Claims Processing Manager jobs in Hartford, CT

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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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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VP Claims Customer Account Manager
  • HSB
  • Hartford, CT FULL_TIME
  • Offer:Profile:
  • 1 Month Ago

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Claims Account Manager - Worker's Comp
  • Arch Capital Group Ltd.
  • Hartford, CT FULL_TIME
  • With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. ...
  • 25 Days Ago

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Claims Account Manager - Alternative Markets
  • Arch Capital Group Ltd.
  • Hartford, CT FULL_TIME
  • With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. ...
  • 25 Days Ago

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Workers' Compensation Adjuster
  • TheBest Claims Solutions
  • Hartford, CT FULL_TIME
  • Our client is looking to add multiple Workers' Compensation Claims Adjusters to their staff. These adjusters will need to have 2 years of experience handling Medical Only Workers' Compensation claims ...
  • 16 Days Ago

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0 Claims Processing Manager jobs found in Hartford, CT area

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Director, Business Process Management
  • The Travelers Indemnity Company
  • Hartford, CT
  • Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this...
  • 4/18/2024 12:00:00 AM

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EPX Risk Leader - Enterprise Services Risk Office (ES Risk) CT
  • Capital One
  • Hartford, CT
  • Center 3 (19075), United States of America, McLean, VirginiaEPX Risk Leader - Enterprise Services Risk Office (ES Risk) ...
  • 4/18/2024 12:00:00 AM

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Store Manager
  • American Freight Inc.
  • South Windsor, CT
  • ** Store Manager** **Job Category****:** Store Operations **Requisition Number****:** STORE04969 Showing 1 location **Jo...
  • 4/18/2024 12:00:00 AM

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EPX Risk Leader - Enterprise Services Risk Office (ES Risk) CT
  • Capital One
  • New Haven, CT
  • Center 3 (19075), United States of America, McLean, VirginiaEPX Risk Leader - Enterprise Services Risk Office (ES Risk) ...
  • 4/18/2024 12:00:00 AM

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Director, Technical Program Management (Bank Tech) CT
  • Capital One
  • Hartford, CT
  • Locations: VA - Richmond, United States of America, Richmond, VirginiaDirector, Technical Program Management (Bank Tech)...
  • 4/18/2024 12:00:00 AM

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General Manager - Windsor Locks
  • Spare Time Entertainment Inc
  • Windsor Locks, CT
  • ** General Manager - Windsor Locks** **Job Category****:** Management **Requisition Number****:** GENER001592 Showing 1 ...
  • 4/16/2024 12:00:00 AM

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EPX Risk Leader - Enterprise Services Risk Office (ES Risk)
  • Capital One
  • Hartford, CT
  • Center 3 (19075), United States of America, McLean, Virginia EPX Risk Leader - Enterprise Services Risk Office (ES Risk)...
  • 4/15/2024 12:00:00 AM

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EPX Risk Leader - Enterprise Services Risk Office (ES Risk)
  • Capital One
  • New Haven, CT
  • Center 3 (19075), United States of America, McLean, Virginia EPX Risk Leader - Enterprise Services Risk Office (ES Risk)...
  • 4/15/2024 12:00:00 AM

Hartford is the capital city of Connecticut. It was the seat of Hartford County until Connecticut disbanded county government in 1960. The city is nicknamed the "Insurance Capital of the World", as it hosts many insurance company headquarters and is the region's major industry. It is the core city in the Greater Hartford area of Connecticut. Census estimates since the 2010 United States Census have indicated that Hartford is the fourth-largest city in Connecticut, behind the coastal cities of Bridgeport, New Haven, and Stamford. Hartford was founded in 1635 and is among the oldest cities in th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$102,105 to $131,875
Hartford, Connecticut area prices
were up 1.7% from a year ago

Claims Processing Manager in Austin, TX
These claims management platforms are often not well integrated with peripheral systems, which also results in more human involvement and an increased cost per transaction.
January 26, 2020
Claims Processing Manager in Topeka, KS
The claims have to be handled timely to ensure quick settlement leading to customer satisfaction.
January 12, 2020
Managers can review workflow queues and see what is in each processor’s queue.
January 13, 2020
Claims Processing Manager in Youngstown, OH
A common duty in this position is reviewing insurance policies after clients have submitted claims, in order to determine coverage.
December 11, 2019