Claims Processing Manager jobs in Connecticut

Claims Processing Manager manages the administration of health insurance claims, payment processing, billing research, and responding to inquiries. Ensures timely and proper disposition of claims in accordance with coverage amounts. Being a Claims Processing Manager trains staff on organizational policies and ensures procedures are followed at all times. Provides guidance on more complex or high-value claims. Additionally, Claims Processing Manager typically requires a bachelor's degree. Typically reports to a head of a unit/department. The Claims Processing Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Claims Processing Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Field Case Manager
  • Sedgwick Claims Management Services Inc.
  • Hartford, CT FULL_TIME
  • Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Field Case Manager This Field Case Manager will cover our Hartford, CT region and must live in this area in order to be considered. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return to work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face interaction with injured workers and medical professionals. . Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure preferred; or graduate degree in health or human services field required with one of the following certifications: CCM, CDMS, or CRC. Valid driver’s license required. High speed internet required. TAKING CARE OF YOU BY Offering flexibility and autonomy. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day. NEXT STEPS If your application is selected to advance to the next round, you will receive an e-mail notification with instructions and a link to complete a recorded video interview. Upon completion and submission of the video interview, a recruiter will be in touch. #NURSE #FIELDCASEMANAGER Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Taking care of people is at the heart of everything we do. Caring counts Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us.
  • 26 Days Ago

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Claims Manager
  • Henkel
  • Rocky Hill, CT FULL_TIME
  • At Henkel, you can build on a strong legacy and leading positions in both industrial and consumer businesses to reimagine and improve life every day. If you love challenging the status quo, join our c...
  • 1 Day Ago

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CT - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Hartford, CT FULL_TIME
  • 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA. Copper Claims Services excels in providing custom claims solutions fo...
  • 28 Days Ago

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Cleaner
  • Aware Manager
  • Stamford, CT FULL_TIME,PART_TIME
  • Cleaner We are looking for a Cleaner to take care of our facilities and carry out cleaning and maintenance duties. The goal is to keep our building in a clean and orderly condition. Responsibilities C...
  • 20 Days Ago

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Cleaner
  • Aware Manager
  • New Haven, CT FULL_TIME,PART_TIME
  • Cleaner We are looking for a Cleaner to take care of our facilities and carry out cleaning and maintenance duties. The goal is to keep our building in a clean and orderly condition. Responsibilities C...
  • 20 Days Ago

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Cleaner
  • Aware Manager
  • Bridgeport, CT PART_TIME,FULL_TIME
  • Cleaner We are looking for a Cleaner to take care of our facilities and carry out cleaning and maintenance duties. The goal is to keep our building in a clean and orderly condition. Responsibilities C...
  • 20 Days Ago

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Processing Manager
  • Hiring Now!
  • Lake Mills, WI
  • Summary Reporting to the General Manager, plan, organize, manage and execute liquid egg processing operations for assign...
  • 4/17/2024 12:00:00 AM

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Manager, Business Process Management - (REMOTE)
  • American Homes 4 Rent
  • Las Vegas, NV
  • AMH Since 2012, we've grown to become one of the leading single-family rental companies and homebuilders in the country,...
  • 4/16/2024 12:00:00 AM

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Processing Manager
  • Chobani
  • New Berlin, NY
  • Summary We are seeking a dynamic and experienced Manufacturing leader to oversee and manage our dairy processing facilit...
  • 4/16/2024 12:00:00 AM

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Processing Manager
  • LHH
  • LHH Recruitment Solutions is currently seeking a Processing Manager in Cumberland County, NJ. This position assumes resp...
  • 4/15/2024 12:00:00 AM

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Process Manager
  • Zobility
  • Christiansburg, VA
  • This is a Direct Placement Job Opportunity Position - Technical Process Manager Location - Christiansburg, VA. Salary - ...
  • 4/15/2024 12:00:00 AM

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Director, Accounting, Process Management
  • CF Industries Employee Services LLC
  • Northbrook, IL
  • At CF Industries, our mission is to provide clean energy to feed and fuel the world sustainably. Our employees are focus...
  • 3/19/2024 12:00:00 AM

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Management Trainee - Processing
  • Mountaire
  • Lumber Bridge, NC
  • Primary Purpose To gain experience and knowledge in all aspects of vertical integration with special emphasis on Operati...
  • 3/11/2024 12:00:00 AM

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Management Trainee - Processing
  • Mountaire
  • Millsboro, DE
  • Primary Purpose To gain experience and knowledge in all aspects of vertical integration with special emphasis on Operati...
  • 3/4/2024 12:00:00 AM

Connecticut is bordered on the south by Long Island Sound, on the west by New York, on the north by Massachusetts, and on the east by Rhode Island. The state capital and fourth largest city is Hartford, and other major cities and towns (by population) include Bridgeport, New Haven, Stamford, Waterbury, Norwalk, Danbury, New Britain, Greenwich, and Bristol. Connecticut is slightly larger than the country of Montenegro. There are 169 incorporated towns in Connecticut.The highest peak in Connecticut is Bear Mountain in Salisbury in the northwest corner of the state. The highest point is just east...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$102,010 to $131,753

Claims Processing Manager in Topeka, KS
Managers can review workflow queues and see what is in each processor’s queue.
January 13, 2020
The claims have to be handled timely to ensure quick settlement leading to customer satisfaction.
January 12, 2020
Claims Processing Manager in Pittsburgh, PA
Depending on the employer’s needs, insurance claims and processing clerks may also be responsible for interviewing clients to obtain the information required on new insurance policy applications.
January 27, 2020
Claims Processing Manager in Medford, OR
Claims Manager Plus ingests a hospital’s daily claims file and runs it through a sophisticated rules engine to modify claims based on the hospital’s defined configurations, as well as parse out claims not meeting criteria for payment.
December 11, 2019