- Lincoln Financial Group (Phoenix, AZ)
- …**The Role at a Glance** We are excited to bring on an Appeals Specialist to join our Appeal Review Department in a fully remote environment. Appeal Specialists ... management and appeal procedures to each claim. _Background Details_ As an Appeals Specialist you will be responsible for being a product subject matter expert to… more
- Sedgwick (Phoenix, AZ)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically ... difficult surety and surety bond claims ; to provide resolution of highly complex nature and/or...for our clients. + Identifies and investigates for possible fraud , subrogation, contribution, recovery, and case management opportunities to… more
- Prime Therapeutics (Phoenix, AZ)
- …and/or Certified Pharmacy Technician certification. **Responsibilities** + 3+ years' fraud investigations/ claims experience. + Ability to manage workload ... decision we make. **Job Posting Title** SIU Pharmacy Intake Specialist - Remote - Must Reside in CA **Job...radiology or pharmacy. **Work Experience** Work Experience - Required: Claims , Fraud Investigations Work Experience - Preferred:… more
- City National Bank (Phoenix, AZ)
- **PAYMENTS CLAIM SPECIALIST ** **WHAT IS THE OPPORTUNITY?** The Payment Claims Specialist is responsible for the investigation and processing of payment ... fraud claims and disputes with precision and...of miss/near miss opportunities etc. A successful Payment Claim Specialist will be able to navigate multiple technologies while… more
- Highmark Health (Phoenix, AZ)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more