Grievance/Appeals Representative II - Rocky Hill, CT

This role enables associates to work virtually full-time. · The Grievance/Appeals Representative II is responsible for reviewing policies related to claims events.Conducts investigation and review of customer grievances;Contact customers to gather information; · Generates written ...

The Grievance/Appeals Representative II is responsible for reviewing and processing policies related to claims events. · Conducts investigation and review of customer grievances and appeals involving provision of service and benefit coverage issues. · Contacts customers to gather ...

The Quality Assurance Auditor is responsible for performing Internal Quality Assurance Audits of Operational processes for internal employees and outsourced vendors to ensure compliance with policies, procedures and quality standards. · ...

The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. · Advises executives to develop functional stra ...

The Provider Appeals Representative is responsible for the timely review and resolution of post claim review provider appeals. · ...

The Provider Appeals Representative is responsible for the timely review and resolution of post claim review provider appeals. Works with other HNE departments to effect changes to HNE policies.Location: Monarch Place, Springfield MA – Commutable Remote MA/CT onlySchedule: Monday ...

We are seeking a Revenue Cycle Claims Specialist to join our team at Women's Health Connecticut. · As a key member of our revenue cycle team, you will be responsible for resolving insurance claims processed incorrectly and/or rejected within specific insurance carriers. · Serves ...

The State of Connecticut, Division of Criminal Justice (DCJ) is recruiting for a full-time DCJ Human Resources Specialist to assist the HR Director with day-to-day operations in Rocky Hill, CT. The position involves performing a range of complex professional and technical duties ...

The Resident Care Director is responsible for coordinating resident care to ensure residents remain independent in the community.He/she assists residents and their families in maintaining physical, psychosocial, and emotional well-being. · He/she acts as a liaison with healthcare ...

The State of Connecticut Department of Motor Vehicles (DMV) is seeking qualified applicants to fill a full-time Staff Attorney 2 position within the DMV's Legal Services Division. · Position Details: · Full-time,40 hours/week, · Mondays-Fridays from 8:00 A.M.-4:30 P.M., occasiona ...

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Sed sit amet nulla auctor, vestibulum magna sed, convallis ex. · Promote the mission and core values of the Residence and LCB Senior Living to residents, visitors, co- workers and the surrounding community. · ...

The State of Connecticut Department of Motor Vehicles is seeking a qualified applicant to fill a full-time Staff Attorney 2 position. · What We Can Offer You: Professional growth and development opportunities, · a healthy work/life balance to all employees, · visit our new State ...

The State of Connecticut Department of Motor Vehicles (DMV) is seeking qualified applicants to fill a full-time Staff Attorney 2 position within the DMV's Legal Services Division. · The selected candidate will assist with Driving Under the Influence matters handled by the DMV, · ...

The State of Connecticut Department of Motor Vehicles (DMV) is seeking qualified applicants to fill a full-time Staff Attorney 2 position within the DMV's Legal Services Division.The selected candidate will assist with Driving Under the Influence matters handled by the DMV, which ...

The State of Connecticut Department of Motor Vehicles (DMV) is seeking qualified applicants to fill a full-time Staff Attorney 2 position within the DMV's Legal Services Division. · Performs advanced and complex legal work of an agency; · ...

Build your billing career hybrid or remotely on a four-day schedule. · ...

The District Sales Manager is responsible for delivering a fantastic experience for customers and associates while achieving the financial results. · Bachelor's degree in Business, or equivalent experience · Valid state driver's license and automotive insurance. · ...

The primary responsibility of the State Service Officer includes representing veterans and eligible family members in the VA Claims process from initial claims development up to and including the Board of Veterans Appeals. · Processes inquiries from the Veteran community concerni ...

To deliver a great customer experience while pricing, stocking and rotation of merchandise in the Floral Department; to maintain a neat, clean and visually appealing department and to perform other tasks as required in a safe and efficient manner, within Company policy. · ...

The Department Service Officer performs duties and activities set forth by the VFW, implementing National Veterans Policy and Procedure. They manage areas of responsibilities in providing professional veterans representation for Federal, State, and Local government entitlements. ...