- 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 - CH07DEConsultant Claims...Specialist level, based on the candidate's experience. The Claim Specialist and Claim Consultant ... handler positions within the Environmental unit of The Hartford's Complex Claims Unit (CCU), responsible for the...matter expertise and can involve higher exposures. The Environmental Claim Specialist or Claim Consultant… 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
- Lincoln Financial (Phoenix, AZ)
- …and applying knowledge. You will analyze and manage a caseload of appeals claims . You will review, investigate, and make claim determinations regarding coverage, ... by investigating & obtaining a wide range of complex information. Apply claim policies & procedures...to ensure fair, ethical, & timely management of assigned claims . + Analyze and interpret complex coverage… 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 ... 126574 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
- MetLife (Phoenix, AZ)
- …referrals requiring additional research. * Manages an assigned caseload of moderately complex claims . * Develops and maintains strong working relationships with ... Hours Key Responsibilities: * Manages overall STD block of claims and possible companion claims to include...Federal, State, Local laws * Creates and executes individual claim action plans, serves as point of contact for… 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
- CVS Health (Phoenix, AZ)
- …all with heart, each and every day. **Position Summary** Reviews and adjudicates complex , sensitive, and/or specialized claims in accordance with plan processing ... handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication… 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)
- …information and claim status either by phone, written correspondence and/or claims system. + Participates in and maintains a quality service culture within the ... Best Workplaces in Financial Services & Insurance DRP Service Center Specialist **PRIMARY PURPOSE** : To assist customer service representatives in expediting… 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
- 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
- Sedgwick (Phoenix, AZ)
- …Fortune Best Workplaces in Financial Services & Insurance Provider Network Specialist **PRIMARY PURPOSE** **:** To ensure clients and Managed Care Organization's ... with clients relative to their MCO status. + Ensures claims management system parameters are set for MCO flags....unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see**… 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
- CDM Smith (Phoenix, AZ)
- …ID:** 40481BR **Business Unit:** FSU **Job Description:** The FEMA Costing Specialist : * Conducts preliminary damage assessments (PDAs) in the field for ... infrastructure projects. * Prepares complex project worksheets for the purposes of determining project...a disaster. * Reviews, evaluates and analyzes applicant-provided cost claims for reasonableness and accuracy as related to the… more
- AssistRx (Phoenix, AZ)
- …provided for a specific pharmaceutical product. The Insurance Verification 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
- ADP (Tempe, AZ)
- ADP is hiring a **Benefit Solutions Specialist - I.** **POSITION SUMMARY:** Ensures platform configuration and readiness to support a client through their annual ... necessary ADP-specific tasks are accomplished on time and as required. The Specialist is responsible for all hands-on configuration and related activities for both… 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
