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Associate In Claims Jobs in Enfield, CT (NOW HIRING)

IFG Companies

Claim Assistant

Hartford, CT · On-site

$50K - $52K/yr

The role of a CA is to assist in the claims process, which can include tasks such as data entry ... Training in the new loss set up process by Claim Associate. * Assisting with gathering information ...

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Associate In Claims information

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$13

$21

$30

How much do associate in claims jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for associate in claims in Enfield, CT is $21.29, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.41 per hour, depending on experience, location, and employer.

Is being an Associate In Claims hard?

Being an Associate In Claims can be challenging as it requires strong attention to detail, good communication skills, and the ability to analyze insurance policies and claims. The role often involves handling complex cases, working under deadlines, and using claims management software, which can be demanding for some individuals.

What skills and qualifications are needed to thrive as an associate in claims?

To thrive as an Associate In Claims, you need a solid understanding of insurance principles, claim investigation, and policy analysis, often supported by an AIC designation or similar qualification. Familiarity with claims management systems, documentation tools, and relevant regulatory software is typically required. Strong analytical thinking, negotiation, and customer service skills help you resolve claims efficiently and build trust with policyholders. These competencies are essential for accurate claim handling, regulatory compliance, and maintaining company reputation.

What is an associate in claims?

An Associate in Claims (AIC) is a professional designation awarded by The Institutes to individuals who have demonstrated expertise in handling insurance claims. The designation is achieved by completing a series of courses and exams focused on claims investigation, evaluation, negotiation, and settlement. Earning an AIC can enhance a claims professional's knowledge, credibility, and career advancement opportunities within the insurance industry.

What are common challenges faced by an associate in claims, and how can they be overcome?

Associates in Claims often encounter challenges such as handling high volumes of claims, managing tight deadlines, and communicating effectively with policyholders who may be upset or stressed. To overcome these challenges, strong organizational skills and the ability to prioritize tasks are essential. Additionally, developing effective communication and conflict resolution techniques helps build trust with clients and resolve disputes more efficiently. Regular collaboration with senior adjusters and ongoing training can also support professional growth and improve problem-solving abilities.

How much do associates in claims make in the US?

Associates in claims typically earn an average annual salary of around $45,000 to $55,000 in the US, depending on experience, location, and employer. Entry-level positions may start lower, while experienced claims associates or those with specialized skills can earn higher wages.

What is the difference between Associate In Claims vs Claims Adjuster?

AspectAssociate In ClaimsClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may require insurance licenses or certificationsHigh school diploma; licensing often required depending on state and claim type
Work EnvironmentOffice setting, administrative tasks, team collaborationField or office; inspecting damages, interviewing claimants, assessing damages
Industry UsageInsurance companies, claims departmentsInsurance companies, third-party claims firms
Common Search/ComparisonAssociate In Claims vs Claims Adjuster

The main difference between Associate In Claims and Claims Adjuster lies in their roles and responsibilities. An Associate In Claims typically supports claims processing, handles administrative tasks, and may be in training or entry-level positions. Claims Adjusters, on the other hand, actively investigate and evaluate claims, often inspecting damages and negotiating settlements. Both roles require similar credentials and work within insurance environments, but Claims Adjusters have more direct involvement in claim resolution.

What are popular job titles related to Associate In Claims jobs in Enfield, CT? For Associate In Claims jobs in Enfield, CT, the most frequently searched job titles are:
What job categories do people searching Associate In Claims jobs in Enfield, CT look for? The top searched job categories for Associate In Claims jobs in Enfield, CT are:
Associate In Claims jobs near you
Infographic showing various Associate In Claims job openings in Enfield, CT as of August 2026, with employment types broken down into 1% As Needed, 66% Full Time, 30% Part Time, 1% Temporary, and 2% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $44,286 per year, or $21.3 per hour.

Pharmacy Claims Adjudication Specialist

Onco360

Hartford, CT • On-site

$26/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 23 days ago

Onco360 rating

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

20th of 112 rated pharmacies

Job description

We are seeking a Pharmacy Adjudication Specialist for our Specialty Oncology pharmacy.
As our company continues to grow, we strive to hire new team members with a passion for making a difference in our patient's lives.
Full-Time position may work remotely but MUST HAVE ACTIVE CONNECTICUT PHARMACY TECHNICIAN credentials from the State Board of Pharmacy.
Shift times between 8am and 8pm.
Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers.
Starting salary from $26.00 an hour and up
Sign-On Bonus: $5,000 for employees starting before August 31, 2026.
We offer a variety of benefits including:
  • Medical; Dental; Vision
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Company paid benefits - life; and short and long-term disability

Pharmacy Adjudication Specialist Major Responsibilities:
The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections
Pharmacy Adjudication Specialists at Onco360...
  • Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests.
  • Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding active claims information..
  • Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information.
  • Adjudicates pharmacy claims for prescriptions in active workflow for primary, secondary, and tertiary pharmacy plans and reviews claim responses for accuracy before accepting the claim.
  • Contacts insurance companies to resolve third-party rejections and ensures pharmacy claim rejections are resolved to allow for timely shipping of medications. Performs outreach calls to patients or providers to reschedule their medication deliveries if claim resolution cannot be completed by ship date and causes shipment delays
  • Ensures copay cards are only applied to claims for eligible patients based on set criteria such as insurance type (Government beneficiaries not eligible)
  • Manages all funding related adjudications and works as a liaison to Onco360 Advocate team.
  • Assists pharmacy team with all management of electronically adjudicated claims to ensure all prescription delivery assessments are reconciled and copay payments are charged prior to shipment.
  • Serves as customer service liaison to patients regarding financial responsibility prior to shipments, contacts patients to communicate any copay discrepancy between quoted amount and claim and collects payment if applicable.
  • Documenst and submit requests for Patient Refunds when appropriate.
  • Maintain a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws.
  • Contributes to team effort by accomplishing related tasks as needed and other duties as assigned.
  • Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.

Pharmacy Adjudication Specialist Qualifications and Responsibilities...
  • Education/Learning Experience
    • Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification, Pharmacy Claims Adjudication
    • Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician, Specialty pharmacy experience
  • Work Experience
    • Required: 2+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience
    • Desired: 3+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience
  • Skills/Knowledge
    • Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills
    • Desired: Knowledge of Foundation Funding, Specialty pharmacy experience
  • Licenses/Certifications
    • Desired: Registration with Board of Pharmacy as required by state law; Certified Pharmacy Technician (PTCB)
  • Behavior Competencies
    • Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skills

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