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 ...
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 ...
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 ...
Quick apply
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 ...
... specialty insurance claims transformation, operating model design, and business process ... Develop process maps, user stories, acceptance criteria, and fit-gap assessments to support ...
... specialty insurance claims transformation, operating model design, and business process ... Develop process maps, user stories, acceptance criteria, and fit-gap assessments to support ...
Insurance Claims Medical Malpractice - Stratford, CT
Stratford, CT · On-site +1
$100K - $140K/yr
... claims process including receiving and reviewing associated documentation and following up as ... Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal ...
Insurance Claims Medical Malpractice - Stratford, CT
Stratford, CT · On-site +1
$100K - $140K/yr
... claims process including receiving and reviewing associated documentation and following up as ... Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal ...
Insurance Coordinator
Hamden, CT · On-site
$18 - $20/hr
This includes processing claims, verifying insurance coverage, handling patient or client inquiries, and ensuring compliance with relevant regulations. The role requires strong communication skills ...
Insurance Coordinator
Hamden, CT · On-site
$18 - $20/hr
This includes processing claims, verifying insurance coverage, handling patient or client inquiries, and ensuring compliance with relevant regulations. The role requires strong communication skills ...
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Medical Claims Specialist
Waterbury, CT · On-site
$17 - $24/hr
Knowledge of medical billing, claims processing, and insurance procedures * Familiarity with electronic claims submission standards (e.g., ANSI837, HIPAA compliance) * Strong attention to detail and ...
Urgent
Quick apply
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Medical Claims Specialist
Waterbury, CT · On-site
$17 - $24/hr
Knowledge of medical billing, claims processing, and insurance procedures * Familiarity with electronic claims submission standards (e.g., ANSI837, HIPAA compliance) * Strong attention to detail and ...
Urgent
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Medical Claims Specialist
Waterbury, CT · On-site
$17 - $24/hr
Knowledge of medical billing, claims processing, and insurance procedures * Familiarity with electronic claims submission standards (e.g., ANSI837, HIPAA compliance) * Strong attention to detail and ...
Urgent
Quick apply
Be Seen First
Medical Claims Specialist
Waterbury, CT · On-site
$17 - $24/hr
Knowledge of medical billing, claims processing, and insurance procedures * Familiarity with electronic claims submission standards (e.g., ANSI837, HIPAA compliance) * Strong attention to detail and ...
Urgent
Senior Manager, Stop Loss & Health Claims
Hartford, CT · On-site +1
$68K - $102K/yr
... insurance, and healthcare navigation. We have more than 6,400 employees and associates in our ... Optimize Processes: Monitor workflow, implement efficiencies, and ensure prompt, accurate claims ...
Senior Manager, Stop Loss & Health Claims
Hartford, CT · On-site +1
$68K - $102K/yr
... insurance, and healthcare navigation. We have more than 6,400 employees and associates in our ... Optimize Processes: Monitor workflow, implement efficiencies, and ensure prompt, accurate claims ...
Senior Manager, Stop Loss & Health Claims
Hartford, CT · On-site +1
$68K - $102K/yr
... insurance, and healthcare navigation. We have more than 6,400 employees and associates in our ... Optimize Processes: Monitor workflow, implement efficiencies, and ensure prompt, accurate claims ...
Senior Manager, Stop Loss & Health Claims
Hartford, CT · On-site +1
$68K - $102K/yr
... insurance, and healthcare navigation. We have more than 6,400 employees and associates in our ... Optimize Processes: Monitor workflow, implement efficiencies, and ensure prompt, accurate claims ...
Gen Re delivers reinsurance solutions to the Life/Health and Property/Casualty insurance industries ... process improvement. Key Responsibilities Large-Loss, Complex Claims Adjudication * Review ...
Gen Re delivers reinsurance solutions to the Life/Health and Property/Casualty insurance industries ... process improvement. Key Responsibilities Large-Loss, Complex Claims Adjudication * Review ...
Zurich Certified Insurance Apprentice including an Associate Degree with 2 or more years of ... Understanding of the claims adjustment process and ability to determine scope/exposure for losses.
Zurich Certified Insurance Apprentice including an Associate Degree with 2 or more years of ... Understanding of the claims adjustment process and ability to determine scope/exposure for losses.
Zurich Certified Insurance Apprentice including an Associate Degree with 2 or more years of ... Understanding of the claims adjustment process and ability to determine scope/exposure for losses.
Zurich Certified Insurance Apprentice including an Associate Degree with 2 or more years of ... Understanding of the claims adjustment process and ability to determine scope/exposure for losses.
Zurich Certified Insurance Apprentice, including an associate degree and 3 or more years of ... Demonstrates understanding of the reserving process for indemnity and expense in analyzing the ...
Zurich Certified Insurance Apprentice, including an associate degree and 3 or more years of ... Demonstrates understanding of the reserving process for indemnity and expense in analyzing the ...
General Liability Claims Specialist I
Rocky Hill, CT · Hybrid
$49K - $81K/yr
Zurich Certified Insurance Apprentice including an Associate Degree with 2 or more years of ... Understanding of the claims adjustment process and ability to determine scope/exposure for losses.
General Liability Claims Specialist I
Rocky Hill, CT · Hybrid
$49K - $81K/yr
Zurich Certified Insurance Apprentice including an Associate Degree with 2 or more years of ... Understanding of the claims adjustment process and ability to determine scope/exposure for losses.
AVP Applied AI, Claims
Hartford, CT · Hybrid
Insurance and/or Claims domain experience strongly preferred, with demonstrated success driving AI-enabled process transformation. * Bachelor's degree required; Master's or Ph.D. preferred in Machine ...
AVP Applied AI, Claims
Hartford, CT · Hybrid
Insurance and/or Claims domain experience strongly preferred, with demonstrated success driving AI-enabled process transformation. * Bachelor's degree required; Master's or Ph.D. preferred in Machine ...
Claims Technical Director/Senior Claims Specialist-Alternative Markets
Windsor, CT · On-site +1
$100K - $135K/yr
Great American Insurance Group's member companies are subsidiaries of American Financial Group. We ... process. Learn more at *Excludes seasonal employees and interns.
Claims Technical Director/Senior Claims Specialist-Alternative Markets
Windsor, CT · On-site +1
$100K - $135K/yr
Great American Insurance Group's member companies are subsidiaries of American Financial Group. We ... process. Learn more at *Excludes seasonal employees and interns.
AVP Applied AI, Claims
Hartford, CT · On-site +1
Insurance and/or Claims domain experience strongly preferred, with demonstrated success driving AI-enabled process transformation. * Bachelor's degree required; Master's or Ph.D. preferred in Machine ...
AVP Applied AI, Claims
Hartford, CT · On-site +1
Insurance and/or Claims domain experience strongly preferred, with demonstrated success driving AI-enabled process transformation. * Bachelor's degree required; Master's or Ph.D. preferred in Machine ...
The Company Welcome to Munich Re Specialty - North America, a leading specialty insurance provider ... The Senior Claims Specialist will also direct the adjusting and litigation process, strategically ...
The Company Welcome to Munich Re Specialty - North America, a leading specialty insurance provider ... The Senior Claims Specialist will also direct the adjusting and litigation process, strategically ...
Claims Specialist - Connecticut
East Hartford, CT · Remote
$52K - $85K/yr
... process taking into consideration experience, qualifications, and overall fit for the role. The ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...
Claims Specialist - Connecticut
East Hartford, CT · Remote
$52K - $85K/yr
... process taking into consideration experience, qualifications, and overall fit for the role. The ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...
Follow operational policies to analyze, investigate, and resolve BSI recovery claims of varying ... Health Insurance :Employees and their eligible family members - including spouses, domestic ...
Follow operational policies to analyze, investigate, and resolve BSI recovery claims of varying ... Health Insurance :Employees and their eligible family members - including spouses, domestic ...
Insurance Claims Processing information
What is insurance claims processing?
What jobs pay $2000 a day?
How do I become a claims processor?
What are some common challenges faced in insurance claims processing, and how can new team members effectively manage them?
Is a claims processor job in demand?
What is the difference between Insurance Claims Processing vs Insurance Adjuster?
| Aspect | Insurance Claims Processing | Insurance Adjuster |
|---|---|---|
| Credentials | Typically requires a high school diploma or equivalent; certifications like CPCU or AIC are common | Requires a high school diploma; certifications like AIC or state licensing often needed |
| Work Environment | Office-based, processing claims via computer systems | Field and office work, inspecting damages and interviewing claimants |
| Employer & Industry Usage | Insurance companies, third-party administrators | Insurance companies, independent adjusting firms |
| Primary Focus | Reviewing and processing insurance claims efficiently | Assessing damages and determining claim validity and payout |
While both roles are essential in the insurance industry, Insurance Claims Processing focuses on handling and managing claims paperwork, whereas Insurance Adjusters evaluate damages and determine claim settlements. Understanding these differences helps job seekers identify the right career path within the insurance sector.
What are the key skills and qualifications needed to thrive in Insurance Claims Processing, and why are they important?

$24/hr
Full-time
Medical, Dental, Vision, Life, Retirement
Posted 15 days ago
Job description
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)
Position Overview
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.
Key Responsibilities
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Process and adjust medical insurance claims in accordance with company policies and industry regulations
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Review and interpret Explanation of Benefits (EOBs) and medical terminology
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Research, identify, and resolve claim discrepancies, including documentation requests
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Respond to inbound calls from clients and medical providers regarding claim status and payments
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Place outbound calls to providers and insurance companies to follow up on outstanding claims
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Process medical payments and assist with client appeals
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Maintain accurate financial records and assist with batch processing
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Audit outgoing payments to ensure accuracy and compliance
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Monitor workflow, manage call logs, and support team productivity
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Assist high-utilization clients and recommend process improvements
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Perform additional administrative and operational duties as assigned
Qualifications
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Language: Fluent in Spanish and English (Required)
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Education: Associate’s degree (A.A. or A.S.) preferred, or equivalent relevant experience
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Experience: 2–4 years of experience in medical claims processing, medical billing, or insurance customer service
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Technical Skills: Proficiency in Microsoft Office, internet-based systems, and claims management software
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Preferred: Experience with medical coding, billing procedures, or insurance claims processing
Skills & Competencies
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Strong verbal and written communication skills
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Exceptional attention to detail and accuracy
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Ability to manage multiple priorities in a high-volume environment
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Solid mathematical and analytical skills
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High level of professionalism and confidentiality
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Ability to work effectively with diverse populations
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Team-oriented with a proactive, solution-driven mindset
Certifications
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Medical billing/coding or insurance claims processing certification (Required)
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