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3 results for Insurance Verification Specialist in New Haven, CT

Credentialing Specialist

Plainview, NY
remote
Temporary / Contract
23.75 - 25 USD / Hourly
We are looking for a detail-oriented Credentialing Specialist to support provider enrollment and credential maintenance for medical practitioners. This is a remote Credentialing Specialist contract position focused on ensuring practitioners meet organizational, payer, and regulatory standards through accurate documentation and timely follow-up. The ideal Credentialing Specialist candidate will bring healthcare credentialing experience, strong organizational skills, and the ability to manage multiple priorities in a web-based environment. Here’s how you’ll contribute each day: • Manage practitioner onboarding and ongoing credential reviews, including new submissions, renewals, and periodic reappointments.• Examine licenses, certifications, education records, training details, and employment history to confirm accuracy and completeness.• Maintain up-to-date provider files within a secure online credentialing platform and ensure documentation is properly recorded.• Partner with physicians, providers, and practice leadership to collect missing materials and address inconsistencies in submitted information.• Track application progress and follow through on outstanding items to keep credentialing activities aligned with required timelines.• Apply current healthcare regulations and accreditation expectations when evaluating provider records and processing documentation.• Prepare routine updates and status summaries for leadership and compliance stakeholders.• Serve as a knowledgeable resource for credentialing-related questions across multiple practice locations.
2026-04-24T00:00:00Z

Claims Examiner

New Haven, CT
onsite
Temporary / Contract
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 / Contract
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>
2026-04-21T00:00:00Z