Senior Analyst - Claim Rework & Special Services (Hybrid)
4062 Aetna Resources, LLC
4062 Aetna Resources, LLC is seeking a Project Lead to oversee and coordinate rework projects in Hartford, Connecticut. This role involves managing project timelines and interfacing with different areas to ensure accuracy and compliance with health network requirements. The ideal candidate must have experience with Aetna claims systems, strong data analysis skills, and a commitment to efficient performance. A hybrid work environment is supported, with expectations for on-site attendance three days a week. #J-18808-Ljbffr 4062 Aetna Resources, LLC
$46.99k - $112.2k
## Senior Analyst Claim Reporting and Special ServicesApplyremote type: Remote/Hybridlocations... ...oversee and coordinate rework projects, work closely with... ...of the Commercial Services Operations team providing... ...Qualifications*** We support a hybrid work environment. If selected...SeniorClaimsHourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeFlexible hours3 days per week- ...CVS Health Corporation is seeking a Senior Analyst for Claim Reporting and Special Services. This position involves overseeing rework projects and coordinating closely with the Commercial... ...Aetna systems. The position supports a hybrid work model and offers comprehensive...SeniorClaimsRemote work
- Stryker Corporation is seeking a Senior Manager, Claims Services, to lead a high-performing team that supports Stop Loss & Health Claims Services.... ...management. The position includes comprehensive benefits and a hybrid work model, providing flexibility in both office and...SeniorClaimsWork at office
$76k - $125.3k
...join our Fiduciary/Trust Tax Services team, you’ll be at the heart... ...recommendations. Support managers, senior managers and PPEDs with... ...and expectations and complete special projects. Excellent organizational... ...team‑led and leader‑enabled hybrid model. Our expectation is for...SeniorContract workSummer holidayFlexible hours$68.2k - $102.3k
Senior Manager, Claims Services Sun Life embraces a hybrid work model that balances in‑office collaboration with the flexibility of virtual work in the contiguous... ...‑qualified individuals with disabilities or special disabled veterans, unless the accommodation would...SeniorClaimsWork at officeLocal areaFlexible hours$118.8k - $178.2k
...Hartford is seeking to hire a Senior Litigation Analyst to join our Legal team. We... ...with existing vendor service agreements. Ensure 100% of... ...exchange of information with Claims regarding observed and identified... .... Work Arrangement Hybrid or Remote work arrangement....SeniorClaimsTemporary workWork at officeRemote work3 days per week$110k - $120k
...Job Title Senior Quality Assurance Analyst Job Description This is an opportunity to join... ...products and world class service — both pre- and post-claims. Ascot exists to solve for our clients... ...will work out of an office on a hybrid basis. Responsibilities...SeniorClaimsFull timeTemporary workLocal areaFlexible hours$90k - $110k
...insurance staffing firm is seeking a Senior Workers’ Compensation Claims Consultant for their Hartford operations, with options for remote or hybrid work. This role involves managing complex... ...skills, and a commitment to customer service. Competitive salary between $90,000...SeniorClaimsRemote job$94k - $141k
The Hartford Financial Services Group, Inc. is seeking a Senior Consultant for Performance Analytics with a focus... ...trends in Auto Bodily Injury claims. This role involves collaboration with... ...communication abilities. The position offers a hybrid or remote working arrangement and...SeniorClaimsRemote job$120k
...Organizational Change Management (OCM) Analyst. The Sr OCM Analyst supports and leads senior-level organizational change... ...understanding of public-sector human services organizations and the change... ...have flexibility for travel and a hybrid work schedule that may include remote...SeniorContract workFor subcontractorCurrently hiringLocal areaRemote work$57k - $80k
...targeted risk control and claims services. Our employees are... ...The Quality Control Analyst collaborates closely with... ...by reducing rework, errors, and escalations... ...internal reviews, and special projects as requested... ..., CT or Salem, VA. Hybrid work schedule required...ClaimsFull timeWork experience placementWork at officeFlexible hours$46.99k - $112.2k
...Summary We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU),... ...payment of suspect or fraudulent claims submitted by insureds, providers,... ...communication and customer service skills and the ability to effectively...SeniorClaimsHourly payFull timeTemporary workWork experience placementLocal areaWork from home- Sun Life is seeking a Senior Manager, Claims Services in Hartford, Connecticut. This role involves leading a high-performing team, overseeing claims... ...in data analysis tools. Join Sun Life for a rewarding hybrid work environment with comprehensive benefits and a competitive...Claims
$84k - $126k
Sr Product Analyst - EM08FE We’re determined to make a difference and are proud to be... ...individuals? If so, then the Personal Lines Senior Product Analyst role may be a great fit... ..., Performance Analytics, Underwriting, Claims, Service, and other partner areas....SeniorClaimsTemporary workWork experience placement- ...seeking a candidate to lead a Workers Compensation claims team in East Hartford, CT. This role requires a... ..., and utilize Gallagher's technology to enhance service quality. This position offers a competitive salary, a hybrid schedule, and a comprehensive benefits package...SeniorClaims
- Travelers Canada in Hartford, CT is seeking an AVP, Complex Claim Liability Specialist to manage severe claims with coverage of $2 million... ..., evaluation and negotiation while providing superior customer service. The ideal candidate will have 5-10 years of experience in...SeniorClaims
- ...languages, analytical software, systems, tools and processes using claims, clinical, enrollment and provider data 3 years of project... ...Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes...SeniorClaimsFor contractorsWork at officeLocal areaShift work
$84.8k - $127.2k
The Hartford is seeking a Consultant Claims in Hartford, Connecticut. This role involves managing general liability claims from inception... ...least five years of relevant experience. The position offers a hybrid or remote work arrangement and includes a competitive...SeniorClaimsRemote job$126.8k - $244k
...reinvention of product and services, operating models, and workforce capabilities. As a Senior BCM Analyst at EY, you will be an expert... ...sector and the key areas of specialism (e.g. Investment banking, corporate... ...team-led and leader-enabled hybrid model. Our expectation is...SeniorSummer holidayLocal areaFlexible hours$76k - $180.6k
...seeking a Sr. Forensic Consultant to analyze evidence related to claims and prepare detailed reports. The ideal candidate will have 3+... ...complex concepts to non-science professionals. The position offers a hybrid work schedule, requiring in-lab presence three days a week....SeniorClaims3 days per week- Sun Life Financial in Hartford, Connecticut is seeking a Senior Manager, Claims Services to lead a high-performing team in claims operations. The role focuses on enhancing efficiency and accuracy in data intake, management, and service delivery. Key responsibilities include...SeniorClaims
- Sun Life embraces a hybrid work model balancing in-office collaboration with virtual work. The Senior Manager, Life & Disability Claims leads the day-to-day operations of the Long-Term Disability claims team, fostering client relations and ensuring risk management of disability...SeniorClaimsWork at office
- Maximus is seeking a Sr. Technical Analyst to support current and upcoming Child Support system... ...success. The position reports to a Senior Manager within a matrixed organization and... ...management depending on project needs. Travel and hybrid work are expected. #J-18808-Ljbffr...Senior
$81.5k - $134.5k
...intellectually stimulating business problems. As a Sr Analyst, PM, Portfolio Risk Management, you will... ...and state teams, as well as executive, claim, reserving and analytical teams. You will... ...related role preferably in the financial services industry. Experience with competitive...SeniorClaimsWork experience placementLocal area- Catholic Mutual Group is seeking an Assistant Claims/Risk Manager to support our Hartford/Norwich Service Office in Bloomfield, CT. You will investigate claims,... ...willingness to travel. This role is 35-hour weekly with hybrid in-office presence 2-3 days. #J-18808-Ljbffr...ClaimsWork at office
- CVS Health Corporation is seeking a Senior Analyst, Underwriter for their Hartford, CT location, with a hybrid work arrangement. In this role, you will perform analysis and risk assessments for group Medicare Advantage opportunities while producing timely RFP documents...SeniorRemote job
$60.4k - $90.6k
...Description Sun Life embraces a hybrid work model that... ...The Data & Reporting Analyst is responsible for developing... ...in the Stop Loss Claims team. This role supports... ...visualization and self‑service dashboard development... ...individuals with disabilities or special disabled veterans,...ClaimsWork at officeLocal area2 days per week- Senior Analyst, Payroll - Mobility Payroll and Tax Team. Responsible for accurate and timely processing of U.S. expatriate payrolls. Hybrid role; eligible candidates must reside within commuting distance... ...with a high level of service. Support payroll‑related projects...SeniorTemporary workFlexible hours
$79.31k - $158.62k
...performing actuarial team supporting CVS Health and Aetna's Government Services Medicare Advantage business. The primary responsibility of this... ...future healthcare costs, revenue, and profitability. Analyzes claims data to assess patterns, trends, and cost drivers and...SeniorClaimsHourly payFull timeTemporary workWork experience placementWork at officeLocal areaFlexible hours$113k - $132k
Cognizant is seeking a Senior Facets Integration Analyst to support the configuration and validation of the Facets core claims platform for healthcare purposes. This remote role requires expertise in Facets configuration and healthcare claims adjudication processes. The...SeniorClaimsRemote job
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