- The Hartford (Scottsdale, AZ)
- Consultant Claims - CH08CE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... and important role within the Hartford Global Specialty (HGS) Claims Division. As a Claim Consultant , you...involve both primary and excess coverages and often involve complex fact patterns requiring analysis of contracts between parties… more
- Wells Fargo (Chandler, AZ)
- **About this role:** Wells Fargo is seeking a Senior Lead Analytics Consultant within Fraud & Claims Management (FCM) as part of Consumer and Small Business ... ACH and on-us check victim fraud space + Consult and perform complex analyses involving data mining from multiple sources and/or predictive modeling,… more
- Sedgwick (Phoenix, AZ)
- …liability claims ; to provide resolution of said type of highly complex claims ; to coordinate case management within company standards, industry best ... Health Care Risk Management (CPHRM) preferred. **Experience** Ten (10) years of complex claims management experience or equivalent combination of education and… more
- The Hartford (Scottsdale, AZ)
- …issues + Possess the ability to investigate, evaluate and negotiate highly complex claims to appropriate disposition + Possess superior analytical and ... management abilities + Possess the advanced technical knowledge to properly reserve highly complex claims + Properly apply statutory laws and regulations of… more
- Prime Therapeutics (Phoenix, AZ)
- …and drives every decision we make. **Job Posting Title** Data Visualization Consultant - Remote **Job Description** The Data Visualization Consultant supports ... Under general supervision, analyze or produce reports of varied claims data to assess Prime's products and/or programs; utilize...based upon large data sets and/or experience working with complex queries + 2 years of experience working with… more
- Sedgwick (Phoenix, AZ)
- …Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer (Hybrid) Litigation Consultant - General Liability/Bodily Injury | Midwest Region **PRIMARY PURPOSE** ... : To address and handle high end cases with serious injuries, complex coverage scenarios and legal inquiries or disputes; to develop a strategy to bring a case to… more
- HealthEdge Software Inc (Phoenix, AZ)
- **Overview** **Overview:** The Business Consultant leads and mentors the Service Delivery team in all Tier 1 (Basic) and Tier 2 (Intermediate) consulting ... issues are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete suite… more
- Prime Therapeutics (Phoenix, AZ)
- …Integration Consultant - Remote **Job Description** The Senior Business Integration Consultant is responsible for leading multiple complex small to mid-sized ... readiness, and go-live planning/support + Support Principal Business Integration Consultant on client implementation activities to facilitate workstream delivery… more
- Zurich NA (Phoenix, AZ)
- Crop Product Development Consultant 116424 This **Crop Product Development Consultant ** has been created to support the RCIS Growth Strategy. This role is ... Anoka, MN are preferred locations. As the **Crop Product Development Consultant ** , primary accountabilities will include: + Facilitating communicationand partnering… more
- Evolent (Phoenix, AZ)
- …health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek ... curiosity, creativity, and independence as we work collaboratively to solve complex problems. **Collaboration Opportunities** : Your role works closely with customer… more
- CVS Health (Scottsdale, AZ)
- …on data decision making** + **Excellent Verbal and written communication presenting complex data and recommendations to clients** + **Ability to translate business ... preferred.** **1 Year working with Health Care Insurance, primarily with Self-Funded claims with an understanding of data sources and categories.** **A variety of… more
- Travelers Insurance Company (Phoenix, AZ)
- …This position is responsible for handling and providing expertise in adjusting large, complex Boiler and Machinery first party claims both in the United ... participating in periodic departmental meetings. + Acts as a consultant to junior staff and field claim managers in...+ Bachelors degree or equivalent experience. 5 years handling complex equipment breakdown related property claims (eg,… more
- CVS Health (Phoenix, AZ)
- …coordination of responses from multiple business units. Appeals are typically more complex and may require outreach and deviation from standard processes to ... into a subject matter expert by providing training, coaching, or responding to complex issues. May have contact with outside plan sponsors or regulators. + Research… more
- Prime Therapeutics (Phoenix, AZ)
- …Evaluates the utilization and financial experience of customers and prospects + Performs claims re-pricing analyses of moderately complex external claims ... meeting established financial targets. The Underwriter will serve as a consultant on matters pertaining to both financial and operational performance guarantees,… more
- Cardinal Health (Phoenix, AZ)
- …and risk mitigation throughout product lifecycle management. + Serve as a clinical consultant and aligns clinical practice, product usage and user need to support, ... + Engage with key cross functional leaders to align claims , and instructions for use, with internal and external...the development of policies and procedures + Works on complex projects of large scope + Develops technical solutions… more