- Parexel (Phoenix, AZ)
- …and improve patient outcomes. We are seeking a passionate and experienced **RWE** Specialist join our team and support the design and execution of clinical trials ... focus on oncology and hematology areas, but not exclusively. **Title:** RWE Specialist **Location:** Remote - US **The ideal candidate demonstrates proficiency in… more
- Parexel (Phoenix, AZ)
- **Project Lead,** **Meeting Services** We are looking for a Meeting Specialist to join our talented and supportive team of 40+ delivering high quality international ... . Ensures Client receives appropriate status update reports . Proactively identifies complex technical and process issues . Proactively assesses project needs and… more
- GAP Solutions Inc (Phoenix, AZ)
- **Position Objective:** As a Junior Human Resource Specialist , apply HR skills in support of managers, program staff and customers on the full range of HR topics ... Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice of results or… more
- 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
- The Hartford (Scottsdale, AZ)
- …we help shape the future. The Claim Specialist is the highest claim handling designation within the Complex Claims Unit - Construction (CCU-CD) and ... Specialist Claims - CH07DE We're determined... Specialist Claims - CH07DE We're determined to make a...all aspects of the most complex , high-value claims exhibiting a detailed knowledge of each claim… more
- Molina Healthcare (Phoenix, AZ)
- …or collections efforts are exhausted for write off approval. + Researches simple to complex claims payments using tools such as DSHS and Medicare billing ... **Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing… 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
- Philadelphia Insurance Companies (Phoenix, AZ)
- …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Specialist to join our team! Summary: Investigate, evaluate and settle more complex ... communication as well as results of investigation. Evaluates each claim in light of facts; Affirm or deny coverage;...investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Travel is… more
- The Hartford (Scottsdale, AZ)
- Specialist Claims - CH07DE We're determined... complex , high exposure, auto and general liability claims throughout the claim 's life cycle. As ... team as we help shape the future. As a Claims Specialist , you will be responsible for...trials and mediations as necessary; + Contributing to broader claim and enterprise goals by participating in audits, projects… more
- CVS Health (Phoenix, AZ)
- …**Position Summary** Reviews and adjudicates complex , sensitive, and/or specialized claims in accordance with claim processing guidelines. May handle ... both routine and non-routine business support tasks for the Claim Benefit area under limited supervision, referring deviations from...to provide effective and timely support. + Reviews pre-specified claims or claims that exceed specialist… more
- CenterWell (Phoenix, AZ)
- …Claims Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Use your business knowledge to ... community and help us put health first** The Pharmacy Claims Representative 2 adjudicates pharmacy claims and...provide financial support. Humana is seeking a Patient Finance Specialist that will work on the behalf of Humana… 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
- 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
- Sedgwick (Phoenix, AZ)
- …Fortune Best Workplaces in Financial Services & Insurance (Remote) EDI Support Specialist - Casualty **PRIMARY PURPOSE** **:** To identify, research, resolve, and ... respond to complex technical EDI issues or questions received from internal...to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI… more
- Robert Half Accountemps (Phoenix, AZ)
- …extensive experience in billing, and denial management? Do you thrive in solving complex billing issues, investigating denied claims , and working closely with ... Central/Thomas in Phoenix, AZ is seeking a Medical Billing Specialist to join their team for a 5-6 month...identify solutions. + Utilize payer portals effectively to research claim statuses, submissions, and discrepancies. + Resolve complex… more
- Datavant (Phoenix, AZ)
- …The Specialist is responsible for identifying, analyzing, and resolving claim denials across the entire revenue cycle to ensure optimal reimbursement and ... rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional,… more
- CDM Smith (Phoenix, 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
- 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
- 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
