- Sentry Insurance (Scottsdale, AZ)
- …in the development and implementation of claims standards. What You'll Do: Our Claims Legal Specialist will act as an expert on requirements to properly ... various claims units to provide consistent, quality claims handling of complex conditional demands. Participate...on behalf of an insurer as an attorney, technical specialist , claims manager or similar role sufficient… 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
- The Hartford (Scottsdale, AZ)
- …self-starter who would enjoy a fast-paced collaborative work environment! The Claim Specialist will handle a caseload of complex , high-exposure claims on ... Specialist Claims - CH07DE We're determined... Specialist Claims - CH07DE We're determined to make a...opportunities. Key responsibilities of this position include: + Conduct complex investigations and extensive claim file reviews… more
- Molina Healthcare (Phoenix, AZ)
- …and ensures collections efforts are exhausted for write-off approval. * Researches simple to complex claims payments using tools such as Department of Health and ... JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim ...support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal… more
- Falvey Insurance Group (Phoenix, AZ)
- …best-in-class claims operations. Position Functions The Senior Claims Specialist duties will include: + Manage complex transportation and logistics ... Summary of Position At Falvey Insurance Group, the Senior Claims Specialist plays a critical part in...their clients. This position is responsible for independently managing complex , high-severity, and hybrid claims across both… 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
- Travelers Insurance Company (Phoenix, AZ)
- …units in the management and evaluation of some of the Company's severe and complex liability claims by providing claim handling guidance, recommendations and ... equivalent business experience. + 5-10 years experience handling serious injury and complex liability claims preferred (casualty claim operations environment… more
- The Hartford (Scottsdale, AZ)
- Specialist Claims - CH07DE We're determined... complex , high exposure, auto and general liability claims throughout the claim 's life cycle. As ... team as we help shape the future. As a Claims Specialist , you will be responsible for...trials and mediations as necessary; + Contributing to broader claim and enterprise goals by participating in audits, projects… 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)
- …of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Acts as a backup for ... Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims… more
- Robert Half Accountemps (Phoenix, AZ)
- Description We are looking for a skilled Medical Billing Specialist to join our team in Phoenix, Arizona. This long-term contract position is ideal for professionals ... with a strong background in denial management and claims follow-up within the healthcare industry. You will play...insurance companies via phone and online portals to resolve claim disputes efficiently. * Apply critical thinking skills to… more
- Sedgwick (Phoenix, AZ)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Housing Specialist **PRIMARY PURPOSE:** Booking and extending Airbnb reservations in a quick and ... or university preferred. **Experience** Four (4) years of experience in claims processing or related business experience, or equivalent combination of education… 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
- Intermountain Health (Phoenix, AZ)
- …Reimbursement Specialist is responsible for performing a variety of complex duties, including working insurance claims follow-up and escalations, ... interpreting contract language, and tracking trends. This specialist works facility claims ("Hospital billing") and maintains inventory (work queue lists) at… more
- J&J Family of Companies (Phoenix, AZ)
- …Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less ... searching for the best talent for Neuroscience Area Business Specialist to cover the territory of Arizona. **About Neuroscience**...This patient-focused team helps address some of the most complex diseases of our time. Join us in developing… 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
- CVS Health (Phoenix, AZ)
- …demographic transaction updates in provider system applications in support of claim adjudication and Provider directory. - Performs intake triage and responds ... resolves all new and revised participating provider data transactions (basic to complex ). - May also load third party contracted reimbursement into applicable… 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
- Amazon (Tempe, AZ)
- …CI CARE framework that makes One Medical unique. As an Operations Support Specialist , you'll be responsible for meeting One Medical patient promises of outstanding ... from our patients and those involved in their care as they navigate a complex healthcare system including but not limited to needs tied to insurance, billing… more
