- 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
- TEKsystems (Tempe, AZ)
- …and help transform the patient experience. As an Inbound Healthcare Contact Center Representative , you'll be the first point of contact for patients and care ... partners navigating a complex healthcare system. You'll provide compassionate, efficient service while...of patient-facing healthcare service experience (eg, Patient Access Rep, Claims Processor, Pharmacy Tech) + Experience must be within… more
