Medical Claims Review Manager jobs in New Britain, CT

Medical Claims Review Manager oversees the performance, productivity, and quality of the medical claims review staff. Responsible for hiring, training, and firing medical claims review staff. Being a Medical Claims Review Manager evaluates medical claims review processes and recommends process improvements. Serves as a technical resource for all medical review workers. Additionally, Medical Claims Review Manager typically requires an RN or BSN. Requires a bachelor's degree. Typically reports to a head of a unit/department. The Medical Claims Review Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Medical Claims Review Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Claims Manager
  • Henkel
  • Rocky Hill, CT FULL_TIME
  • At Henkel, you can build on a strong legacy and leading positions in both industrial and consumer businesses to reimagine and improve life every day. If you love challenging the status quo, join our community of 50,000 pioneers around the globe. The teams in our corporate functions enable the best in our dynamic businesses and in our people to maximize our company’s potential. With our leading brands, our cutting-edge technologies and our disruptive solutions, you will have countless opportunities to explore new paths and develop your skills. Grow within our future-led businesses, our diverse and vibrant culture and find a place where you simply belong. All to leave your mark for more sustainable growth.

    Dare to make an impact?

    YOUR ROLE
    • Support the Director of Risk Management by handling all insured and self-insured claims and participate to projects including insurance renewals.
    • Responsible for all aspects of the Department’s Risk Management Information System (RMIS).
    • Responsible for managing a portfolio of claims, including but not limited to, Workers’ Compensation, Automobile Liability, Property Damage and Product Liability, in conjunction with business partners, insurance adjusters, brokers, as well as inside and outside counsel.
    • Responsible for managing all certificates of insurance (COI).
    • Support the Director of Risk Management (Insurance programs, Relationship with Brokers and Insurers, Contract reviews, Captive, Due Diligence, RMIS project, etc.
    • Be an active member of one of Henkel NA Legal Dept. committees.
  • 5 Days Ago

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Clinical Case Manager- (Utilization Review), 2023-1278
  • University of Connecticut (Uconn) Health
  • Farmington, CT FULL_TIME
  • Job DetailJob Title:Clinical Case Manager- (Utilization Review)Department:Case ManagementLocation:FarmingtonFTE%:1Shift2Search #:2023-1278Closing Date:05/21/2023Recruiter:McNamara, Elizabeth Additiona...
  • 1 Month Ago

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Claims Reporting and Compliance Manager
  • Allied World Assurance Company
  • Farmington, CT FULL_TIME
  • Claims Reporting and Compliance Manager - (2400001V) Description Job Summary Allied World has an exciting opportunity for a Manager – Claims Reporting in our Farmington, CT office who will ensure that...
  • 22 Days Ago

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Claims Reporting and Compliance Manager
  • Allied World Insurance Company
  • Farmington, CT FULL_TIME
  • Job Summary Allied World has an exciting opportunity for a Manager – Claims Reporting in our Farmington, CT office who will ensure that all required claims reporting is completed accurately, timely an...
  • 23 Days Ago

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Loan Review Analyst Sr
  • Liberty Bank
  • Middletown, CT FULL_TIME
  • At Liberty, we are proud to integrate our Diversity, Equity and Inclusion (DE&I) throughout all functions and areas of the Bank in order to maximize our impact and exceed goals. We believe that deepen...
  • 1 Month Ago

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Travel Registered Nurse RN Case Manager
  • OneStaff Medical
  • NEW BRITAIN, CT FULL_TIME
  • We. Are. OneStaff. Medical. An independently - owned, nationally - recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by you...
  • 9 Days Ago

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0 Medical Claims Review Manager jobs found in New Britain, CT area

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Remote Licensed Marriage and Family Therapist
  • Headway
  • New Britain, CT
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/23/2024 12:00:00 AM

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Remote Licensed Mental Health Therapist
  • Headway
  • New Britain, CT
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

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Remote Licensed Clinical Psychologist
  • Headway
  • New Britain, CT
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

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Remote Licensed Clinical Social Worker
  • Headway
  • New Britain, CT
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

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Remote Licensed Mental Health Counselor
  • Headway
  • New Britain, CT
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

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Remote Licensed Psychiatrist
  • Headway
  • New Britain, CT
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

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Remote Licensed Professional Counselor
  • Headway
  • New Britain, CT
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

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Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • New Britain, CT
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/19/2024 12:00:00 AM

New Britain is a city in Hartford County, Connecticut, United States. It is located approximately 9 miles (14 km) southwest of Hartford. According to 2010 Census, the population of the city is 73,206. Among the southernmost of the communities encompassed within the Hartford-Springfield Knowledge Corridor metropolitan region, New Britain is home to Central Connecticut State University and Charter Oak State College. The city's official nickname is the "Hardware City" because of its history as a manufacturing center and as the headquarters of Stanley Black & Decker. Because of its large Polish p...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$104,402 to $133,114
New Britain, Connecticut area prices
were up 1.7% from a year ago

Medical Claims Review Manager in Paramus, NJ
Support management with leading Medical Review team to ensure all types of claims requiring medical reviews are completed in compliance with State, Federal, accreditation standards and other applicable regulations.
February 01, 2020
Medical Claims Review Manager in Nashua, NH
By truly combining claims and bill review, the two systems are kept in sync utilizing the scheduled jobs of the aforementioned standard model; however, for real-time data updates, claims examiners are granted access to the entire live bill review system.
January 13, 2020
Medical Claims Review Manager in Davenport, IA
Complex claim errors can only be caught by physician reviewers with the clinical experience to spot mistakes that automated systems can’t detect.
January 03, 2020