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Insurance Claims Processing Jobs in Connecticut (NOW HIRING)

E-Solutions

FINEOS Claims

Windsor, CT · On-site

Support modernization initiatives such as cloud adoption, automation, and AI-enabled claims processing where applicable Required Skills & Experience Core FINEOS & Insurance Skills * Strong hands-on ...

Oral Surgery Partners

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 ...

Oral Surgery Partners

Insurance Coordinator

Hamden, CT

$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 ...

Oral Surgery Partners

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 ...

Connecticut Counseling Centers, Inc

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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 ...

Connecticut Counseling Centers, Inc

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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 ...

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Insurance Claims Processing information

Is claims processing a stressful job?

Insurance claims processing can be stressful due to tight deadlines, high workload, and the need for accuracy in evaluating claims. The role often requires strong attention to detail, communication skills, and the ability to handle difficult or emotional situations with claimants. However, workload and stress levels can vary depending on the employer and specific job environment.

What is insurance claims processing?

Insurance claims processing is the procedure by which insurance companies review, investigate, and settle claims made by policyholders. This process involves verifying the details of a claim, ensuring it meets the terms of the policy, and determining the appropriate payout or action. Claims processors handle documentation, communicate with claimants, and may work with other parties like adjusters or healthcare providers. The goal is to ensure claims are resolved efficiently, accurately, and fairly according to policy guidelines.

What are some common challenges faced in insurance claims processing, and how can new team members effectively manage them?

In insurance claims processing, new team members often encounter challenges such as handling high volumes of claims, interpreting complex policy language, and communicating effectively with policyholders and other stakeholders. To manage these challenges, it's important to develop strong organizational skills, stay detail-oriented, and proactively seek clarification when unsure about policy terms or procedures. Collaborating with experienced colleagues and taking advantage of ongoing training opportunities can also help new processors build confidence and efficiency in their daily tasks.

How to get a job as a claims adjuster with no experience?

To become a claims adjuster with no experience, focus on obtaining relevant certifications such as the Property and Casualty (P&C) license, which is often required. Gaining entry-level positions or internships in insurance companies can also help build industry knowledge and skills like communication and attention to detail, increasing your chances of starting a claims adjusting career.

What is the difference between Insurance Claims Processing vs Insurance Adjuster?

AspectInsurance Claims ProcessingInsurance Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are commonRequires a high school diploma; certifications like AIC or state licensing often needed
Work EnvironmentOffice-based, processing claims via computer systemsField and office work, inspecting damages and interviewing claimants
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Primary FocusReviewing and processing insurance claims efficientlyAssessing 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?

To excel in Insurance Claims Processing, you need strong attention to detail, analytical abilities, and a foundational understanding of insurance policies or claims procedures, often supported by a high school diploma or associate degree. Familiarity with claims management software, databases, and sometimes industry certifications like AIC (Associate in Claims) is common. Effective communication, problem-solving skills, and the ability to manage stressful situations make someone stand out in this role. These competencies are critical for ensuring claims are processed accurately, efficiently, and in compliance with regulatory standards.

What does an insurance claims processor do?

An insurance claims processor reviews and evaluates insurance claims to determine coverage and payout amounts. They verify policy details, gather necessary documentation, and ensure claims are processed accurately and efficiently, often using specialized software. Strong attention to detail and knowledge of insurance policies are essential for this role.
What are popular job titles related to Insurance Claims Processing jobs in Connecticut? For Insurance Claims Processing jobs in Connecticut, the most frequently searched job titles are:
What job categories do people searching Insurance Claims Processing jobs in Connecticut look for? The top searched job categories for Insurance Claims Processing jobs in Connecticut are:
Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Connecticut as of June 2026, with employment types broken down into 92% Full Time, and 8% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution.
FINEOS Claims

FINEOS Claims

E-Solutions

Windsor, CT • On-site

Other

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Title: Senior Technical Lead - FINEOS Claims
Location: Windsor, CT
Duration: Longterm Contract
Onsite or Remote both works here
Role Overview
The Senior Technical Lead - FINEOS Claims is responsible for leading the design, development, customization, and integration of FINEOS Claims Management solutions for insurance enterprises. This role combines deep technical expertise in FINEOS, strong understanding of insurance claims domain, and hands-on leadership of onshore/offshore delivery teams.
The role works closely with business stakeholders, architects, QA, and integration teams to deliver scalable, secure, and high-performance claims solutions while supporting modernization, automation, and regulatory compliance initiatives across the claim's lifecycle.
Key Roles & Responsibilities
Technical Leadership & Solution Design
  • Serve as the technical lead and subject-matter expert for FINEOS Claims Management Software, including configuration, customization, and extension
  • Lead solution design and technical architecture for claims implementations, enhancements, and integrations with upstream/downstream systems
  • Review and approve technical designs, code, and configuration changes, ensuring alignment with enterprise architecture standards

FINEOS Claims Implementation & Customization
  • Lead development and configuration across core claims functions such as FNOL, adjudication, payments, subrogation, recoveries, and claim lifecycle management
  • Customize FINEOS using supported frameworks, rules, workflows, and UI components to meet business requirements
  • Support claims automation, straight-through processing (STP), and exception handling use cases aligned with modern claims platforms

Integration & Data Management
  • Design and oversee integration between FINEOS Claims and other insurance systems (Policy Admin, Billing, Payments, Document Management, Data Platforms)
  • Work with APIs, messaging, and batch interfaces to enable real-time and near-real-time data exchange
  • Ensure data quality, reconciliation, and auditability across claims and financial systems

Delivery & Team Leadership
  • Lead and mentor technical teams (developers, configurators, integration specialists) across onshore and offshore models
  • Coordinate with Product Owners, Business Analysts, QA, and DevOps teams to ensure on-time, high-quality delivery
  • Support Agile ceremonies, sprint planning, technical grooming, and release management activities

Quality, Performance & Support
  • Ensure solutions meet non-functional requirements including performance, scalability, availability, and security
  • Support production deployments, post-go-live stabilization, and L3 support for FINEOS Claims platforms
  • Troubleshoot complex production issues and lead root-cause analysis and permanent fixes

Compliance & Best Practices
  • Ensure adherence to insurance regulatory requirements, data privacy, and audit standards
  • Apply best practices for coding standards, documentation, DevOps, and CI/CD pipelines
  • Support modernization initiatives such as cloud adoption, automation, and AI-enabled claims processing where applicable

Required Skills & Experience
Core FINEOS & Insurance Skills
  • Strong hands-on experience with FINEOS Claims Management Software
  • Deep understanding of insurance claims domain, including FNOL, adjudication, payments, recoveries, and claims financials
  • Experience delivering large-scale claims transformation or modernization programs

Technical Skills
  • Strong experience in FINEOS configuration, customization, and extension frameworks
  • Proficiency in Java/.NET (as applicable), REST/SOAP APIs, XML/JSON, SQL
  • Experience with integration patterns, middleware, and event-based processing
  • Familiarity with cloud platforms (Azure/AWS) and DevOps practices is a plus

Leadership & Delivery Skills
  • Proven experience leading technical teams in Agile delivery models
  • Strong problem-solving, troubleshooting, and decision-making abilities
  • Excellent communication skills for interacting with business, technical, and executive stakeholders

Nice-to-Have / Preferred
  • Experience with core insurance ecosystems (Guidewire, Duck Creek, Pega, Document Management, Payment platforms)
  • Exposure to claims analytics, automation, or AI-assisted claims processing
  • Experience in cloud migration or FINEOS upgrades

Success Measures for the Role
  • Stable, scalable, and high-performing FINEOS Claims implementations
  • On-time delivery of releases with minimal production defects
  • Improved claims processing efficiency, accuracy, and compliance
  • High stakeholders and business satisfaction

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