Claims Examiner Medical Malpractice Diedre Moire Corp.Claims Examiner Medical MalpracticeMiddletown, CT$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.
Data Entry Specialist Vaco LLCData Entry SpecialistBethel, CT$20–$22 / hourDetermining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
Pharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistHartford, ConnecticutSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
NewAuto and General Liability Claims Specialist The Hartford Insurance Group IncAuto and General Liability Claims SpecialistHartford, CT$107,600–$161,400 / yearProviding support to field offices to assist field personnel with coverage and liability analysis, time limit demands, extra contractual exposure evaluations and other issues of complexity; Work with business partners to evaluate and address claim trends and developments; and. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Scottsdale, AZ, Alpharetta, GA, and Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday).
RCIS Claims Specialist I, Northeast CT Zurich Insurance Group LtdRCIS Claims Specialist I, Northeast CTCTRCIS offers a wide range of private product coverages, including a diverse selection of named-peril options, supplemental and stand-alone insurance products as well as federal crop insurance plans through the United States Department of Agriculture's Risk Management Agency. RCIS Crop Adjuster Physical Requirements; walk in agricultural fields up to 3 miles, climb agricultural storage bins up to 25 feet, lift 25 lbs to 50 lbs, work outdoors in varying temperatures/weather conditions.
Claims Specialist - Professional Liability Philadelphia Insurance CompaniesClaims Specialist - Professional LiabilityGlastonbury, CT$95,000–$105,000 / yearEvaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
NewConstruction Defect Claims Specialist The Hartford Insurance Group IncConstruction Defect Claims SpecialistHartford, CT$107,600–$161,400 / yearResponsibilities: The Claim Specialist must demonstrate the ability to independently and timely manage all aspects of the most complex, high-value claims exhibiting a detailed knowledge of each claim, a well-reasoned analytical focus, and a clear strategy for resolution. Experience handling complex construction defect coverage and liability issues on general liability and WRAP policies for general contractor, developer, owner, and construction manager claims.
NewClaims Specialist - Latent Bodily Injury The Hartford Insurance Group IncClaims Specialist - Latent Bodily InjuryHartford, CT$107,600–$161,400 / yearREQUIRED QUALIFICATIONS: 5+ years latent bodily injury claims experience; Experience in handling affirmative/defensive risk transfer; including additional insured tenders; Excellent verbal and written communication skills; Excellent analytical and critical thinking ability; Ability to present in a roundtable setting with a well-reasoned and analytical evaluation; Experience in the creation and delivering of presentations; Superior customer service skills and active listening skills; Proven track record of prioritizing and managing multiple responsibilities; Proven track record of effective negotiations/settlement of high-value general liability claims; Demonstrated negotiation and conflict resolution skills; Proficiency with MS Office, especially Word and Excel; Active Property & Casualty State Insurance Adjuster license. RESPONSIBILITIES: The Claim Specialist must demonstrate the ability to independently and timely manage all aspects of the most complex, high-value claims while exhibiting a detailed knowledge of the claim, a well-reasoned analytical focus and a clear strategy for resolution.
Medical Malpractice Claims Specialist The Doctors CompanyMedical Malpractice Claims SpecialistHartford, CT$93,378–$122,559 / yearWe offer competitive compensation, incentive bonus plans, outstanding career opportunities, an exceptional work environment, and an impressive benefits package, which starts with medical, family and bereavement leave; same-sex domestic partner benefits; short- and long-term disability programs; and an employee assistance program. This is a remote or hybrid opportunity, depending on the final candidate's location from the companys office, with the preferred location in New York, New Jersey, or New England states.
Auto and General Liability Claims Specialist The HartfordAuto and General Liability Claims SpecialistHartford, ConnecticutProviding support to field offices to assist field personnel with coverage and liability analysis, time limit demands, extra contractual exposure evaluations and other issues of complexity; Work with business partners to evaluate and address claim trends and developments; and. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Scottsdale, AZ, Alpharetta, GA, and Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday).
ESIS Claims Specialist, AGL Chubb LtdESIS Claims Specialist, AGLCTStrong communication and interpersonal skills to be capable of dealing with claimants, customers, insureds, brokers, attorneys etc. in a positive manner concerning losses. Contacts, interviews and obtains statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information.
NewSr. Claims Specialist, Professional Liability | E&O, D&O, EPL) Sedgwick Claims Management Services, Inc.Sr. Claims Specialist, Professional Liability | E&O, D&O, EPL)CT$100,000–$125,000 / yearSkills: written and oral communication skills, presentation skills, PC literate including Microsoft Office Products, strong negotiation skills, ability to work in a team environment, and meet or exceed performance competencies. Analyzes and processes complex or technically difficult professional liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
Senior Claims Specialist, Commercial E&O AXA SASenior Claims Specialist, Commercial E&OStamford, CT$105,300–$184,400 / yearBy combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business property, casualty, professional, financial lines and specialty. This includes, building and refining effective working relationships with insured, brokers, claim handlers, underwriters, co-insurers, excess and reinsurers as well as external vendors including investigators and legal counsel.
Claims Specialist, Design Professional AXA SAClaims Specialist, Design ProfessionalCT$88,500–$154,900 / yearEnsuring all documentation is present in the claim file and ensuring that Claims Handler Guidelines and protocols are followed Maintaining high-quality relationships with insureds and brokers through frequent contact and responsiveness to their needs, including promptly reviewing contracts for insurability when requested. Proactively managing Design Professional liability claims across multiple jurisdictions, including initial review, coverage evaluation, developing resolution strategies, and ensuring ongoing communication with stakeholders and claims management to achieve the best outcome for the insured and AXA XL.
Claims Billing Specialist HARTFORD DISPENSARY, THEClaims Billing SpecialistManchester, CTRoot Center has approved sites for the following NHSC Loan Repayment Programs: The Loan Repayment Program, Students to Service Loan Repayment Program, Rural Community Loan Repayment Program and Substance Use Disorder Workforce Loan Repayment Program. $2000 provided annually for tuition, license reimbursement, certifications or other educational activities, including 3 paid training days for educational activities and conferences; an additional $1000 available for counselors seeking outside supervision hours when such cannot be provided in the organization internally.
Construction Defect Claims Specialist The HartfordConstruction Defect Claims SpecialistHartford, ConnecticutResponsibilities: The Claim Specialist must demonstrate the ability to independently and timely manage all aspects of the most complex, high-value claims exhibiting a detailed knowledge of each claim, a well-reasoned analytical focus, and a clear strategy for resolution. Experience handling complex construction defect coverage and liability issues on general liability and WRAP policies for general contractor, developer, owner, and construction manager claims.
Associate Claims Specialist Liberty Mutual Holding Company IncAssociate Claims SpecialistCTAssesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves as necessary, during the processing of the claims, and refers claims to the subrogation group or Special Investigations Unit as appropriate. In this role, you'll manage a caseload of routine to moderately complex claims, making key decisions on compensability, evaluating losses, and negotiating fair outcomes.
NewSenior Claims Specialist, Environmental Ascot Group LtdSenior Claims Specialist, EnvironmentalHARTFORD, CT$130,000–$160,000 / yearThe Senior Claims Specialist will have direct experience in handling first- and third-party environmental liability claims, professional liability claims arising out of the construction industry, as well as general liability and excess claims arising from contractors, oil and gas industry, auto, trucking, and premises-related general liability claims. Company Benefits: The Company provides a competitive benefits package that includes the following (eligibility requirements apply): Health and Welfare Benefits: Medical (including prescription coverage), Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care Flexible Spending Accounts, Life Insurance, AD&D, Work/Life Resources (including Employee Assistance Program), and more.
Sr. Technical Specialist - Workers' Compensation Claims Major Case Unit, VA & MN American International Group Inc (AIG)Sr. Technical Specialist - Workers' Compensation Claims Major Case Unit, VA & MNFarmington, CTManage indemnity, medical and legal aspects of highest valued, complex WC claims, for Virginia (VA), Minnesota (MN) and other jurisdictions, through use of various resources available (i.e., utilizing medical management services in controlling medical treatment as necessary, coordinating independent medical evaluations where appropriate). Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience.
Claims Specialist - Rideshare Commercial Auto - Attorney Represented Bodily Injury Claims Adjuster Liberty Mutual Holding Company IncClaims Specialist - Rideshare Commercial Auto - Attorney Represented Bodily Injury Claims AdjusterCTAssesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate. You will be required to go into the office twice a month if you reside within 50 miles of one of the following offices: Boston, MA; Westborough, MA; Hoffman Estates, IL; Weatogue, CT; Indianapolis, IN; Plano, TX; Suwanee, GA; or Lake Oswego, OR; Las Vegas, NV; Chandler, AZ.
Claims Specialist II - Rideshare Commercial Auto - Attorney Represented Bodily Injury Claims Adjuster Liberty Mutual Holding Company IncClaims Specialist II - Rideshare Commercial Auto - Attorney Represented Bodily Injury Claims AdjusterCTAssesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate. You will be required to go into the office twice a month if you reside within 50 miles of one of the following offices: Boston, MA; Westborough, MA; Hoffman Estates, IL; Weatogue, CT; Indianapolis, IN; Plano, TX; Suwanee, GA; or Lake Oswego, OR; Las Vegas, NV; Chandler, AZ.
Senior Construction Defect Technical Claims Specialist Argo Group International Holdings IncSenior Construction Defect Technical Claims SpecialistCTRemote$137,496–$164,934 / yearBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
NewClaim Specialist - Complex Liability Solutions The Hartford Insurance Group IncClaim Specialist - Complex Liability SolutionsHartford, CT$107,600–$161,400 / yearWork closely with TPAs to address time limit demands, evaluate extra contractual exposure evaluations and other issues of complexity; Partnering with CLS underwriters to effectively communicate the value of the CLS claims model to prospective insureds, agents and brokers; Providing support to the CLS business unit to explain, evaluate and address claim trends and developments for both prospective and current insureds; and. As a Claim Specialist for Complex Liability Solutions in the Hartford Global Specialty (HGS) Liability Major Case Unit, you will be responsible for handling a caseload of bodily injury and non-bodily injury claims that involve complex coverage and liability issues.
STD Claim Specialist MetLife IncSTD Claim SpecialistCT$40,000–$52,000 / yearRecognizednon Fortune magazine''s list of the "World''s Most Admired Companies",nFortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companiesnto Work For, MetLife, through its subsidiaries and affiliates, is one of thenworld's leading financial services companies; providing insurance, annuities,nemployee benefits and asset management to individual and institutionalncustomers. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
Claim Specialist - Complex Liability Solutions The HartfordClaim Specialist - Complex Liability SolutionsHartford, ConnecticutWork closely with TPAs to address time limit demands, evaluate extra contractual exposure evaluations and other issues of complexity; Partnering with CLS underwriters to effectively communicate the value of the CLS claims model to prospective insureds, agents and brokers; Providing support to the CLS business unit to explain, evaluate and address claim trends and developments for both prospective and current insureds; and. As a Claim Specialist for Complex Liability Solutions in the Hartford Global Specialty (HGS) Liability Major Case Unit, you will be responsible for handling a caseload of bodily injury and non-bodily injury claims that involve complex coverage and liability issues.
Senior Claim Benefit Specialist - Remote CVS Health CorpSenior Claim Benefit Specialist - RemoteCTRemote$18.50–$42.35 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Senior Claim Specialist- GL Mid Market AXA SASenior Claim Specialist- GL Mid MarketCTYou will report to the Claims Manager - Middle Market, Americas Region What you will bring We're looking for someone who has these abilities and skills: Required Skills and Abilities: Broad Property and Casualty claim experience: at least 5 years of experience handling with a focus on litigated and non-litigated general liability claims. By combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business property, casualty, professional, financial lines and specialty.
NewSTD Claim Support Specialist MetLife IncSTD Claim Support SpecialistBloomfield, CT$49,100–$82,800 / yearRecognizednon Fortune magazine''s list of the "World''s Most Admired Companies",nFortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companiesnto Work For, MetLife, through its subsidiaries and affiliates, is one of thenworld's leading financial services companies; providing insurance, annuities,nemployee benefits and asset management to individual and institutionalncustomers. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
NewClaims Manager, SDI AXA SAClaims Manager, SDIHartford, CT$139,300–$219,300 / yearClaims Manager - SDI Chicago, IL | Hartford, CT | Exton, PA | New York, NY | Morristown, NJ| Boston, MA | USA As the SDI Claims Manager, you will play a pivotal role in leading a team that handles high-exposure Subcontractor Default Insurance (SDI) claims for some of the largest construction contractors in the industry. By combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business property, casualty, professional, financial lines and specialty.
Senior Claim Technical Specialist IFG CompaniesSenior Claim Technical SpecialistHartford, CT$110,000–$120,000 / yearThe Senior Claim Technical Specialist ("SCTS") is a high-impact role focused on investigating, evaluating, negotiating and settling serious injury/damage claims involving complex coverage and large loss exposures in multiple jurisdictions. It combines a specialty-carrier focus with long-term stability and thinking, while promoting a culture of underwriting rigor, collaboration, strategic thinking, superior technology and strong producer partnerships.
Claim Specialist- Energy AXA SAClaim Specialist- EnergyHARTFORD, CT$83,500–$145,500 / yearBy combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business - property, casualty, professional, financial lines and specialty. As an Energy Claims Specialist, you will manage energy claims within the Oil & Gas, Natural Gas and Renewable Energy segments involving claims that implicate Commercial General Liability, Contractors Pollution Liability and/or Professional Liability coverage forms.
Claim Specialist - Property Field Inspection State FarmClaim Specialist - Property Field InspectionSandy Hook, CT$73,824.56–$112,500 / yearCompetitive candidates should reside within one of the listed zip codes and will service this same territory: 06001 06010 06013 06018 06019 06021 06024 06026 06027 06031 06035 06039 06057 06058 06060 06061 06063 06065 06068 06069 06070 06085 06089 06090 06091 06092 06093 06098 06468 06470 06479 06482 06488 06489 06702 06704 06708 06710 06716 06750 06751 06752 06753 06754 06755 06756 06757 06758 06759 06762 06763 06776 06777 06778 06779 06782 06783 06784 06785 06786 06787 06790 06791 06793 06794 06795 06796 06798 06801 06804 06810 06811 06812 06877 06896. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
Injury Claims- Attorney Represented The Progressive CorpInjury Claims- Attorney RepresentedFarmington, CT$69,300–$89,700 / yearAn ideal candidate will have experience managing an inventory independently, experience assessing and evaluating liability, coverage, and damages, as well as working independently and directly with attorneys to negotiate and settle claims. For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ .
Technical Claims Director- Specialty Hiscox LtdTechnical Claims Director- SpecialtyCT$180,000–$220,000 / yearThe Role: The Technical Director plays a key role within the Claims organization and is tasked with providing technical expertise in assisting and overseeing Hiscox's larger and more complex claims within the Specialty Claims organization, including Allied Healthcare, A&E, Miscellaneous Professional Liability, Cyber, Crime, and Media and Technology claims, with an emphasis on all aspects of the life of a claim, including reserving and reserving behaviors, implementation and execution of complex claim resolution strategies and partnering with Senior Leadership in Claims, Actuary, Underwriting, Legal and Risk Control. Circa 50% of the portfolio comprises small commercial business sold either online or through intermediaries, and the remaining 50% represents traditionally traded business intermediated through broking partners including Professions, Crisis Management and Specialist lines such as Media & Entertainment.
Claim Service Specialist - Farmington, CT - Hybrid ArbellaClaim Service Specialist - Farmington, CT - HybridFarmington, ConnecticutOur current reasonable and good faith estimate of the annual salary or hourly wage range for this position is approximately $49,010 ($26.00 an hour) - $51,008 ($27.09 an hour) based on a variety of factors including, but not limited to, relevant skills and experience, Please note: The advertised pay range is not a guarantee or promise of a specific wage. That means providing a great work environment, encouraging work/life balance, offering flexible work arrangements, and competitive salaries and benefits packages.
Strategic Resolution Group, Senior Technical Specialist Claim Professional TravelersStrategic Resolution Group, Senior Technical Specialist Claim ProfessionalHartford, ConnecticutThe actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. In the handling large exposure claims, your responsibilities may include: Coverage Research and Analysis - Responsible for researching the existence of policies that may have been issued by multiple legacy companies and analyzing coverage.
AVP, Complex Claim Liability Specialist The Travelers Companies IncAVP, Complex Claim Liability SpecialistHartford, CT$132,800–$219,100 / yearDirectly investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Actively engage in the identification, selection and direction of appropriate internal and./or external resources for specific activities required to effectively evaluate claims, such as Subro, Risk Control, nurse consultants and fire or fraud investigators and other experts.
Environmental Practice, Insurance Marketing Specialist Marsh & McLennan Companies IncEnvironmental Practice, Insurance Marketing SpecialistNorwalk, CTAs our Insurance Marketing Specialist on the Environmental Practice team, you'll support producers and account teams by owning the marketing and placement workflow for environmental/pollution liability business insurance submissions. Working as the primary placement resource for the environmental practice, you will analyze submissions, recommend market strategies, negotiate coverage and pricing with carriers, prepare proposals, and binds coverage as appropriate.
AVP, Complex Claim Liability Specialist TravelersAVP, Complex Claim Liability SpecialistHartford, ConnecticutDirectly investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Actively engage in the identification, selection and direction of appropriate internal and./or external resources for specific activities required to effectively evaluate claims, such as Subro, Risk Control, nurse consultants and fire or fraud investigators and other experts.
Claims Adjuster II, Field Property - National Catastrophe Nationwide Mutual Insurance CoClaims Adjuster II, Field Property - National CatastropheHartford, CT$62,500–$115,500 / yearNationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. In this role, you'll conduct on-site inspections, evaluate property damages, determine policy coverage, and make timely, accurate decisions using a variety of tools and resources, including vendor estimates, independent adjusters, and self-written assessments.
Insurance Coverage Specialist - GenStar General Re CorporationInsurance Coverage Specialist - GenStarStamford, CTKeeps current on insurance policy wording developments, ISO's research, emerging issues and competitors' forms to communicate to underwriters and senior management the importance and impact of proposed wording changes. The Insurance Coverage Specialist is responsible for a broad spectrum of P&C policy forms, including bureau (mostly ISO), admitted, surplus lines, company specific and manuscript wordings.
CT-Shelton Insurance Sales Specialist 😎 AMERICAN SENIOR BENEFITS LLCCT-Shelton Insurance Sales Specialist 😎Shelton, Connecticut$41,500–$101,000 / yearFull timeAt American Senior Benefits , we put people first —helping retirees protect their income and understand the safeguards available to them. Backed by Integrity Marketing Group , the nation’s largest FMO, we provide the resources and support to set you up for success.
Insurance Reimbursement Specialist Aspira Womens Health Inc.Insurance Reimbursement SpecialistShelton, CTReview claim denials within 1 week of posting to determine next step for accession Submit request to provider for necessary documentation for appeal- follow up on requests within 2 weeks if not received Submit accessions for adjustments per Patient Transparency Program guidelines and document accession to reflect need for adjustment accurately Follow up with plans when trends of nonpayment or incorrect payment is received per contracts Utilize portals/fax/USPS to submit appeals for claim review when necessary. Responsible for submission of appeals to national payers Provide review of all levels of an insurance appeal Gather supporting documentations (physician medical records, patient /physician letters etc.) Work incoming correspondence from payors to assist with claim appeal Interact with utilization review/management departments Assist with gathering EOB's if cash poster is unable to locate Provide excellent customer service via the handling of inbound and outbound calls/emails to patients and providers.
Program Management Specialist (P&C Insurance/Underwriting) Arch Capital GroupProgram Management Specialist (P&C Insurance/Underwriting)Hartford, ConnecticutThis role is accountable for driving strategy execution and financial performance for assigned programs by coordinating internal teams and external partners, including MGAs, TPAs, and key service providers. Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs.
Senior Consultant, Health Insurance - Risk Regulatory & Compliance Deloitte Touche Tohmatsu LtdSenior Consultant, Health Insurance - Risk Regulatory & ComplianceHartford, CTThe wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities.
Medical Billing Specialist Mi Familia & Summit Home Health and HospiceMedical Billing SpecialistHartford, CTRemote$58,000–$74,000The Medical Billing Specialist will be responsible for processing medical claims, managing insurance reimbursements, resolving billing issues, and ensuring accurate and timely revenue cycle operations. Summit Home Health & Hospice is a Texas-based healthcare organization dedicated to enhancing the lives of patients and families through compassionate home health and hospice services.
Medical Billing Specialist Fair Haven Community Health CenterMedical Billing SpecialistNew Haven, CTQualifications High School diploma or GED with experience in medical billing Knowledge of third party billing requirements, ICD and CPT codes Needs good interpersonal skills and ability to work as a member of the team to serve the patients. Handle all correspondence related to insurance or patient account, contacting insurance carriers, patients and other facilities as needed to get the maximum payments and accounts and identify issues or changes to achieve client profitability.
Medical Billing Specialist Fair Haven Community Health CareMedical Billing Specialistnew haven, CTFull timeHandle all correspondence related to insurance or patient account, contacting insurance carriers, patients and other facilities as needed to get the maximum payments and accounts and identify issues or changes to achieve client profitability. Guided by a Board of Directors, most of whom are patients themselves, we take pride in being a healthcare leader dedicated to delivering high-quality, affordable medical and dental care to everyone, regardless of their insurance status or ability to pay.
NewSenior Associate, Forensics - Insurance Risk Management BDO USA PCSenior Associate, Forensics - Insurance Risk ManagementStamford, CT$80,000–$115,000 / yearJob Summary: The Senior Associate - Resilience plays a key role in supporting and delivering advisory services that help clients anticipate, withstand, respond to, and recover from a wide range of operational, strategic, financial, and insurable risks. Familiarity with consulting methodologies, risk and resilience frameworks, and data-driven analysis techniques, including the use of AI and advanced analytics tools to support risk identification, scenario analysis, automation of data review, and development of actionable insights, preferred.
NewSenior Associate, Forensics - Insurance Risk Management BDO International LtdSenior Associate, Forensics - Insurance Risk ManagementStamford, CT$80,000–$115,000 / yearJob Summary: The Senior Associate - Resilience plays a key role in supporting and delivering advisory services that help clients anticipate, withstand, respond to, and recover from a wide range of operational, strategic, financial, and insurable risks. Familiarity with consulting methodologies, risk and resilience frameworks, and data-driven analysis techniques, including the use of AI and advanced analytics tools to support risk identification, scenario analysis, automation of data review, and development of actionable insights, preferred.