- Lincoln Financial Group (Hartford, CT)
- …more about a Day in the Life (https://www.youtube.com/watch?v=vbSYiXOPSII) of a Claims Specialist at Lincoln Financial Group ! **What you'll be doing** + ... We are excited to bring on a highly motivated ** Group Claims Specialist** to support our ever-growing...guidance and solutions across four core businesses - annuities, life insurance, group protection and retirement plan… more
- Zurich NA (Rocky Hill, CT)
- …Professional - Public D&O Claims 115723 Zurich is currently looking for a Legal Claims Professional for our Management Solutions group to work out of one of ... our US Claims Offices. If you are ready for a career...company with a global footprint that offers an excellent work/ life balance, terrific benefits including a 401K match and… more
- Hartford HealthCare (Hartford, CT)
- …the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our ... Manages a robust caseload, from inception to closure, of Hartford HealthCare's claims and suits through HHC's Legal Department. Responsible to assist in the… more
- The Cigna Group (Bloomfield, CT)
- …year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group . **About Cigna Healthcare** Cigna Healthcare, a division ... weekend (Tuesday ALT Day).** + Must have experience in Medicare Appeals, Utilization Case Management or Compliance in Medicare Part C + Ability to differentiate… more
- The Cigna Group (Bloomfield, CT)
- …year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group . **About Evernorth Health Services** Evernorth Health ... The Financial RN Case Management Lead Analyst role supports our PACE...and select outpatient services. May review initial liability disability claims to determine extent and impact of insured's medical… more
- Crawford & Company (Waterbury, CT)
- …RTW with injured worker, employer and physicians. + Maintains contact and communicates with claims adjusters to apprise them of case activity, case direction ... In Everything We Touch Position Summary * Great Work Life Balance! * Monthly Bonus Program! * Free CEU's...claims adjusters and supervisors for appropriate referral for case management services. + May meet with employers to… more
- State of Massachusetts (Springfield, MA)
- …Transitional Assistance is searching for Supplemental Nutrition Assistance Program (SNAP) Case Workers. If you are interested in helping Massachusetts residents gain ... entering data you must be capable of multitasking. SNAP Case Workers will receive extensive training and support prior...others in a team setting and function successfully in group situations. * Ability to understand people from different… more
- The Hartford (Hartford, CT)
- …disciplined writers in the business. This position supports pricing for the Group Benefits Life /Accidental Death & Dismemberment (AD&D) products for employer ... and non-actuaries in a team-based environment. + Learn about Life /AD&D pricing from the case specific to...book assumptions for pricing tools used for 1000+ employee case pricing, analyze historical manual rate and claims… more
- Lincoln Financial Group (Hartford, CT)
- …customers trust our guidance and solutions across four core businesses - annuities, life insurance, group protection and retirement plan services. As of December ... reviewing, analyzing, and interpreting medical information available for disability claims . In this role you will act as a...role you will act as a clinical resource for Group Protection benefit specialists and claim professionals. You will… more
- The Cigna Group (Bloomfield, CT)
- …understanding of managed care business processes, data, systems, reimbursement methodology, case -mix adjustment, and applications for claims payment, providers, ... with health insurance data, including contract structure and methodologies, claims , eligibility, provider and benefit data. + 5+ years...For more details on our employee benefits programs, visit Life at Cigna Group . **About Cigna… more
- The Cigna Group (Bloomfield, CT)
- …year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group . **About Evernorth Health Services** Evernorth Health ... claim trend targets are met. + Utilize internal data such as claims , completed negotiations and network composition along complete and external benchmarking to… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …and paid professional development opportunities. + A healthy work- life balance (https://www.youtube.com/watch?v=y6n9M1Qd5fo) to all employees! + The opportunity ... Search Strategies; + May assist UI customers with filing claims , address changes, weekly claim assistance and provide general...benefits exhaust; + Maintain & record messages, activities & case notes in the business system and CTHires; +… more
- Elevance Health (Rocky Hill, CT)
- …members in enrolling in Medicare when they are entitled. + Determines primacy on each case using a complex set of Primacy Rules as mandated by State and Federal ... such as CMS Primacy and NAIC rules and comparing them against the member/ group Benefits. + Updates all of the company's membership system components with… more
- Humana (Hartford, CT)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute… more
- Humana (Hartford, CT)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post-acute services… more
- J&J Family of Companies (Hartford, CT)
- …learning algorithms to analyze large-scale healthcare datasets, including HER/EMR and claims data. * **Predictive Modeling & Forecasting:** Design, implement, and ... Qlik.) a plus + Real world data experience preferred (EMR/EHR, medical claims , pharmaceutical, etc.); experience with international healthcare data a plus + Deep… more
- J&J Family of Companies (Hartford, CT)
- …may be considered for qualified candidates. Remote work options may be considered, on a case -by- case basis and if approved by the Company. At Johnson & Johnson, ... the economic value of products and therapies with clinical and quality of life outcomes data from clinical trials and/or epidemiology studies. * Support the… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …to attorneys and managing CT Unfair Trade Practice and Lemon Law investigations and case development. WHAT WE CAN OFFER YOU As a state employee, you would continue ... + Professional growth and development opportunities + A healthy work/ life balance (https://www.youtube.com/watch?v=y6n9M1Qd5fo) to all employees ABOUT US The mission… more
- Norstella (Hartford, CT)
- …patient access. Each organization (Evaluate, MMIT, Panalgo, The Dedham Group ) delivers must-have answers for critical strategic and commercial decision-making. ... nearly three decades. MMIT believes that patients who need life -saving treatments should not face delays because accessing drugs...for business alignment by client type and RWD use case to advise on pre-sales activities such as solution… more
- Deloitte (Hartford, CT)
- …What you'll do As an Insurance Tax Consultant within the Business Tax Services group , you will be a valuable member on tax engagements, assisting across a variety ... the insurance industry across business functions such as underwriting, claims , IT, finance and accounting + Coordinating with the...of Tax, JD, and/or LLM + Experience in the life insurance, property insurance or casualties' industry + Previous… more