- 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 (Glastonbury, CT)
- **Now Hiring: Claims Specialist - Medical Claims (Bilingual)** **Position:** Claims Specialist - Medical Claims (Bilingual) **Salary:** ... Spanish Speaking **Job Summary:** We are seeking a dedicated and detail-oriented Claims Specialist to join our fast-paced environment. The ideal candidate… more
- Sedgwick (Hartford, CT)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Professional Liability (Cyber) **PRIMARY PURPOSE** **:** To ... analyze complex or technically difficult Cyber and other Professional Liability claims ; to provide resolution of medium to highly complex nature claims ; to… more
- Sedgwick (Hartford, CT)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Environmental Claims Specialist **Job Description Summary** To analyze complex or ... technically difficult environmental claims ; to provide resolution of highly complex nature and/or...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- MetLife (Bloomfield, CT)
- …lives of our customers and our communities. The Senior Long Term Disability (LTD) Claims Specialist evaluates long term disability insurance claims in ... and within prescribed time service standards. In this role, the Senior LTD Claims Specialist is required to exercise independent judgment, critical thinking… more
- Lincoln Financial Group (Hartford, CT)
- …for this opportunity. **Requisition #:** 74082 **The Role at a Glance** As an **LTD Claims Specialist ** , you will manage a workload of Long-Term Disability ... claims independently in accordance with established procedures and guidelines....initial and ongoing interviews with claimants, obtaining, and reviewing medical records and making timely and ethical claim determinations.… more
- Lincoln Financial Group (Hartford, CT)
- …to staff our ever-growing claims organization. As a STAT / PFL Claims Specialist , you will be responsible for conducting initial and ongoing interviews ... with claimants, obtaining, and reviewing medical records and making timely and ethical claim determinations....diploma or GED + 1-2 years of experience in claims , leaves or customer service + Strong written and… more
- MetLife (Bloomfield, CT)
- …manages with some level of oversight an assigned caseload of moderately complex claims which consists of pending, ongoing/active and appeal reviews. The LTD CS will ... meeting all key performance indicators * Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and… more
- MetLife (Bloomfield, CT)
- …pending, ongoing and appeal reviews. . Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and ... telephone calls with Insured's or their representatives to obtain medical condition details, financial details, occupational details and other information… more
- 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 ... severe/complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O … more
- CVS Health (Hartford, CT)
- …improve member satisfaction and retention by providing accurate and timely resolution in processing medical claims . You will be a key link in providing our ... / graduate in good standing will move to $18.50. Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit Specialists have the… more
- CDM Smith (Hartford, CT)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
- Hartford HealthCare (Farmington, CT)
- …Business Office in Newington. *_Position Summary:_* The Revenue Integrity Specialist determines the appropriateness of patient charges, and Charge Description ... Master (CDM) assigned HCPCS/CPT coding, by reviewing the medical record, facility protocol, and other applicable documentation. This review includes the verification… more
- Hartford HealthCare (Farmington, CT)
- …collection of third party revenue cycle activities associated with outstanding insurance claims across all Hartford HealthCare hospitals, medical group and ... to insure optimal revenue cycle performance. The AR Follow Up & Denials Specialist is responsible for resolving unpaid third party balances on $550 million in… more
- Option Care Health (Hartford, CT)
- …and retaining a diverse workforce. **Job Description Summary:** The Specialist , Patient Registration is responsible for facilitating new patient's transition ... Care Health makes it easy to transition care. The Specialist , Patient Registration works in conjunction with Sales to...+ Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork… more
- CDM Smith (Hartford, CT)
- …ID:** 40481BR **Business Unit:** FSU **Job Description:** The FEMA Costing Specialist : * Conducts preliminary damage assessments (PDAs) in the field for ... structure damaged by a disaster. * Reviews, evaluates and analyzes applicant-provided cost claims for reasonableness and accuracy as related to the scope of work. *… more
- CDM Smith (Hartford, CT)
- …**Business Unit:** FSU **Job Description:** The FEMA Disaster Management Construction Specialist : * Schedules and conducts site inspections with applicants, performs ... projects and meets regularly on the status. * Evaluates applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates… more
- Dentsply Sirona (New Britain, CT)
- Wellspect Healthcare is a leading global provider of innovative medical devices that help people suffering from urinary retention or chronic constipation. More than ... for more information. **Job Summary** **:** **Under general supervision, the Customer Care Specialist is responsible for processing orders via phone or by way of… more
- Robert Half Finance & Accounting (Bloomfield, CT)
- Description Job Posting: AR/Collections Specialist Location: Bloomfield, CT - fully onsite 5 days/week Employment Type: Full-Time/Direct Hire Are you a motivated and ... Investigate accounts to identify and resolve overdue balances. + Handle insurance claims and thoroughly review related documents to ensure accuracy and compliance. +… more
- Trinity Health (Hartford, CT)
- …with clinical operations and administrative personnel concerning the transmission of medical chart documentation for the purposes of bill resubmissions and appeals. ... 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