- GAP Solutions Inc (Phoenix, AZ)
- …Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice of results or ... inventories, uploads documents to SharePoint and with drafting SOPS. + Process complex cases involving pay, leave, time and attendance administration, waivers, and… more
- The Hartford (Scottsdale, AZ)
- …our team as we help shape the future. The Claim Representative is a claim handling role within Complex Claims Unit - Bodily Injury (CCU-BI). CCU is a ... Claims Representative - CH09CN We're determined...manage and can involve higher exposures. RESPONSIBILITIES : The Claim Representative will learn to timely manage… more
- Sedgwick (Phoenix, AZ)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to ... YOU AN IDEAL CANDIDATE?** Join our team as a Claims Representative focused on Property Damage and...RESPONSIBILITIES** + Processes auto property damage and lower-level injury claims ; assesses damage, makes payments, and ensures claim… more
- Sedgwick (Phoenix, AZ)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Pet Injury & Customer Service | Phoenix, AZ Are you ... brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of...and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within… more
- Aerotek (Tempe, AZ)
- …forwarding information needed to analyze liability and root cause of accident. + Enter claim data into various claims management systems. + Answer incoming calls ... internally and externally. Connect With Us! (https://careers-aerotek.icims.com/jobs/12922/customer-service- representative -%7c- claims /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336091573) Cookie Notice (https://www.aerotek.com/en/cookie-notice)… more
- Dragonfly Health (Mesa, AZ)
- …discrepancies as needed. 5. Collaborate with the Customer Service team on complex claims research and resolution. 6. Understand Enclara Pharmacia's standard ... supervisor or manager._ 1. Assist pharmacies with real-time and retrospective claims adjudication. Adjust and correct authorizations in dispensing and PBM systems… more
- The Hartford (Scottsdale, AZ)
- …the future. The Senior Claim Representative / Claim Consultant is a claim handling role within Complex Claims Unit - Construction (BI/PD). CCU is ... Sr Representative Claims - CH08BEConsultant Claims...and statutory, regulatory and ethics requirements. RESPONSIBILITIES: The Sr. Claim Representative / Claim Consultant will demonstrate… more
- Kelly Services (Phoenix, AZ)
- …(AZDOA)** as a **Property & Liability Claims Adjuster** , managing high-profile, complex claims across the state. ? **Why you should apply to be ... have:** + Strong investigative and analytical skills to assess complex claims . + Knowledge of tort, contract,...happens next:** Once you apply, a recruiter or HR representative will review your qualifications and reach out if… more
- Ryder System (Phoenix, AZ)
- … claims within Ryder's self-insured, self-administered liability program. Oversees claim -handling processes performed by a professional staff. Handles complex ... resolution, and adherence to service standards.** **ESSENTIAL FUNCTIONS** Investigates and resolves complex and high exposure claims , as well as directs outside… more
- Sedgwick (Phoenix, AZ)
- …Prairie, MN 55344 **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based on medical documentation and the applicable ... Fortune Best Workplaces in Financial Services & Insurance Disability Representative Sr **Our teams connect! We collaborate onsite and...by the disability plan. + Oversees additional facets of complex claims including but not limited to… more
- Cardinal Health (Phoenix, AZ)
- …Manages billing queue as assigned in the appropriate system. + Manages and resolves complex insurance claims , including appeals and denials, to ensure timely and ... done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as… more
- DriveTime (Mesa, AZ)
- …which provides quality warranty and ancillary products, and a customer-friendly claims process. SilverRock offers a variety of ancillary products and administrative ... contracts, products, and warranties, and over $300 million in claims . **That's Nice, But What's the Job?** In short,...What's the Job?** In short, the SilverRock Customer Service Representative is responsible for inbound and outbound phone calls… more
- TEKsystems (Tempe, AZ)
- …with One Medical* Overview This is an inbound healthcare contact center representative role working for a nationwide primary care practice. Description + Managing ... those involved in their care as they navigate a complex healthcare system including but not limited to needs...patient facing healthcare service roles (eg, Patient Access Reps, Claims Processors, Pharmacy Benefits Techs, etc.) * Strong written… more
- Highmark Health (Phoenix, AZ)
- …of medium to high degree of complexity. + Ability to visualize, articulate and solve complex problems representative of a broad range of service and claim ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the … more
- CDM Smith (Chandler, AZ)
- …Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. ... Identify contractual requirements to maintain and prosecute claims , and assist project team in managing to those requirements. Ensure that proper documentation is… more
- Stantec (Chandler, AZ)
- …with Earned Value management and forecasting. - Experience with scheduling large, complex projects. - Experience with claims management for design projects. ... - airports, transit and rail, ports and marine, highway and bridge, including complex bridges, interchanges, and managed toll projects. Join our Major Projects Team… more
- Transdev (Phoenix, AZ)
- …+ Lead, mentor, and audit injury investigations, working closely with the TAS Claims Manager to reduce claims and oversee the return-to-work program. + ... Excellent verbal and written communication skills, with the ability to convey complex information clearly and appropriately to various audiences. + Proficiency in… more
- Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
- …quality assurance, and other departments to drive scientific excellence, resolve complex technical issues, and ensure compliance with applicable regulations and ... wider clinical development plans. + Serve as early-stage CMC representative of the department in effectively communicating program related...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Prime Therapeutics (Phoenix, AZ)
- …with various levels of leadership within the organization, acting as a representative of the broader Financial Systems team + Provide consulting services to ... and Access tools + Ability to analyze and solve complex problems using analytical tools + Time management and...AI + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data… more
- CRC Insurance Services, Inc. (Phoenix, AZ)
- …with cross-functional teams, including clinicians, underwriters, actuaries, and claims professionals, to develop comprehensive risk management solutions. Contribute ... Travel required. EDUCATION AND EXPERIENCE The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations… more
