Medical Claims Specialist Jobs in Connecticut

44 jobs

General Description: Manage within company standards and best practices complex and problematic high visability workers' compensation claims within delegated limited authority to determine benefits due, work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer requirements to achieve the best possible outcome in the claim. Essential J...

Job Location Bloomfield, CT Job Description Provides exemplary customer service by processing group disability income insurance claims in a timely and accurate manner. Functional Responsibilities: Applies all appropriate provisions of the disability contract to ensure that MetLife’s liability is understood and appropriately applied throughout the life of the claim. Within the context of liabi...

Bodily Injury Claims Specialist - Wallingford, CT-61163 Description Advance your career at Liberty Mutual Insurance- A Fortune 100 Company! Are you looking for an opportunity to join a Bodily Injury Claims Team with a responsible company that has consistently outpaced the industry in year over year growth? Liberty Mutual Insurance has an excellent claims opportunity available. As a Bodily Injur...

General Description:Manage within company standards and best practices complex and problematic high visability workers' compensation claims within delegated limited authority to determine benefits due, work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer requirements to achieve the best possible outcome in the claim.Essential Job D...

Company Confidential
CLAIMS SUPERVISOR The Supervisor, Claims Operations is responsible for managing the day to day claims operations in the HMC HealthWorks behavioral health division. The Supervisor will be responsible for ensuring that claims are processed accurately, timely based on industry standards and state regulation, and consistent with customer requirements and expectations. DUTIES/RESPONSIBILITIES · Supe...

Part Time Position …. Experienced Medical Billing Accounts Receivable Specialist Qualifications: ü Must have at least 3-5 years of accounts receivable and medical billing experience ü Knowledge of insurance processes and billing guidelines ü Experience with Athena EHR preferred ü Knowledge of and adhere to HIPPA regulations Responsibilities to include but not limited to the following: ü Ma...

Claims Field Property Adjuster - Hartford, CT-62909 Description Advance your career at Liberty Mutual Insurance - A Fortune 100 Company! Are you looking for an opportunity to join a claims team with a responsible company that has consistently outpaced the industry in year over year growth? Liberty Mutual Insurance has an excellent claims opportunity available. A Field Property Claims Specialis...

Healthcare Sr. Claims Examiner Opportunities Dell is looking for Sr. Level Claims Examiners with payer healthcare experience to join our team as part of this new, exciting organization. Through the process of change, we are challenging ourselves to work faster, smarter, and more efficiently. These roles will be a key component in shaping how the business will work in the short, medium, and long t...

Field Property Claims Adjuster Safeco - Danbury, CT-64466 Description Advance your career at Liberty Mutual Insurance - A Fortune 100 Company! Are you looking for an opportunity to join a claims team with a responsible company that has consistently outpaced the industry in year over year growth? Liberty Mutual Insurance has an excellent claims opportunity available. A Field Property Claims Adj...

Description: Position Description: Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) The Provider Data Specialist is responsible for various activities re...

Description: Position Description: Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) The Provider Data Specialist is responsible for the installation and ...

Job Description With Gentiva's recent acquisitions of Odyssey Hospice, Harden Healthcare, Girling Home Health and Hospice, we offer home health, hospice, therapy, rehabilitation and community care services in many of our locations throughout the country. Gentiva has over 40 years of experience in healthcare. With over 550 locations in 40 states, our clinicians care for 110,000 patients every sin...

Description: Position Description: Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) Positions in this function are responsible for various activities rel...

Description: Position Description: Working in Operations at UnitedHealth Group is one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. This position is responsible for managing the delivery of me...

Description: Position Description: Working in Operations at UnitedHealth Group is one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. This position is responsible for managing the delivery of me...

Under the direction and supervision of the Director of Reimbursement and Payer Management, or his/her designee, develops, implements and monitors policies and procedures to optimize physician reimbursement and ensure billing compliance for the Yale Medical Group. Communicates with all clinical departments, Patient Financial Services departments, third party payers, managed care contracting staff a...

Position Summary: The Collection Specialist is responsible for the accounts receivable follow up and analysis of denials and underpayments of hospital claims to facilitate payment and resolution from third party payers in order to maximize accurate and timely reimbursement. Must be able to identify & communicate payer &/or system trends to Management. Maintain thorough knowledge of payer contract...

Description: Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) Primary Responsibilities: Provide training on ICD9, ICD10 coding and quality (HEDIS) as req...

Associate Director Reappointment Yale-New Haven Hospital Physician Services Full time with benefits 7:30 A.M. - 4:00 P.M. OR 8:00 A.M. - 4:30 P.M., Monday-Friday To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values—integrity, patient-centered, respect, accountability, and compassion—must guide wh...

With Gentiva's recent acquisitions of Odyssey Hospice, Harden Healthcare, Girling Home Health and Hospice, we offer home health, hospice, therapy, rehabilitation and community care services in many of our locations throughout the country. Gentiva has over 40 years of experience in healthcare. With over 550 locations in 40 states, our clinicians care for 110,000 patients every single day. This aff...