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4 results for Claims Processor Healthcare in New Haven, CT

Operations Processor

Winsted, CT
onsite
Temporary
22.1635 - 25.663 USD / Hourly
Our client in Winsted, CT is seeking a detail-oriented Operations Processor for a contract role. This is an excellent opportunity to join a dynamic organization, supporting core financial operations in a fast-paced environment.Key Responsibilities:<ul><li>Accurately process transactions such as deposits, withdrawals, and fund transfers.</li><li>Monitor account activity and reconcile accounts to ensure accuracy.</li><li>Identify and resolve discrepancies, escalating issues as needed.</li><li>Maintain account records in compliance with company policies and procedures.</li><li>Assist with other operational and administrative tasks as assigned.</li></ul>
2026-04-07T00:00:00Z

Claims Examiner

New Haven, CT
onsite
Temporary
31 - 31 USD / Hourly
Title: Workers’ Compensation Claim ExaminerLocation: New Haven, CT 06511‑5941, United StatesExperience Required:<ul><li>3+ years of Workers’ Compensation Claim Examiner experience or commensurate transferable experience</li><li>Direct workers’ compensation experience is preferred but not required, provided transferable claims skills are present</li></ul>Key Duties & Responsibilities<ul><li>Handle all aspects of workers’ compensation claims from inception to closure while maintaining strong customer relations.</li><li>Review claim and policy information to establish investigative background.</li><li>Conduct ongoing three‑part investigations, including fact‑finding and statement collection from insureds, claimants, and medical providers.</li><li>Evaluate investigation findings to determine claim compensability.</li><li>Notify insureds, claimants, and attorneys of claim denials when applicable.</li><li>Prepare investigative reports, settlements, denials, and evaluations of involved parties.</li><li>Administer statutory medical and/or indemnity benefits accurately and timely throughout the life of the claim.</li><li>Set medical, indemnity, and expense reserves within authority limits and recommend reserve changes to the Team Leader as needed.</li><li>Perform regular claim reviews and recommend corrective or remedial actions to address issues.</li><li>Identify and escalate unusual or potentially adverse exposures to leadership.</li></ul>Experience & Education Requirements<ul><li>Experience working in a fast‑paced, customer‑focused environment.</li><li>Strong verbal, written, and telephonic communication skills.</li><li>Prior roles requiring high levels of organization, follow‑up, and accountability.</li><li>Workers’ compensation claim handling experience preferred but not required.</li><li>Familiarity with healthcare claims, disability claims, auto/PIP, medical injury, general liability, or medical billing is a plus.</li><li>Prior insurance, legal, or corporate business experience is a plus.</li><li>AIC, RMA, or CPCU coursework or designations are a plus.</li><li>Proficiency with Microsoft Office products.</li><li>Knowledge of medical terminology and bill processing is a plus.</li></ul>Licensing RequirementsClaim Adjuster licenses in Connecticut, New Hampshire, Rhode Island, and Vermont are required but not necessary at the time of posting.If not currently licensed, the selected candidate will be required to obtain an applicable resident or designated home‑state adjuster license and any required additional state licenses
2026-04-07T00:00:00Z

Claims Examiner

New Haven, CT
onsite
Temporary
32 - 35 USD / Hourly
We are seeking a detail-oriented Claims Examiner to join a fast-paced, customer-focused environment. This is a temporary, fully on-site opportunity where the Claims Examiner will manage claims from intake through resolution, ensuring accuracy, compliance, and excellent service throughout the lifecycle of each case.Key Details<ul><li>Service Type: Temporary to hire</li><li>Schedule: 5 days on-site</li><li>Hours: 8:30 AM – 5:00 PM EST</li><li>Location: New Haven, CT</li></ul>Responsibilities<ul><li>Manage workers’ compensation claims from setup through closure</li><li>Review claim and policy information to support investigations</li><li>Conduct thorough investigations, including gathering statements from claimants, insured parties, and medical providers</li><li>Determine claim compensability based on collected facts</li><li>Communicate claim decisions, including denials, to relevant stakeholders</li><li>Prepare detailed reports on investigations, settlements, and claim evaluations</li><li>Administer statutory medical and indemnity benefits in a timely manner</li><li>Set and adjust reserves within authority limits and recommend changes as needed</li><li>Monitor claim progress and recommend corrective actions to leadership</li><li>Coordinate with attorneys on hearings and litigation</li><li>Direct vendors such as nurse case managers and rehabilitation specialists</li><li>Ensure compliance with customer service standards and regulatory requirements</li><li>File necessary documentation with state agencies</li><li>Identify subrogation opportunities and support recovery efforts</li><li>Collaborate with internal teams to deliver high-quality claims handling</li></ul>
2026-04-07T00:00:00Z

Medical Biller/Collections Specialist

Bridgeport, CT
onsite
Temporary
22.8 - 26.4 USD / Hourly
We are looking for an experienced Medical Biller/Collections Specialist to join our team on a contract basis in Bridgeport, Connecticut. This role focuses on managing accounts receivable functions, ensuring accurate record-keeping, and overseeing payment processes. If you have strong organizational skills and experience in medical billing, this position offers an excellent opportunity to contribute to the financial operations of a healthcare setting. Responsibilities: • Oversee accounts receivable activities, including managing payment records and ensuring accuracy. • Process and reconcile cash receipts efficiently while maintaining up-to-date financial records. • Conduct follow-up inquiries on outstanding payments to ensure timely resolution. • Prepare and review month-end financial reports to maintain balanced accounts. • Perform data entry tasks with precision to update patient and billing information. • Utilize Epic systems for hospital billing processes and data management. • Apply medical terminology knowledge to ensure proper billing and coding. • Provide exceptional customer care by addressing billing inquiries and resolving issues. • Collaborate with other departments to streamline billing operations and optimize workflows. • Maintain compliance with healthcare regulations and practices in all billing activities.
2026-04-13T00:00:00Z