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Insurance Claims Processing Jobs in Connecticut (NOW HIRING)

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 ...

Senior Claims Consultant

West Hartford, CT ยท On-site

$145K - $170K/yr

Strong knowledge of insurance claims processes and the legal/regulatory environment * Proven analytical and decision-making skills within authority limits * Excellent written and verbal communication ...

Bachelor's degree (or equivalent college education) * 10+ years of claims adjudication, claims processing, health insurance, or related experience * Strong attention to detail and organizational ...

Evaluates facts supplied by investigation to determine extent of liability of the insured, if any ... Maintains control of claim's resolution process to minimize current exposure and future risks

Claims Representative, Auto

Hartford, CT ยท On-site

$50K - $55K/yr

Communicates claim action/processing with insured, client, and agent or broker when appropriate ... Performs coverage, liability, and damage analysis on all claims assignments. * Performs other ...

Evaluates facts supplied by investigation to determine extent of liability of the insured, if any ... Maintains control of claim's resolution process to minimize current exposure and future risks

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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:
Infographic showing various Insurance Claims Processing job openings in Connecticut as of July 2026, with employment types broken down into 92% Full Time, 6% Part Time, and 2% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution.
Claims Processor - Insurance

Claims Processor - Insurance

NR Consulting

New Haven, CT โ€ข On-site

Other

Posted 26 days ago


Job description

Job Title: Claims Processor - Insurance
Location: New Haven, CT (Hybrid)
Duration: 6-12 Months
Overview:

Processes death claims for life and annuity products and life riders for all products; terminates policies, creates coverages for secondary insureds upon death of primary insured, calculates value of death benefits and taxable portion if any. Responds to inquiries from agents, clients, or beneficiaries regarding outstanding requirements for pending claims.
Core Responsibilities:
Reviews all documents associated with death claims, ensuring all information matches and is complete; terminates policies
Reviews all policies held by insured to determine beneficiaries
Corresponds with claimants, agents or others to obtain required forms or documentation that have not been submitted; explains procedures, provides guidance, corrects misconceptions and explains problem resolution
Determines death claim benefits based on terms of policy and date of death; calculates payments, including dividends, premiums, loans and date of birth adjustments on death claim proceeds; processes any online accounting in order to adjust the claim values to the date of death; transfers proceeds to appropriate account for reduction of an outstanding loan on other policies or payment of initial premium on new applications; processes funeral assignments and payments to funding companies
Composes correspondence and transmittal letters to beneficiaries regarding benefit amounts and tax consequences; provides documents to department typist for processing
Calculates federal and state withholding amounts based on the taxable portion of the death benefit. Performs manual calculations in case of multiple beneficiaries; processes transfers to other companies, confirm that fraternal death claims meet the required criteria
Calculates paid up coverage amounts on policies that insure more than one client and then creates coverages, through file maintenance, on all surviving insureds; removes coverages on policies when required
May split policy depending on wishes of claimants, converting to new or transferring to other existing policies; sets up settlement options and deferred payment streams; coordinates with New Business as necessary for new applications and policy numbers
Performs other related duties as assigned
Skills Qualifications:
Understanding of life and annuity products
Mathematical skills
Detail oriented; ability to determine and correct errors related to job duties
Communication skills
Customer service skills
Systems/Technical Knowledge:
Ability to enter and review data in Ingenium
Ability to use AWD
Ability to use DCLM system
Ability to use PC and related software, including Microsoft Office
Education Required:
High school diploma
3-5 years of insurance experience with knowledge of tax laws governing payment of death claim