- WTW (Tempe, AZ)
- **Description** The Environmental & Property Claims Consultant provides claim strategy, consulting, and advocacy services to dedicated client. The Consultant ... **The Role** + Advocate for prompt, optimal recovery on claims including payments + Manage workflow from initial intake...necessary to continually improve quality and innovation + Elevate complex cases or special requests as necessary + Evaluate… more
- 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
- Sedgwick (Phoenix, AZ)
- …Health Care Risk Management (CPHRM) preferred. **Experience** Ten (10) years of complex claims management experience or equivalent combination of education and ... Claims Advisor, Medical Malpractice (Professional Liability) To analyze complex or technically difficult healthcare/ medical malpractice liability claims ;… more
- Lincoln Financial Group (Phoenix, AZ)
- …74298 **The Role at a Glance** We are excited to bring on a Consultant , Project Management Support to the Group Protection Portfolio Enablement Organization. The ... Consultant , Project Management Support will contribute to the execution...will contribute to strategic projects requiring group protection and claims business/technology knowledge, project & stakeholder management, and presentation… more
- Prime Therapeutics (Phoenix, AZ)
- …and drives every decision we make. **Job Posting Title** Pharmacy Network Consultant Principal - Remote **Job Description** The Network Management Consultant ... development of network agreements and network participation requirements, historical claims analysis, contract negotiations, and performance monitoring. **Responsibilities** +… more
- Wells Fargo (Chandler, AZ)
- **About this role:** Wells Fargo is seeking a Senior Lead Analytics Consultant for the Enterprise Internal Fraud Analytics Team. A part of the Chief Operating Office ... under Fraud and Claims Operations, the team provides analytic support and internal...+ Lead the strategy development and resolution of highly complex and unique challenges requiring analytical application of industry… more
- Molina Healthcare (Mesa, AZ)
- …to build and maintain effective business relationships. * Understanding of complex payment methodologies, configuration solutions, health care benefits. * Advanced ... knowledge of healthcare claims and claim processing from receipt through encounter submission. * Advanced knowledge of Excel and SQL knowledge preferred * Knowledge… more
- Sedgwick (Phoenix, AZ)
- …coverage policies, coding guidelines and utilization and practice guidelines. + Reviews medical claims and completes complex file review for Medicare Set- Asides ... (MSA) and future medical cost projections. + Serves as a consultant to Medicare Compliance Nurses on claims . + Applies clinical knowledge and expertise with… more
- Travelers Insurance Company (Phoenix, AZ)
- …business. In this role the consultant will be working with our larger, more complex and all lines accounts. **What Will You Do?** + Serve as a subject matter ... + Provide technical advice and consultation to attorneys and claims staff associated with the loss. + Conduct research...prepare reports (verbal and written), and to aid the claims , legal staff and other forensic investigators with the… 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 ... for the culture. **What You'll Be Doing:** **Senior Analyst, Healthcare Analytics Consultant ** The Client Analytics team provides a unique opportunity to collaborate… more
- MetLife (Tempe, AZ)
- …book of business for 2-5K lives that focuses in on the markets most complex book of business. * Accountable for building and maintaining strong relationships with ... renewals in partnership with Account Executive and Client Service Consultant . * Track the performance of the services provided,...management or customer service working in a fast paced, complex sales and service environment * Expert group benefits… more
- MetLife (Tempe, AZ)
- …stewardship and renewals in partnership with Account Executive and Client Service Consultant . * Track the performance of the services provided, analyze results and ... references, and account plans in salesforce.com, in collaboration with Client Service Consultant . * Ensure timely submission and validation of Broker of Record (BOR)… more
- MetLife (Tempe, AZ)
- …stewardship and renewals in partnership with Account Executive and Client Service Consultant . * Track the performance of the services provided, analyze results and ... references, and account plans in salesforce.com, in collaboration with Client Service Consultant * Ensure timely submission and validation of Broker of Record (BOR)… more
- Grifols Shared Services North America, Inc (Mesa, AZ)
- …of expertise + Exercises judgment in selecting methods, evaluating, adapting of complex techniques and evaluation criteria for obtaining results + Accountable for ... which may impact the entire function + Supervises and manages vendors and external consultant (s) + Serve internally as a subject matter expert; advises others on … more
- PCL Construction (Phoenix, AZ)
- …Manages complex project organizational structure. + Oversees and negotiates claims /disputes with owner and trade contractors with senior project manager and ... the client. + Attends the design management meetings, led by the prime consultant , communicating PCL's needs and requirements, and escalate issues of concerns for… more
- Cherry Bekaert (Phoenix, AZ)
- …to obtain answers to questions and hear appeals. Consults with external benefits consultant and internal leadership to resolve complex issues. + Communication of ... employees with benefit enrollment process, eligibility, coverage amounts/options, and claims filing. The benefits manger influences the benefits strategy and… more