- The Hartford (Scottsdale, AZ)
- Consultant Claims - CH08CE We're determined...This is a visible and important role within our Complex Claims Unit (CCU) Hartford Global Specialty ... (HGS) Claims Division. As a Claims Consultant , you will be responsible for...involve both primary and excess coverages and often involve complex fact patterns requiring analysis of contracts between parties… more
- Trustmark (Phoenix, AZ)
- …understanding of complex policies and associated claim handling process. Performs claims handling processes and procedures related to less complex Life, LTC, ... colleagues, clients and communities. Responsible for reviewing and processing claims including, identifying irregularities and reviewing for accuracy, and… 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 executive, cyber, professional liability, error and omissions, and complex liability claims ; to provide resolution of highly complex … 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
- Lincoln Financial Group (Phoenix, AZ)
- …Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for reviewing, ... analyzing, and interpreting medical information available for disability claims . In this role you will act as a...clinical resources (ie IME, FCE, Peer Reviews) * Discuss complex medical issues with health care providers as needed… more
- Stantec (Chandler, AZ)
- Consultant , Leave of Absence Administration - ( 2500006R ) **Description** Grow with the best. Join a smart, creative, and inspired team that works to support ... position is ideal for a self-motivated individual with demonstrated disability claims experience, return to work/stay at work experience, critical thinking skills,… 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
- 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)
- …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
- 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
- Grifols Shared Services North America, Inc (Phoenix, 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
- Performance Contracting, Inc. (Tempe, AZ)
- …administration of established corporate safety programs throughout the company. Serve as consultant to assigned regions and Leadership to establish plans to improve ... investigating and evaluating injuries and illnesses and helping manage ongoing claims with appropriate internal/external partners within your region + Ensure… more