- Lincoln Financial (Phoenix, AZ)
- …Role at a Glance** We are excited to bring on an Associate , Claims Investigator to our Group Protection Special Investigations Team in Charlotte, NC; Omaha, ... of Bachelor's) (Minimum Required) + 0 - 1+ Years experience in claims investigation directly aligned to the specific responsibilities for this role. (Required)… more
- Sedgwick (Phoenix, AZ)
- …resolution. + Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates ... but not limited to Bachelor of Science in Nursing, Legal Nurse Consultant, Associate in Claims (AIC), Chartered Property and Casualty Underwriter (CPCU), … more
- Highmark Health (Phoenix, AZ)
- …and Thursdays This job is responsible for assisting in the processing and investigation of non-complex health care claims to determine the legitimacy of ... information in applicable case management tracking systems. **ESSENTIAL RESPONSIBILITIES** + Claims Reviews/ Investigation : Arrange for collection of claims … more
- CBRE (Phoenix, AZ)
- …People Business Partners for Leave of Absence and Accommodation requests, Worker's Comp claims , Health and Safety issues, and investigations . + Support employee ... Associate HR/People Business Partner (Remote PST/MST) Job ID...assigned area(s) (ie Immigration, Reporting, Learning & Development, Unemployment Claims , etc.). You will work to support the broader… more
- Travelers Insurance Company (Phoenix, AZ)
- …of businesses of all sizes. The BSI Claim Counsel team conducts thorough investigation , analysis, evaluation, and disposition of claims and claim litigation to ... optimize claim results. Travelers' Cyber Claim Team is responsible for handling claims focusing on cyber privacy and security breach incident response, computer… more
- Umpqua Bank (Phoenix, AZ)
- …Role:** In this role, you will be responsible for handling incoming payment claims , investigating, and effectively processing in a timely manner in accordance with ... character to warrant the assigning escalating of the alert as a case for further investigation . + Analyze customer activity that has been assigned as a case for … more
- Robert Half Management Resources (Phoenix, AZ)
- … claims and support actionable outcomes. Responsibilities: * Conduct investigations into potential healthcare fraud, waste, and abuse using specialized software ... for an interim part-time project. This role involves conducting in-depth investigations to detect and prevent healthcare fraud, waste, and abuse, contributing… more
- Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
- …or medical device product candidates. + Interprets and communicates results of Phase I-IV investigations in preparation for a new drug. + Acts as the signatory on ... research experience (as a general guideline, 1-3 years for Associate Director level; 3-6 years for Director and 6-9...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
- …or medical device product candidates. + Interpret and communicate results of Phase I-IV investigations in preparation for a new drug. + Be the signatory on NDA ... research experience (as a general guideline, 1-3 years for Associate Director level; 3-6 years for Director is typically...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Dignity Health (Phoenix, AZ)
- …compliance and billing concepts and procedures. + Manages and corrects denied claims for coding issues, ie, unbundling, medical necessity, coding errors, etc as ... level of specificity, etc. + Analyzes, investigates and follows-up on denied claims . Manages all assigned denial work files, understands and addresses denials… more
- Carrington (Chandler, AZ)
- …system, including but not limited to, analyzing complaints, investigating claims , retaining outside counsel where appropriate and providing outside counsel ... circulating agreements for signature. + Take lead in pre-claim title investigation /review, including reviewing title records, organizing documents and creating a… more
- Banner Health (Phoenix, AZ)
- …Develop risk mitigation strategies based on analysis of relevant data (eg claims , reportable events, assessments, FEMAs, etc.) 6. Implement and maintain clinical ... of events involving serious injuries or probable liability, and prompt investigation , disclosure, and proactive intervention to resolve potential liability events.… more