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Remote Risk Adjustment Auditor Jobs in Bloomfield, CT

Private D&O Claim Consultant

Hartford, CT · On-site +1

$122K - $183K/yr

... adjustment * Presenting cases to management for expense or indemnity reserve authority above ... Attend and present at various industry events each year on risk management and claims topics ...

Private D&O Claim Consultant

Hartford, CT · On-site +1

$122K - $183K/yr

... adjustment * Presenting cases to management for expense or indemnity reserve authority above ... Attend and present at various industry events each year on risk management and claims topics ...

Showing results 21-28

Remote Risk Adjustment Auditor information

See Bloomfield, CT salary details

$30.5K

$72.6K

$117.4K

How much do remote risk adjustment auditor jobs pay per year?

As of Sep 7, 2026, the average yearly pay for remote risk adjustment auditor in Bloomfield, CT is $72,584.00, according to ZipRecruiter salary data. Most workers in this role earn between $47,000.00 and $98,400.00 per year, depending on experience, location, and employer.

What is a remote risk adjustment auditor?

A Remote Risk Adjustment Auditor is a healthcare professional who reviews medical records and documentation from a remote location to ensure accurate coding for risk adjustment purposes. Their work helps health plans and providers comply with government regulations and receive appropriate reimbursement for patient care. They analyze clinical documents to validate diagnoses, identify coding errors, and ensure data integrity. Remote auditors use specialized software and follow strict confidentiality guidelines while working from home or another offsite location.

What are the key skills and qualifications needed to thrive as a remote risk adjustment auditor?

To thrive as a Remote Risk Adjustment Auditor, you need strong knowledge of medical coding (CPT, ICD-10), healthcare compliance, and experience with risk adjustment methodologies, typically supported by a coding certification such as CPC, CRC, or CCS. Familiarity with electronic health record (EHR) systems, coding audit software, and secure remote work platforms is essential. Attention to detail, analytical thinking, and effective written communication are important soft skills for interpreting complex medical records and collaborating with healthcare providers. These skills ensure accurate risk adjustment coding, regulatory compliance, and optimized reimbursement processes in a remote work environment.

What are some common challenges remote risk adjustment auditors face, and how can they overcome them?

Remote Risk Adjustment Auditors often encounter challenges such as interpreting complex medical records, staying current with changing coding guidelines, and effectively communicating with team members in a virtual environment. To overcome these, auditors should prioritize ongoing education on coding standards, utilize secure collaboration tools to stay connected with colleagues, and develop strong organizational skills to manage multiple assignments efficiently. Proactively seeking feedback and participating in team meetings can also help maintain accuracy and a sense of community while working remotely.

What is the difference between Remote Risk Adjustment Auditor vs Remote Medical Coder?

AspectRemote Risk Adjustment AuditorRemote Medical Coder
CertificationsCPMA, RAC, or RHITAAPC CPC, CCS, or RHIT
Work EnvironmentInsurance, healthcare auditing firmsHospitals, clinics, insurance companies
Job FocusReviewing documentation for risk adjustment accuracyAssigning medical codes to patient records

Remote Risk Adjustment Auditors and Remote Medical Coders often share certifications and work in healthcare settings. However, auditors focus on reviewing documentation for risk adjustment purposes, while coders assign medical codes directly to patient records. Both roles require healthcare knowledge but serve different functions within the industry.

What are popular job titles related to Remote Risk Adjustment Auditor jobs in Bloomfield, CT?

For Remote Risk Adjustment Auditor jobs in Bloomfield, CT, the most frequently searched job titles are:

What cities near Bloomfield, CT are hiring for Remote Risk Adjustment Auditor jobs?

Cities near Bloomfield, CT with the most Remote Risk Adjustment Auditor job openings:

Major Case General Liability Claims Consultant

The Hartford

Hartford, CT • On-site, Remote

$84K - $127K/yr

Full-time

Re-posted 6 days ago


Key responsibilities

  • Handle a caseload of general liability bodily injury and property damage claims from inception to final disposition.

  • Conduct investigations, analyze information, and evaluate claims to determine coverage and develop resolution strategies.

  • Manage litigation processes, including coordinating with defense counsel, attending trials and mediations, and monitoring case progress.


The Hartford rating

8.8

Company rating: 8.8 out of 10

Based on 122 frontline employees who took The Breakroom Quiz

58th of 315 rated insurance


Job description

Consultant Claims - CH08CE

We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future.

This is a visible and important role within the Harford Global Specialty (HGS) Claims Division. As a Claim Consultant, you will be responsible for handling a caseload of general liability bodily injury and property damage claims from inception to final disposition. These primary claims will often involve complex fact patterns requiring analysis of contracts between parties to determine indemnity and contribution obligations and risk transfer opportunities. As these claims are often in litigation, experience handling litigated matters and managing defense counsel is required, as is prior experience handling general liability claims.

Responsibilities include, but are not limited, to:

- Conducting investigations and analyzing and evaluating the information learned

- Making coverage determinations and communicating written position(s) to insureds and other required parties

- Within prescribed authority levels, setting appropriate expense and indemnity reserves and monitoring on a regular basis for any needed adjustment

- Presenting cases to management for expense and indemnity reserve authority above established authority levels

- Developing and implementing resolution strategies to achieve high quality outcomes

- Proactively managing litigation and counsel, inclusive of litigation planning and execution, budgeting and bill review

- Attending trials and mediations as necessary

- Contributing to broader claim and enterprise goals by participating in audits, projects and product development initiatives

- Preparing comprehensive reports and delivering presentations to senior claim leadership on case developments, policy issues, industry trends, etc.

- Working with business partners to evaluate and address claim trends and developments

- Addressing inquiries from agents and policyholders and providing superior customer service

Qualifications:

- Bachelor's degree preferred

- Minimum of five plus years handling General Liability litigated coverage and liability matters

- High level of discipline; results-oriented; and able to focus on bottom line results

- Superior analytical ability and organizational skills

- Excellent oral and written communication skills

- Excellent strategic thinking ability and task execution skills

- Excellent negotiation and technical claim handling skills, including knowledge of coverage and tort laws

- Full command of issues and medicals relative to high value bodily injury claims

- Ability to analyze coverage and liability issues

- Ability to communicate thoughts clearly and concisely, and to influence and persuade others

- Superior interpersonal skills and strong team player

- Ability to exceed expectations and influence others to do the same

What else can you tell me?

This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL, Alpharetta, GA, NYC, NY) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise.

For full-time, occasional, part-time or remote positions: (1) high speed broadband internet service is required, we do not recommend or support DSL, wireless, Mifi, Hotspots, Fiber without a modem and Satellite; (2) Internet provider supplied modem/router/gateway is hardwired to the Hartford issued computer with an ethernet cable; and (3) minimum upload/download speeds of 5Mbps/30Mbps will be required. To confirm whether your Internet system has sufficient speeds, please visit http://www.speedtest.net from your personal computer.

Compensation

The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford's total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is:

$84,800 - $127,200

Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age

About Us|Our Culture|What It's Like to Work Here|Perks & Benefits


What The Hartford employees say

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Hours and flexibility

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About Hartford

Sourced by ZipRecruiter

Hartford Financial Services Group, widely recognized as The Hartford, is a renowned company based in Hartford, CT, US. Established in 1810, it has evolved into an industry leader in the insurance and financial services sector, proudly serving more than one million businesses in the US. The Hartford is committed to offering a gamut of insurance products that include homeowners, automobile, and business insurance as well as employee benefits and mutual funds. The company’s core values revolve around customer-focused innovations, diversity and inclusion, and ethical dealings that have earned them a customer-centric reputation. This shapes their mission which revolves around aiding their clients to overcome unforeseen obstacles and enhancing their wealth over time. Among the company's noted accomplishments is being consistently listed among the World's Most Ethical Companies, a testament to their unwavering commitment towards responsible business practices.

Industry

Finance and insurance

Company size

10,000+ Employees

Headquarters location

Hartford, CT, US

Year founded

1810

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