from ... direct accountability for stop loss operations, sales support, market interface, and project management. This role is accountable for earnings results and drives… more
- Burns & McDonnell (Wallingford, CT)
- … Execution Plan, Quality Assurance Plan, Safety & Health Plan, Subcontracting Plan, Project Staffing Plan, Organization Chart, and Procurement Plan. + Contribute ... Request for Information (RFI's), submittals, meeting minutes, change management, and claims mitigation. + Support project cost reporting, scheduling, work… more
- Deloitte (Hartford, CT)
- …the power of hybrid services and products, and unlocking the power of Process Bionics to deliver sustainable and impactful solutions to our clients. We advise, ... relevant processes and technologies for their industry-and apply them with a process and mindset that tailors transformational change to their specific … more
- Elevance Health (Wallingford, CT)
- …all testing for one or more projects/program. + Manages the relationship with project /program stakeholders (IT and business). + Plays a leadership role in the ... developed product conforms to requirements and design. + Reviews/Approves all project -related test assets for completeness and quality. + Collects testing metrics,… more
- Burns & McDonnell (Wallingford, CT)
- … Execution Plan, Quality Assurance Plan, Safety & Health plan, Subcontracting Plan, Project Staffing Plan, Organization Chart, and Procurement Plan. + Assist ... required. + Assist with the Prime Contract, subcontractor, and supplier invoicing process . + Establish and administer project documentation and filing systems.… more
- Emerson (Hartford, CT)
- …Engineer to oversee and manage projects related to feeding systems in our organization . The successful candidate will coordinate and lead projects from conception to ... proposal with the sales team, making adjustments as necessary. Overall Project Responsibility: + Assume end-to-end project responsibility, ensuring consistency… more
- Elevance Health (Wallingford, CT)
- …communicates requirements to the programming group. + Conduct review of administrative claims data and statistical output to ensure the superior quality of research ... study deliverables and presentation of such and facilitates collaboration among project team members towards their development. **Minimum Requirements:** Requires a… more