45 claims jobs found in East Hartford, CT

Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond expectations in the continuous pursuit of a better way. Position Summary: Investigates, evaluates, disposes and settles less complex claims with moderate supervision and includes the investigation, determination and evaluation of coverage, liability and damages and the setting of proper reserves. Incumbents at this level typically hold claims reserve and settlement authority of up to $5,000 liability and/or $10,000 workers compensation or greater. Essential Duties & Responsibilities: Exercises proper judgment and decision making to analyze the claims exposure to determine the proper course of action and to appropriately settle the claim. Interacts...

Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond expectations in the continuous pursuit of a better way. Position Summary: Investigates, evaluates, disposes and settles less complex claims with moderate supervision and includes the investigation, determination and evaluation of coverage, liability and damages and the setting of proper reserves. Incumbents at this level typically hold claims reserve and settlement authority of up to $5,000 liability and/or $10,000 workers compensation or greater. Essential Duties & Responsibilities: Exercises proper judgment and decision making to analyze the claims exposure to determine the proper course of action and to appropriately settle the claim. Interacts...

Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond expectations in the continuous pursuit of a better way. Position Summary: Under direct supervision, performs basic claim handling functions to include data entry, bill payment, ordering various reports from outside parties, preparing and filing various required forms. Interacts with clients, attorneys and outside vendors for various reasons including but not limited to gathering data and scheduling appointments. Processing medical only claims as assigned, within requirements set by client service instructions and Gallagher Bassett Best Practices. Work activity includes but is not limited to, review, approval and payment of medical bills and bills from other service...

Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond expectations in the continuous pursuit of a better way. Position Summary: Investigates, evaluates, disposes and settles less complex claims with moderate supervision and includes the investigation, determination and evaluation of coverage, liability and damages and the setting of proper reserves. Incumbents at this level typically hold claims reserve and settlement authority of up to $5,000 liability and/or $10,000 workers compensation or greater. Essential Duties & Responsibilities: Exercises proper judgment and decision making to analyze the claims exposure to determine the proper course of action and to appropriately settle the claim. Interacts...

Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond expectations in the continuous pursuit of a better way. Position Summary: Analyzes coverage and settles moderately complex claims in one or more of Gallagher Bassett's specialty claims areas. Generally, incumbent does not work on workers compensation claims. Essential Duties & Responsibilities: Responsible for the handling, oversight and overall management of Employment Practices Liability (EPL) claims. Able to manage the full-life cycle of all assigned claims files. Analyzes coverage and determines defense obligations. Independently conducts thorough analysis and investigations necessary to determine claims exposure and recommend appropriate...

$1,500 Sign-On Bonus for External Candidates You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to 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. SM Imagine this. Everyday, in claims centers around the world,  UnitedHealth Group  is processing and resolving payment information for millions of transactions. Would you think we have some great technology? Would you think we know how to manage volume? You would be right. No one's better. And no company has put together better teams of passionate, energetic and all out brilliant Claims Representatives. This is where you come in. We'll look to you to maintain our reputation for service, accuracy and a positive claims experience. We'll back you with great...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to 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 . SM The health care system is still evolving at a rapid pace. Technology is driving new advances in how patient care is delivered and how it’s reimbursed. Now, UnitedHealth Group invites you to help us build a more accurate and precise approach to claims adjudication. As a Specialist, you’ll be responsible for reviewing and making adjustments or corrections to processed claims through researching, investigating issues and making and communicating determinations. You’ll authorize the appropriate adjustment ensuring compliance with all requirements and serve as a point of contact for...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to 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.SM As member of the C&S UAT/Test Team, the Claims Business Process Technician will develop enhanced automation test opportunities and create & maintain test suites utilizing test automation applications.  You will work closely with our test team, technology & business partners to flawlessly deliver on test plans, & quality expectations, as it relates to the Claims End to End process on CSP Facets & surrounding systems.  This role should have a strong understanding of claims end to end system functionality as well as the up and down stream applications. These roles include, but are...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to 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 . SM Positions in this function are responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing, and adjusting claims. Authorizes the appropriate payment or refers claims to investigators for further review. Conducts data entry and re-work; analyzes and identifies trends and provides reports as necessary. This position is full-time. Employees are required to work our normal business hours of 8:00am – 5:00pm. It may be necessary, given the business need, to work occasional overtime or weekends. *All Telecommuters will be...

ESIS is a results-oriented TPA within the Chubb organization. We continually monitor, measure, and analyze trends while working closely with our clients to identify opportunities to positively impact their program costs ESIS applies a balanced approach to claims handling and management and continually refines our approach to be sure our services are customized, complementary and complete. KEY OBJECTIVE: This role is focused on the technical claim handling and oversight of the Integrated Absence Management Claims Teams, Team Leaders and Claims Representatives.  The individual will be accountable for the handling and disposition of claims including investigation, coverage determination, reserving, negotiation and settlement and overall claim strategy.  The position may require travel.  You will represent the company at meetings with management, business partners and in other claim related activities.   MAJOR DUTIES & RESPONSIBILITIES: Oversight of existing claims...

ESIS is a results-oriented TPA within the Chubb organization. We continually monitor, measure, and analyze trends while working closely with our clients to identify opportunities to positively impact their program costs ESIS applies a balanced approach to claims handling and management and continually refines our approach to be sure our services are customized, complementary and complete. KEY OBJECTIVE: This role is focused on the technical claim handling and oversight of the Integrated Absence Management Claims Teams, Team Leaders and Claims Representatives.  The individual will be accountable for the handling and disposition of claims including investigation, coverage determination, reserving, negotiation and settlement and overall claim strategy.  The position may require travel.  You will represent the company at meetings with management, business partners and in other claim related activities.   MAJOR DUTIES & RESPONSIBILITIES: Oversight of existing claims...

Overview This is an opportunity to begin a career in the Insurance industry. Over a training period of approximately 8 months, the Adjuster Associate will learn all aspects of Global Specialty’s Claims handling processes.  Upon completion of required training, the Associate will handle lower severity, non-litigated property & casualty claims, under direct supervision.  The Associate will learn how to resolve insurance claims promptly and efficiently, through effective research, evaluation, investigation, negotiation, and interaction with insureds and claimants.  Please be advised this is not a fully remote position. Upon hiring you will be required to report to one of the locations listed below and work from the office during the 8-10 week instructional training period. Once the instructional training is concluded, a hybrid schedule allowing you to work remotely is possible for eligible employees. Please Note: This role is starting July 2022...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. The health care system is still evolving at a rapid pace. Technology is driving new advances in how patient care is delivered and how it's reimbursed. Now, UnitedHealth Group invites you to help us build a more accurate and precise approach to claims adjudication. In this role, you'll be responsible for the implementation and day to day performance of process activities related to claims research and resolution. This includes the review of claims, contracts, and fee schedules to identify processing, procedural, systemic, and billing errors. Join us and build your career with an industry leader.  This position is full-time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6:30am – 5:00pm CST (7:30am – 6:00pm EST). It may be necessary, given the business need, to work...

Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond expectations in the continuous pursuit of a better way. Position Summary: Under direct supervision, performs basic claim handling functions to include data entry, bill payment, ordering various reports from outside parties, preparing and filing various required forms. Interacts with clients, attorneys and outside vendors for various reasons including but not limited to gathering data and scheduling appointments. Processing medical only claims as assigned, within requirements set by client service instructions and Gallagher Bassett Best Practices. Work activity includes but is not limited to, review, approval and payment of medical bills and bills from other service...

UnitedHealth Group is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Design and Configure Benefits Products within Facets System Demonstrate understanding of applicable systems/platforms (e.g., Facets; NetworX; Access; Excel) Demonstrate understanding of on-line communication tools (e.g., SharePoint; Outlook; Teams/Personal Communicator) Demonstrate understanding of relevant health-care programs (e.g., Medicaid; Medicare; DSNP; CHP+; Individual/Family Commercial) Demonstrate understanding of and/or ensure compliance with internal policies and procedures...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to 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.SM The Senior Recovery/Resolution Analyst will work with a team on researching issues to determine feasibility of reducing medical costs through prospective solutions of claim system processes and claim business rules. This position is full-time (40 hours/week) Monday - Friday. Employees have the option to work a flexible schedule. It may be necessary, given the business need, to work occasional overtime. *All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Primary Responsibilities: Examine, assess, and document business operations and procedures to ensure...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Energize your career with one of Healthcare’s fastest growing companies.   You dream of a great career with a great company – where you can make an impact and help people.  We dream of giving you the opportunity to do just this.  And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives.  We live for the opportunity to make a difference and right now, we are living it up. This opportunity is with one of our most exciting business areas: Optum – a growing part of our family of companies that make UnitedHealth Group a Fortune 10 leader. Optum helps nearly 60 million Americans live their lives to the fullest by educating...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) Here's the thing about challenges. They provide limitless opportunities for greatness. And what we have in mind for you is definitely big. At UnitedHealth Group, we're changing the future of health care and we have the expertise, advanced technology and global resources to make it happen. As a Senior Business Analyst, you'll work with the brightest minds in the business and find yourself digging deep to find the...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing y our life's best work.(sm) Project management and oversight of complex clinical programs under the guidance of the Clinical Program Director and Designer and in collaboration with internal and external teams. This role will require a methodical and critical thinking mindset with the ability to handle multiple priorities as well as the ability to drive implementation of initiatives and monitor existing programs with the support from Enterprise executive leaders to operational support teams. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.  Primary Responsibilities: Initiative Implementation and...

UnitedHealth Group is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Design and Configure Benefits Products within Facets System Demonstrate understanding of applicable systems/platforms (e.g., Facets; NetworX; Access; Excel) Demonstrate understanding of on-line communication tools (e.g., SharePoint; Outlook; Teams/Personal Communicator) Demonstrate understanding of relevant health-care programs (e.g., Medicaid; Medicare; DSNP; CHP+; Individual/Family Commercial) Demonstrate understanding of and/or ensure compliance with internal policies and procedures...