- The Hartford (Scottsdale, AZ)
- Specialist Claims - CH07DESpecialist Claims...This is a visible and important role within our Complex Claims Unit (CCU) Hartford Global Specialty ... (HGS) Claims Division. As a Claims Specialist , you will be responsible for...or commensurate experience + Minimum of seven years handling complex litigated bodily injury claims + Familiarity… more
- Sedgwick (Flagstaff, AZ)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Veterinary Claims | Professional Liability | Remote ... **PRIMARY PURPOSE** **:** To analyze complex or technically difficult veterinary claims ; to...and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans… more
- The Hartford (Scottsdale, AZ)
- …self-starter who would enjoy a fast-paced collaborative work environment! The Claim Specialist will handle a caseload of complex , high-exposure claims on ... Specialist Claims - CH07DE We're determined... Specialist Claims - CH07DE We're determined to make a...opportunities. Key responsibilities of this position include: + Conduct complex investigations and extensive claim file reviews… more
- AssistRx (Phoenix, AZ)
- …of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication, troubleshoot claim rejections, claim reversals, ... The Copay Support/ Claims Processing Specialist is a critical...enrollment discrepancies (missing info and duplicates) + Partners with claim adjudication vendors ensure proper claims processing… more
- Zurich NA (Phoenix, AZ)
- Marine Claims Senior Claims Specialist ...applies the component parts of an insurance policy for complex claims + Ability to follow reserving ... share that Zurich North America is hiring a Marine Claims Senior Claims Specialist Role...indemnity and expense in analyzing the potential exposure of complex claims + Ability to determine the… more
- Travelers Insurance Company (Phoenix, AZ)
- …units in the management and evaluation of some of the Company's severe and complex liability claims by providing claim handling guidance, recommendations and ... equivalent business experience. + 5-10 years experience handling serious injury and complex liability claims preferred (casualty claim operations environment… more
- AIG (Scottsdale, AZ)
- …life of the claim to ensure accuracy of financial exposure on more complex claims . Identify and refer claims evaluated greater than delegated authority ... experience. We take a collaborative approach in handling large, complex , and catastrophic claims . Team members excel...need to succeed + Minimum 8 years Workers' Compensation claim handling experience including CA and AZ claims… more
- USAA (Phoenix, AZ)
- …liability. + Partners with vendors and internal business partners to facilitate complex claims resolution. May also involve external regulatory coordination to ... complex policy terms and contingencies. + Determines and negotiates complex claims settlement within authority limits. Develops recommendations and… more
- Sedgwick (Phoenix, AZ)
- …of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Acts as a backup for ... Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims… more
- U-Haul (Phoenix, AZ)
- …Workers' Compensation Injury Counselor to be responsible for the handling and oversight of complex claims as a result of on the job injuries. Under the ... current records for each claim and ensures claim files are properly documented and claims coding is correct. + Maintain appropriate levels of communication… more
- Robert Half Accountemps (Phoenix, AZ)
- Description We are looking for a skilled Medical Billing Specialist to join our team in Phoenix, Arizona. This long-term contract position is ideal for professionals ... with a strong background in denial management and claims follow-up within the healthcare industry. You will play...insurance companies via phone and online portals to resolve claim disputes efficiently. * Apply critical thinking skills to… more
- Sedgwick (Phoenix, AZ)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Clinical Behavioral Health Specialist **The ideal candidate would be able to work these hours: 11AM ... and address psychosocial, medical, and employment issues within a claim and be actively engaged in resolution; to work...conjunction with and provide recommendations and education to the claims examiner, claimant, and clinical team; to work with… more
- Sedgwick (Phoenix, AZ)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance (REMOTE) Compliance Specialist - Workers Compensation **PRIMARY PURPOSE** : To ensure the company's ... state workers compensation agencies as appropriate. + Provides required reporting on claims , penalty and compliance issues to ensure compliance within the state(s).… more
- CDM Smith (Chandler, AZ)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
- Prime Therapeutics (Phoenix, AZ)
- …build the future of pharmacy with us. **Job Posting Title** Client Concierge Specialist Sr - Remote **Job Description** The Senior Client Concierge Specialist ... is responsible for processing, communicating, documenting, and tracking more complex member cases for Pharmacy Concierge Services. This position is also responsible… more
- Sedgwick (Phoenix, AZ)
- …Best Workplaces in Financial Services & Insurance Senior Estimate Review Specialist **PRIMARY PURPOSE** **:** To review all estimates and supporting documentation ... services. + Monitors, assists, tracks, and provides approval for all claims that are re-inspected by the Carrier. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES**… more
- Zurich NA (Phoenix, AZ)
- Sr Supplier Medical Process Specialist 128416 Zurich North America is seeking am experienced Sr. Supplier Medical Process Specialist to join our team in one of ... to work/life balance, and outstanding culture. As a Sr. Supplier Medical Process Specialist , you will manage supplier performance and work product in area(s) of… more
- BD (Becton, Dickinson and Company) (Tempe, AZ)
- …materials (promotional, disease awareness, HEOR, or scientific exchange), verifies claim substantiation according to company guidelines, and confirms that reference ... business and social settings. + In-depth knowledge of medical communications, claims management, regulatory requirements (FDA and international), and compliance with… more
- AssistRx (Phoenix, AZ)
- …coverage provided for a specific pharmaceutical product. The Patient Access Specialist will support the healthcare providers addressing questions regarding coding ... and billing and navigating complex reimbursement issues. This position also provides support for...access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays… more
- The Hartford (Scottsdale, AZ)
- Specialist Claims - CH07DE We're determined...oversight of claims , including high exposure and complex claims , handled by The Hartford's Third ... The Hartford's unbundled business), and the handling of excess claims . The TPA Consultant is responsible for helping limit...trials and mediations as necessary + Contribute to broader claim and enterprise goals by participating in audits, projects… more