Medical Claims Specialist Jobs in Connecticut

56 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...

Large, well established insurance carrier working in both the domestic and international markets seeking individual with experience investigating and managing Miscellaneous Professional Liability claims to resolution. Shall: *** Investigate Miscellaneous Professional Liability claims. *** Negotiate with claimants, opposing counsel and third parties. *** Evaluate liability, establish settlement...

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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...

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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...

Job Location Bloomfield, CT Job Description Job Summary: Assist the Unit Leader with a team of TAM Coordinators who service customer phone inquiries and new claim intakes. Functional Responsibilities: Handle intake calls for STD/FMLA claims and other leaves as needed. Handle inbound service calls for STD/FMLA claims and other leaves as needed. Coach and develop claims specialists Act as reso...

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...

MEDICAL BILLING SPECIALIST ESSENTIAL FUNCTIONS: This position is responsible for timely billing of insurance claims to insurance companies, state programs, patients, and other vendors. ADDITIONAL RESPONSIBILITIES: · Data Entry and Updating trip/patient and insurance information into system; · Works on Commercial Insurance and Aging using the computer to identify affected claims that have not ...

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...

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...

The Coding & Reimbursement Specialist at Stamford Health Integrated Practices demonstrates and applies a thorough understanding of complex coding, reimbursement, health information management processes, and auditing principles as they relate to the physician practice setting. Optimizes practice revenue through a variety of claim resolution activities. Demonstrates excellent organizational, interpe...

JOB SUMMARY: Vacancy Identification Number (VIN): 1456836 OUR MISSION: To fulfill President Lincoln's promise "To care for him who shall have borne the battle, and for his widow, and his orphan" by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate care to Veterans? As a VA professional, your opportuniti...

JOB SUMMARY: Vacancy Identification Number (VIN): 1456430 OUR MISSION: To fulfill President Lincoln's promise "To care for him who shall have borne the battle, and for his widow, and his orphan" by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate care to Veterans? As a VA professional, your opportunities are...

JOB SUMMARY: Vacancy Identification Number (VIN): 1456312 OUR MISSION: To fulfill President Lincoln's promise "To care for him who shall have borne the battle, and for his widow, and his orphan" by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate care to Veterans? As a VA professional, your opportunities are...

JOB SUMMARY: Vacancy Identification Number (VIN): 1439571 OUR MISSION: To fulfill President Lincoln's promise "To care for him who shall have borne the battle, and for his widow, and his orphan" by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate care to Veterans? As a VA professional, your opportuniti...

JOB SUMMARY: Vacancy Identification Number (VIN): 1439467 OUR MISSION: To fulfill President Lincoln's promise "To care for him who shall have borne the battle, and for his widow, and his orphan" by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate care to Veterans? As a VA professional, your opportuniti...

JOB SUMMARY: Vacancy Identification Number (VIN): 1400986 OUR MISSION: To fulfill President Lincoln's promise "To care for him who shall have borne the battle, and for his widow, and his orphan" by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate care to Veterans? As a VA professional, your opportunities are...

JOB SUMMARY: Vacancy Identification Number (VIN): 1400955 OUR MISSION: To fulfill President Lincoln's promise "To care for him who shall have borne the battle, and for his widow, and his orphan" by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate care to Veterans? As a VA professional, your opportunities are...

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...