- Lincoln Financial Group (Scottsdale, AZ)
- …more about a Day in the Life (https://www.youtube.com/watch?v=vbSYiXOPSII) of a Claims Specialist at Lincoln Financial Group ! **What you'll be doing** + ... We are excited to bring on a highly motivated ** Group Claims Specialist** to support our ever-growing...guidance and solutions across four core businesses - annuities, life insurance, group protection and retirement plan… more
- U-Haul (Phoenix, AZ)
- …sick days + Employee Stock Ownership Plan (ESOP) + 401(k) Savings Plan + Life insurance + Critical Illness/ Group Accident + 24-hour physician available for kids ... letters regarding coverage + Settling 1st & 3rd party claims using evident fraud as needed + Working closely...supervision. + An understanding of the litigation process and case evaluations in multiple jurisdictions. + Ability to carry… more
- Lincoln Financial Group (Phoenix, AZ)
- …customers trust our guidance and solutions across four core businesses - annuities, life insurance, group protection and retirement plan services. As of December ... reviewing, analyzing, and interpreting medical information available for disability claims . In this role you will act as a...role you will act as a clinical resource for Group Protection benefit specialists and claim professionals. You will… more
- The Cigna Group (Phoenix, AZ)
- …understanding of managed care business processes, data, systems, reimbursement methodology, case -mix adjustment, and applications for claims payment, providers, ... with health insurance data, including contract structure and methodologies, claims , eligibility, provider and benefit data. + 5+ years...For more details on our employee benefits programs, visit Life at Cigna Group . **About Cigna… more
- The Cigna Group (Scottsdale, AZ)
- …year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group . **About Evernorth Health Services** Evernorth Health ... claim trend targets are met. + Utilize internal data such as claims , completed negotiations and network composition along complete and external benchmarking to… more
- The Hartford (Scottsdale, AZ)
- …training, meetings, etc. Qualifications: + Minimum 2 years of Disability and Life Group Benefits experience, emphasis on account management is preferred. ... + As a condition of your employment, you must obtain and maintain the Group Life & Health license. + Must complete ongoing Continuing Education requirements… more
- Sevita (Phoenix, AZ)
- …Employee Relations Senior Manager leads the Employee Relations function for an operating group or region of an operating group , including following and promoting ... Partners with legal on researching and responding to agency claims and legal actions. + Works with internal customers...as expert in employee relation practices for the operating group or region of an operating group .… more
- Humana (Phoenix, AZ)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute… more
- Humana (Phoenix, AZ)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post-acute services… more
- J&J Family of Companies (Phoenix, AZ)
- …learning algorithms to analyze large-scale healthcare datasets, including HER/EMR and claims data. * **Predictive Modeling & Forecasting:** Design, implement, and ... Qlik.) a plus + Real world data experience preferred (EMR/EHR, medical claims , pharmaceutical, etc.); experience with international healthcare data a plus + Deep… more
- American Express (Phoenix, AZ)
- …significantly as we continue to expand and enhance the Internal Audit Group . Our assurance and risk professionals have diverse backgrounds including internal ... risk-based audit coverage. In addition, IAG has a Professional Practices group responsible for managing audit operations, quality, and standards; regulatory… more
- J&J Family of Companies (Phoenix, AZ)
- …may be considered for qualified candidates. Remote work options may be considered, on a case -by- case basis and if approved by the Company. At Johnson & Johnson, ... the economic value of products and therapies with clinical and quality of life outcomes data from clinical trials and/or epidemiology studies. * Support the… more
- Norstella (Phoenix, AZ)
- …patient access. Each organization (Evaluate, MMIT, Panalgo, The Dedham Group ) delivers must-have answers for critical strategic and commercial decision-making. ... nearly three decades. MMIT believes that patients who need life -saving treatments should not face delays because accessing drugs...for business alignment by client type and RWD use case to advise on pre-sales activities such as solution… more