Workers' Compensation Claims Specialist
4 weeks ago
We are seeking a highly skilled Workers' Compensation Claims Specialist to join our team at Yale New Haven Health. The ideal candidate will have a strong working knowledge of Connecticut Workers' Compensation laws and be able to work independently with minimal supervision.
Key Responsibilities- Review new Workers' Compensation claims to ensure compensability and proper documentation of injury.
- Negotiate with claimants, physicians, attorneys, and the Commissioner to determine the best course of action for efficient claims management or settlement.
- Work with medical providers to gather medical information and authorize medical treatment or procedures.
- Determine the most effective method and timing of ongoing follow-up to bring cases to closure and limit hospital exposure.
- Identify potential recoveries from third parties and take appropriate action to initiate recoveries.
- Monitor progress of all claims activity to ensure proper valuing and case management.
- Calculate and verify Workers' Compensation indemnity payments and authorize medical payments.
- Establish financial reserves with documented rationale and review and adjust reserves for the life of the claim.
- Represent Yale New Haven Health at hearings before the State of Connecticut Compensation Commissioner.
- Bachelor's degree or equivalent work experience.
- Three to five years of experience in handling Workers' Compensation claims.
- Current Connecticut Licensed Claims Adjustor required.
- Strong Microsoft Office skills, especially Excel, and excellent typing and data entry skills.
- Ability to make arithmetic calculations and work frequently with figures.
- Good oral and written communication and interpersonal skills.
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Insurance Claims Specialist
4 weeks ago
New Haven, Connecticut, United States The Jonus Group Full timeJob Description:The Jonus Group is seeking a skilled Claims Specialist to join our team. As a Claims Specialist, you will be responsible for handling GL bodily injury claims, with a focus on commercial liability and public entity claims in Connecticut.Key Responsibilities:Handle claims for public entities in Connecticut, including injury evaluation and...
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Insurance Claims Examiner
3 weeks ago
New Haven, Connecticut, United States The Jonus Group Full timeJob Summary:The Jonus Group is seeking a skilled Claims Specialist to handle GL bodily injury claims, with a focus on Auto and Professional Lines. The ideal candidate will have a strong commercial background, with experience in GL non-auto claims and a proven track record in injury evaluation and negotiation.Key Responsibilities:Handle claims for public...
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Claims Adjuster
4 weeks ago
New Haven, Connecticut, United States Flex Employee Services Full timeLiability Claims Adjuster Job DescriptionFlex Employee Services is seeking a skilled Liability Claims Adjuster to join our team. As a key member of our claims handling team, you will be responsible for managing a pending case load of varying complexity across several lines of business, including auto liability, general liability, and professional lines...
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Xactimate Claims Specialist
3 weeks ago
New London, Connecticut, United States Allstate Exteriors Full timeAbout Us:Allstate Exteriors LLC is a leading roofing contractor dedicated to delivering high-quality roofing solutions and exceptional customer service. We pride ourselves on our expertise and integrity, and we're looking for a skilled professional to handle all of our Xactimate claims.Job Summary:The successful candidate will play a crucial role in...
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Xactimate Claims Specialist
3 weeks ago
New London, Connecticut, United States Allstate Exteriors Full timeAbout Us:Allstate Exteriors LLC is a leading roofing contractor dedicated to delivering high-quality roofing solutions and exceptional customer service. We pride ourselves on our expertise and integrity, and we're looking for a skilled professional to handle all of our Xactimate claims.Job Summary:The Insurance Supplement Coordinator will play a crucial role...
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Medical Billing Specialist
4 weeks ago
New Haven, Connecticut, United States CareMedica Full timeMedical Billing SpecialistWe are seeking a skilled Medical Billing Specialist to join our team at CareMedica. The ideal candidate will have previous billing experience and be organized and detailed oriented. Key responsibilities include:Managing medical billing processesEnsuring accurate and timely submission of claimsProviding excellent customer...
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Clinical Social Worker Specialist
4 weeks ago
New Haven, Connecticut, United States Yale New Haven Health Full timeJob Title: Clinical Social WorkerJob Summary:The Clinical Social Worker is a licensed, experienced professional who serves as the clinical expert in the assessment and treatment of patients, families, and social work consultation to interdisciplinary teams in various inpatient and ambulatory settings within the Yale New Haven Health System.Key...
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Clinical Social Worker
3 weeks ago
New Haven, Connecticut, United States Yale New Haven Health Full timeJob SummaryThe Clinical Social Worker I is a licensed, experienced professional who is the clinical expert in the assessment and treatment of patients, families, and social work consultation to the interdisciplinary teams in a variety of inpatient and ambulatory settings in the Yale New Haven Health System.Key ResponsibilitiesDiagnostic assessment and...
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Clinical Social Worker
4 weeks ago
New Haven, Connecticut, United States Yale New Haven Health Full timeJob SummaryThe Clinical Social Worker I is a licensed, experienced professional who is the clinical expert in the assessment and treatment of patients, families, and social work consultation to the interdisciplinary teams in a variety of inpatient and ambulatory settings in the Yale New Haven Health System.Key Responsibilities:Diagnostic assessment,...
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Clinical Social Worker
3 weeks ago
New Haven, Connecticut, United States Yale New Haven Health Full timeJob SummaryThe Clinical Social Worker I is a licensed, experienced professional who is the clinical expert in the assessment and treatment of patients, families, and social work consultation to the interdisciplinary teams in a variety of inpatient and ambulatory settings in the Yale New Haven Health System.Key ResponsibilitiesDiagnostic assessment,...
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Clinical Social Worker
3 weeks ago
New Haven, Connecticut, United States Yale New Haven Health Full timeJob Summary:The Clinical Social Worker I is a licensed, experienced professional who is the clinical expert in the assessment and treatment of patients, families, and social work consultation to the interdisciplinary teams in a variety of inpatient and ambulatory settings in the Yale New Haven Health System.Key Responsibilities:Diagnostic assessment and...
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Clinical Social Worker
3 weeks ago
New Haven, Connecticut, United States Yale New Haven Health Full timeJob SummaryThe Clinical Social Worker I is a licensed, experienced professional who is the clinical expert in the assessment and treatment of patients, families, and social work consultation to the interdisciplinary teams in a variety of inpatient and ambulatory settings in the Yale New Haven Health System. As the clinical expert, the scope of practice...
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Outpatient Coder Specialist
3 weeks ago
New Haven, Connecticut, United States Yale New Haven Health Full timeJob SummaryWe are seeking a skilled Outpatient Coder Specialist to join our team at Yale New Haven Health. As a key member of our coding team, you will be responsible for reviewing medical record documentation and performing a variety of coding-related activities in complex outpatient coding service lines.Key ResponsibilitiesReview medical record...
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Medical Records Specialist II
3 weeks ago
New Haven, Connecticut, United States Yale New Haven Health Full timeJob SummaryWe are seeking a highly skilled and detail-oriented Medical Records Specialist II to join our team at Yale New Haven Health. As a key member of our Health Information Management department, you will play a critical role in ensuring the timely and accurate release of patient information.Key ResponsibilitiesProcess and fulfill medical information...
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Senior Legal Assistant
4 weeks ago
New Haven, Connecticut, United States Law Offices of Patricia A Cofrancesco Full timeJob SummaryWe are seeking a highly organized and detail-oriented Paralegal to join our legal team. The ideal candidate will have a strong background in legal research, litigation support, and administrative tasks within a law office setting.Key Responsibilities:Assist attorneys in advancing personal injury, social security disability, employment, civil...
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Inventory Management Specialist
4 weeks ago
New Haven, Connecticut, United States Walgreens Full timeJob Description:As an Inventory Specialist at Walgreens, you will be responsible for executing, monitoring, and training inventory best practices and standard operating procedures for the entire store. This includes both front-end and pharmacy operations. You will support pharmacy inventory management activities, including receiving, counting, ordering, and...
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Patient Accounting Specialist
4 weeks ago
New Haven, Connecticut, United States Cornell Scott Hill Health Corporation Full timeThe Patient Accounting Specialist at Cornell Scott Hill Health Corporation is responsible for accurately verifying, creating and maintaining patient accounts in the billing and other carrier computers, ensuring HIPAA rules and regulations are followed.The ideal candidate will assess patient and guarantor needs for financial or other assistance to facilitate...
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Maintenance Specialist
4 weeks ago
New Haven, Connecticut, United States Aerotek Full timeJob SummaryWe are seeking a skilled Maintenance Specialist to join our team at Aerotek. As a key member of our maintenance team, you will be responsible for ensuring the smooth operation of our plant equipment and machinery.Key Responsibilities:Perform routine maintenance and repairs on plant equipment and machineryIdentify and troubleshoot equipment issues...
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Senior Payer Enrollment Specialist
3 weeks ago
New Haven, Connecticut, United States Privia Health Full timePayer Enrollment Process ExpertPrivia Health is seeking a highly skilled Payer Enrollment Process Expert to join our team. As a key member of our implementation team, you will be responsible for the athena payor enrollment process, including EDI, ERA, EFT payer registration, and working with clients to update PECOS and Medicaid accounts as needed.Key...
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Shelter Social Worker
4 weeks ago
New Haven, Connecticut, United States New Reach Full timeJob Title: Shelter Social WorkerCompany Overview:New Reach is a leading organization in Connecticut, dedicated to addressing the homelessness and housing insecurity crises. We aim to shift the paradigm by focusing on prevention and long-term stability for individuals and families. Our vision is a world where the need for shelter is minimal, and people can...