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Claims Operations Jobs in Connecticut (NOW HIRING)

Mgr, Claims Operations

Windsor, CT · Remote

$90K - $120K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Principal Duties & Responsibilities • Manages the daily operations of the Claims business unit; manages employees and operations of the business unit at the functional level; gathers and analyzes ...

Mgr, Claims Operations; Hybrid - Windsor, CT

Windsor, CT · On-site

$90K - $120K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Principal Duties & Responsibilities • Manages the daily operations of the Claims business unit; manages employees and operations of the business unit at the functional level; gathers and analyzes ...

Director, Ocean Marine Claims

Hartford, CT

$131K - $177K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... operations concepts and working knowledge of insurance claims operations in the area of commercial Ocean Marine claims, including direct experience handling hull and marine liability claims and ...

Director, Ocean Marine Claims

Hartford, CT · On-site

$131K - $177K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... operations concepts and working knowledge of insurance claims operations in the area of commercial Ocean Marine claims, including direct experience handling hull and marine liability claims and ...

... Claims operation • Create the Claims annual operational goals, objectives and budget • Directly manage first and third-party claims, as necessary • Supervise, audit and analyze the ...

... operational goals, objectives and budget Directly manage first and third-party claims, as necessary Supervise, audit and analyze the effectiveness of panel counsel to assure compliance with agreed ...

... Claims operation • Create the Claims annual operational goals, objectives and budget • Directly manage first and third-party claims, as necessary • Supervise, audit and analyze the ...

Quality Enablement, Senior Manager

Glastonbury, CT · Remote

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

This position partners closely with Operations, Claims, Training, IT, Marketing, Customer Insights, and vendor partners to improve quality outcomes, strengthen governance, and translate quality data ...

Posted today

... Claims, Operations in Medicaid, Medicare, or Commercial business domain experience. Experience driving UAT, stakeholder engagement, and cross-functional delivery. Able to demo the Salesforce ...

New

Salesforce - Health Cloud

Hartford, CT

$56 - $74.25/hr

Experience with Salesforce DevOps and CI/CD tools (Git, AutoRABIT/Copado, Salesforce CLI). Strong healthcare payer/provider domain knowledge, including claims, case management, or workflow automation.

Key Responsibilities • Lead the design, development, and delivery of Health Cloud and Service Cloud solutions supporting claims workflow and operational transformation. • Architect scalable ...

With operations in 54 countries, Chubb provides commercial and personal property and casualty ... claims handling expertise and local operations globally. At Chubb, we are committed to equal ...

With operations in 54 countries, Chubb provides commercial and personal property and casualty ... claims handling expertise and local operations globally. At Chubb, we are committed to equal ...

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Claims Operations information

Is claims processing a stressful job?

Claims processing is a core part of claims operations and can be stressful due to tight deadlines, high workload, and the need for accuracy. Employees often handle complex cases and use specialized software, which requires attention to detail and strong organizational skills.

What are some common challenges faced in a claims operations role and how can they be managed?

Professionals in Claims Operations often encounter challenges such as managing high volumes of claims, ensuring accuracy under tight deadlines, and navigating complex regulatory requirements. To manage these effectively, strong organizational skills, attention to detail, and familiarity with claims processing software are essential. Many teams use workflow automation and regular training sessions to stay updated on procedures and compliance standards, which helps streamline operations and reduce errors. Building strong communication skills also aids in collaborating with adjusters, underwriters, and customers to resolve issues efficiently.

What is the difference between Claims Operations vs Claims Adjuster?

AspectClaims OperationsClaims Adjuster
Primary RoleOversees claims processing, manages teams, and ensures compliance across claims functions.Evaluates individual claims, investigates damages, and determines settlement amounts.
Required CredentialsTypically requires claims handling certifications, insurance licenses, and management experience.Requires adjuster licenses, claims handling certifications, and knowledge of insurance policies.
Work EnvironmentOffice-based, team management, and coordination with various departments.Fieldwork and office work, direct interaction with claimants and vendors.
Industry UsageCommonly used in insurance companies for claims processing departments.Used by insurance carriers for claim evaluation and settlement.

Claims Operations focuses on managing the overall claims process and team coordination, while Claims Adjusters handle individual claim evaluations and settlements. Both roles require insurance-related certifications and are integral to the insurance industry, but they differ in scope and daily responsibilities.

What is claims operations?

Claims Operations refers to the processes and teams responsible for handling, processing, and managing insurance claims from start to finish. This includes reviewing claims submissions, verifying information, coordinating investigations, and ensuring that claims are settled efficiently and accurately. Claims Operations professionals work to streamline workflows, comply with regulations, and deliver a positive experience for policyholders. Their role is essential in preventing fraud, reducing costs, and maintaining customer satisfaction within an insurance company.

What are the key skills and qualifications needed to thrive in claims operations?

To thrive in Claims Operations, you need strong analytical abilities, attention to detail, and a background in insurance, finance, or a related field. Familiarity with claims management systems, regulatory compliance tools, and industry certifications such as AIC (Associate in Claims) is often required. Excellent communication, problem-solving skills, and adaptability help professionals handle complex claims and interact effectively with clients and stakeholders. These competencies are crucial for ensuring accurate, timely claims processing and maintaining customer satisfaction.

What are the most commonly searched types of Claims Operations jobs in Connecticut?

The most popular types of Claims Operations jobs in Connecticut are:

What job categories do people searching Claims Operations jobs in Connecticut look for?

The top searched job categories for Claims Operations jobs in Connecticut are:

Infographic showing various Claims Operations job openings in Connecticut as of August 2026, with employment types broken down into 85% Full Time, 12% Part Time, 1% Temporary, and 2% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution.

Mgr, Claims Operations

Aflac, Incorporated

Windsor, CT • Remote

$90K - $120K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 14 days ago


Aflac rating

7.2

Company rating: 7.2 out of 10

Based on 37 frontline employees who took The Breakroom Quiz

245th of 307 rated insurance


Job description

Salary Range: $90,000 to $120,000

Job Posting End Date: August 27, 2026

We’ve Got You Under Our Wing

We are the duck. We develop and empower our people, cultivate relationships, give back to our community, and celebrate every success along the way. We do it all…The Aflac Way.

Aflac, a Fortune 500 company, is an industry leader in voluntary insurance products that pay cash directly to policyholders and one of America's best-known brands. Aflac has been recognized as Fortune’s 50 Best Workplaces for Diversity and as one of World’s Most Ethical Companies by Ethisphere.com.

Our business is about being there for people in need. So, ask yourself, are you the duck? If so, there’s a home, and a flourishing career for you at Aflac.

Worker Designation – This role is a remote role. This means you will be expected to work from your home, within the continental US. If the role is remote, there may be occasions that you are requested to come to the office based on business need. Any requests to come to the office would be communicated with you in advance.

What does it take to be successful at Aflac?

  • Acting with Integrity
  • Communicating Effectively
  • Pursuing Self-Development
  • Serving Customers
  • Supporting Change
  • Supporting Organizational Goals
  • Working with Diverse Populations
  • Acting as a Champion for Change 
  • Demonstrating Initiative 
  • Developing Talent
  • Managing Performance 

What does it take to be successful in this role?

• Broad knowledge of production management concepts, operating principles, and operational management methodology applicable to claims processing; a high degree of skill in applying this knowledge to the analysis and resolution of very complex or sensitive claims operational issues; ability to apply new developments and methodologies to direct the improvement in efficiencies

• Broad knowledge of federal, state, and local regulatory and industry requirements, standard concepts, practices, and procedures as they relate to the insurance industry and claims processing

• Knowledge of budgeting and expense control to plan, implement, and maximize expenditure of funds while maintaining and improving quality standards

• Knowledge of employee relations to conduct and deal with employee issues in a proactive manner

Education & Experience Required

  • Bachelor's Degree In Health Administration, Business, or a related field.
  • 6 years of job-related work experience.
  • 4 years in a leadership/senior/supervisory capacity.

Or an equivalent combination of education and experience

 

Education & Experience Preferred

  • Claims administration, or experience in a related field or industry.
  • Insurance or other industry designations.

Principal Duties & Responsibilities

• Manages the daily operations of the Claims business unit; manages employees and operations of the business unit at the functional level; gathers and analyzes data and reports that pertain to the overall operation of the Claims business unit and completes reports summarizing activities and trends; assists in strategic and tactical operational plans to ensure achievement of company and departmental goals; performs independent review of problem situations; develops solutions and implements actions to resolve problems and ensure customer satisfaction; reviews processes and procedures to streamline activities to enhance service turnaround time, productivity, and quality; coordinates overall workflow of the business unit and ensures that workflow processes facilitate effective and efficient use of corporate resources and enhance customer satisfaction

• Directs efforts to implement risk management and quality improvement initiatives; facilitates calibration sessions; uses methods such as work process studies, statistical analysis, and assessments of production area performance to establish adherence to quality standards/scorecards; remains abreast of industry trends and technology changes; incorporates best practices in the development of quality standards, policies, programs, and system changes for the department; ensures that claims are processed according to appropriate risk selection principles

• Coordinates and monitors training efforts to ensure that necessary education tools are provided to employees; identifies and communicates training needs and schedules with training department; projects staffing requirements for the business unit; guides supervisors in coaching and counseling employees; coordinates employee development and incentive initiatives

• Identifies, analyzes, and monitors business technology requirements and enhancement possibilities; recommends viable technological solutions, modifications, and applications; prepares recommendations for implementation of initiatives; takes a leadership role in managing assigned initiatives; participates in and supports companywide initiatives through Quality Circles, Focus Groups, or other project initiatives

• Monitors and controls operating expenses to ensure that corporate/divisional financial goals are met; provides input into the annual business unit budget; reviews legal files and coordinates with counsel to prepare for depositions and court hearings

• Performs other related duties as required

Total Rewards

The salary range for this job is $90,000 to $120,000. This range is specific to the job and salary offers consider a wide range of factors that are considered in making compensation decisions, including, but not limited to: education, experience, licensure, certifications, geographic location, and peer compensation. The range has been created in good faith based on information known to Aflac at the time of the posting.

 

At Aflac, it is not typical for an individual to be hired at or near the top of the range for the role to allow for future and continued salary growth, and compensation decisions are dependent on the circumstances of each case. This salary range does not include any potential incentive pay or benefits, however, such information will be provided separately when appropriate.

 

In addition to the base salary, we offer an array of benefits to meet your needs including medical, dental, and vision coverage, prescription drug coverage, health care flexible spending, dependent care flexible spending, Aflac supplemental policies (Accident, Cancer, Critical Illness and Hospital Indemnity offered at no costs to employee), 401(k) plans, annual bonuses, and an opportunity to purchase company stock.  On an annual basis, you’ll also be offered 11 paid holidays, up to 20 days PTO to be used for any reason, and, if eligible, state-mandated sick leave (Washington employees accrue 1-hour sick leave for every 40 hours worked) and other leaves of absence, if eligible, when needed to support your physical, financial, and emotional well-being. Aflac complies with all applicable leave laws, including, but not limited to, sick and safe leave, and adoption and parental leave, in all states and localities.


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