Bilingual Medical Claims Processor / Medical Claims Specialist Location: Glastonbury, CT 06033 (On ... Monitor workflow, manage call logs, and support team productivity * Assist high-utilization clients ...
Quick apply
Bilingual Medical Claims Processor / Medical Claims Specialist Location: Glastonbury, CT 06033 (On ... Monitor workflow, manage call logs, and support team productivity * Assist high-utilization clients ...
Quick apply
Bilingual Medical Claims Processor / Medical Claims Specialist Location: Glastonbury, CT 06033 (On ... Monitor workflow, manage call logs, and support team productivity * Assist high-utilization clients ...
Hartford, CT · Hybrid
$18 - $24.25/hr
Lead and manage Process Analysts to ensure operational policies and procedures are current and to ... Partner with the AVP, Claims Strategy and Innovation, and Stop Loss Claims Management to ensure ...
Hartford, CT · Hybrid
$18 - $24.25/hr
Lead and manage Process Analysts to ensure operational policies and procedures are current and to ... Partner with the AVP, Claims Strategy and Innovation, and Stop Loss Claims Management to ensure ...
Hartford, CT · Hybrid
$18 - $24.25/hr
Lead and manage Process Analysts to ensure operational policies and procedures are current and to ... Partner with the AVP, Claims Strategy and Innovation, and Stop Loss Claims Management to ensure ...
Hartford, CT · Hybrid
$18 - $24.25/hr
Lead and manage Process Analysts to ensure operational policies and procedures are current and to ... Partner with the AVP, Claims Strategy and Innovation, and Stop Loss Claims Management to ensure ...
Glastonbury, CT · On-site +1
$23.25 - $32/hr
Expert understanding of workers compensation or disability claims management, strategies, resolution techniques and adjusting. * Technical/administrative capability to adjust lost time, utilizing the ...
Glastonbury, CT · On-site +1
$23.25 - $32/hr
Expert understanding of workers compensation or disability claims management, strategies, resolution techniques and adjusting. * Technical/administrative capability to adjust lost time, utilizing the ...
Hartford, CT · On-site
Consultant Claims - CH08CE We're determined to make a difference and are proud to be an insurance ... Claim File Management Plan and execute comprehensive claim strategies-including investigation ...
Hartford, CT · On-site
Consultant Claims - CH08CE We're determined to make a difference and are proud to be an insurance ... Claim File Management Plan and execute comprehensive claim strategies-including investigation ...
Hartford, CT · On-site +1
Consultant Claims - CH08CE We're determined to make a difference and are proud to be an insurance ... Claim File Management Plan and execute comprehensive claim strategies-including investigation ...
Hartford, CT · On-site +1
Consultant Claims - CH08CE We're determined to make a difference and are proud to be an insurance ... Claim File Management Plan and execute comprehensive claim strategies-including investigation ...
Hartford, CT · On-site
Proactively and promptly manage claims, considering all aspects with a strategic vision for optimal claim outcome. * Continually evaluate claims to set appropriate, timely reserves over the life of ...
Hartford, CT · On-site
Proactively and promptly manage claims, considering all aspects with a strategic vision for optimal claim outcome. * Continually evaluate claims to set appropriate, timely reserves over the life of ...
$131K - $177K/yr
Responsibilities Actively manage litigated and non-litigated claims consistent with Arch claim and litigation management guidelines Communicate with all key claim stakeholders, including insureds and ...
$131K - $177K/yr
Responsibilities Actively manage litigated and non-litigated claims consistent with Arch claim and litigation management guidelines Communicate with all key claim stakeholders, including insureds and ...
Hartford, CT · On-site
$131K - $177K/yr
Responsibilities Actively manage litigated and non-litigated claims consistent with Arch claim and litigation management guidelines Communicate with all key claim stakeholders, including insureds and ...
Hartford, CT · On-site
$131K - $177K/yr
Responsibilities Actively manage litigated and non-litigated claims consistent with Arch claim and litigation management guidelines Communicate with all key claim stakeholders, including insureds and ...
Manages an inventory of claims to evaluate compensability/liability. * Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources. * Plans and ...
Manages an inventory of claims to evaluate compensability/liability. * Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources. * Plans and ...
Hartford, CT · On-site
$79K - $124K/yr
In this role, the responsibilities include actively managing commercial claims for medium severity, and general liability, and auto accounts, as well as the associated excess and umbrella policies ...
Hartford, CT · On-site
$79K - $124K/yr
In this role, the responsibilities include actively managing commercial claims for medium severity, and general liability, and auto accounts, as well as the associated excess and umbrella policies ...
Hartford, CT · On-site
$79K - $124K/yr
In this role, the responsibilities include actively managing commercial claims for medium severity, and general liability, and auto accounts, as well as the associated excess and umbrella policies ...
Hartford, CT · On-site
$79K - $124K/yr
In this role, the responsibilities include actively managing commercial claims for medium severity, and general liability, and auto accounts, as well as the associated excess and umbrella policies ...
Hartford, CT · Hybrid
$170K - $195K/yr
Leads, directs and has full management accountability for Claims staff with an emphasis on talent management and succession planning in accordance with corporate strategic direction * Collaborates ...
Hartford, CT · Hybrid
$170K - $195K/yr
Leads, directs and has full management accountability for Claims staff with an emphasis on talent management and succession planning in accordance with corporate strategic direction * Collaborates ...
Hartford, CT · Hybrid
$170K - $195K/yr
Leads, directs and has full management accountability for Claims staff with an emphasis on talent management and succession planning in accordance with corporate strategic direction * Collaborates ...
Hartford, CT · Hybrid
$170K - $195K/yr
Leads, directs and has full management accountability for Claims staff with an emphasis on talent management and succession planning in accordance with corporate strategic direction * Collaborates ...
Proactively and promptly manage claims, considering all aspects with a strategic vision for optimal claim outcome. * Continually evaluate claims to set appropriate, timely reserves over the life of ...
Proactively and promptly manage claims, considering all aspects with a strategic vision for optimal claim outcome. * Continually evaluate claims to set appropriate, timely reserves over the life of ...
Manage a caseload of primary and excess Lawyers, Real Estate, and Miscellaneous Professional Liability claims of varying levels of severity with moderate supervision. Duties include analyzing loss ...
Manage a caseload of primary and excess Lawyers, Real Estate, and Miscellaneous Professional Liability claims of varying levels of severity with moderate supervision. Duties include analyzing loss ...
Must demonstrate strong time management and customer service skills * Ability to take recorded ... Investigate claims by obtaining recorded statements from insureds, claimants or witnesses; by ...
Must demonstrate strong time management and customer service skills * Ability to take recorded ... Investigate claims by obtaining recorded statements from insureds, claimants or witnesses; by ...
Must demonstrate strong time management and customer service skills * Ability to take recorded ... Investigate claims by obtaining recorded statements from insureds, claimants or witnesses; by ...
Must demonstrate strong time management and customer service skills * Ability to take recorded ... Investigate claims by obtaining recorded statements from insureds, claimants or witnesses; by ...
Responsibilities include, actively managing large exposure and complex general/auto liability claims (primary, umbrella and excess) handled by Third-party Administrators ("TPA's") and supporting Arch ...
Responsibilities include, actively managing large exposure and complex general/auto liability claims (primary, umbrella and excess) handled by Third-party Administrators ("TPA's") and supporting Arch ...
Responsibilities include, actively managing large exposure and complex general/auto liability claims (primary, umbrella and excess) handled by Third-party Administrators ("TPA's") and supporting Arch ...
Responsibilities include, actively managing large exposure and complex general/auto liability claims (primary, umbrella and excess) handled by Third-party Administrators ("TPA's") and supporting Arch ...
$34.9K - $44.3K
4% of jobs
$44.3K - $53.7K
4% of jobs
$53.7K - $63.1K
10% of jobs
$66.7K is the 25th percentile. Wages below this are outliers.
$63.1K - $72.6K
18% of jobs
$72.6K - $82K
12% of jobs
The median wage is $83.6K / yr.
$82K - $91.4K
13% of jobs
$91.4K - $100.8K
14% of jobs
$101.3K is the 75th percentile. Wages above this are outliers.
$100.8K - $110.2K
12% of jobs
$110.2K - $119.7K
7% of jobs
$119.7K - $129.1K
4% of jobs
$129.1K - $138.5K
2% of jobs
$34.9K
$87.6K
$138.5K
| Aspect | Claims Manager | Claims Adjuster |
|---|---|---|
| Credentials | Typically requires a bachelor’s degree, industry certifications (e.g., CPCU), and management experience | Usually requires a high school diploma or bachelor’s degree, with certifications like AIC or CPCU preferred |
| Work Environment | Oversees claims departments, manages teams, and develops policies within insurance companies | Evaluates individual claims, investigates damages, and determines settlement amounts |
| Employer & Industry Usage | Commonly employed in insurance companies, handling claims processes and team management | Found in insurance firms, adjusting claims directly with policyholders and providers |
In summary, Claims Managers oversee the claims process and manage teams, requiring leadership skills and industry certifications. Claims Adjusters focus on evaluating individual claims, investigating damages, and determining payouts. Both roles are essential in the insurance industry but differ in scope and responsibilities.
$24/hr
Full-time
Medical, Dental, Vision, Life, Retirement
Posted 19 days ago
Be an early applicant
Location: Glastonbury, CT 06033 (On-site)
Schedule: Monday–Friday | 11:30 AM – 8:00 PM
Pay Rate: $24.00/hour (Based on experience)
Language Requirement: Bilingual – Spanish & English (Required)
We are seeking a detail-oriented, organized, and compassionate Bilingual Medical Claims Processor / Medical Claims Specialist to join our growing team in Glastonbury, CT.
This role is ideal for a professional who thrives in a fast-paced healthcare environment, demonstrates strong analytical abilities, and is committed to delivering exceptional service to patients, providers, and clients. Fluency in both Spanish and English is required to effectively support our diverse client base.
Process and adjust medical insurance claims in accordance with company policies and industry regulations
Review and interpret Explanation of Benefits (EOBs) and medical terminology
Research, identify, and resolve claim discrepancies, including documentation requests
Respond to inbound calls from clients and medical providers regarding claim status and payments
Place outbound calls to providers and insurance companies to follow up on outstanding claims
Process medical payments and assist with client appeals
Maintain accurate financial records and assist with batch processing
Audit outgoing payments to ensure accuracy and compliance
Monitor workflow, manage call logs, and support team productivity
Assist high-utilization clients and recommend process improvements
Perform additional administrative and operational duties as assigned
Language: Fluent in Spanish and English (Required)
Education: Associate’s degree (A.A. or A.S.) preferred, or equivalent relevant experience
Experience: 2–4 years of experience in medical claims processing, medical billing, or insurance customer service
Technical Skills: Proficiency in Microsoft Office, internet-based systems, and claims management software
Preferred: Experience with medical coding, billing procedures, or insurance claims processing
Strong verbal and written communication skills
Exceptional attention to detail and accuracy
Ability to manage multiple priorities in a high-volume environment
Solid mathematical and analytical skills
High level of professionalism and confidentiality
Ability to work effectively with diverse populations
Team-oriented with a proactive, solution-driven mindset
Medical billing/coding or insurance claims processing certification (Required)
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