- The Hartford (Scottsdale, AZ)
- …our team as we help shape the future. The Claim Representative is a claim handling role within Complex Claims Unit - Bodily Injury (CCU-BI). CCU is a ... Claims Representative - CH09CN We're determined...manage and can involve higher exposures. RESPONSIBILITIES : The Claim Representative will learn to timely manage… more
- Sedgwick (Phoenix, AZ)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Liability - Phoenix, AZ Are you looking for an ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **TAKING CARE OF YOU** + Flexible… more
- Sedgwick (Phoenix, AZ)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to ... YOU AN IDEAL CANDIDATE?** Join our team as a Claims Representative focused on Property Damage and...RESPONSIBILITIES** + Processes auto property damage and lower-level injury claims ; assesses damage, makes payments, and ensures claim… more
- Sedgwick (Phoenix, AZ)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative (IAP) - Workers Compensation Training Program Are you ... of minimal disability duration under close supervision. + Documenting claims files and properly coding claim activity....and claims supervisors with larger or more complex claims as assigned. + Participates in… more
- Aerotek (Tempe, AZ)
- …forwarding information needed to analyze liability and root cause of accident. + Enter claim data into various claims management systems. + Answer incoming calls ... internally and externally. Connect With Us! (https://careers-aerotek.icims.com/jobs/12922/customer-service- representative -%7c- claims /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336091573) Cookie Notice (https://www.aerotek.com/en/cookie-notice)… more
- Dragonfly Health (Mesa, AZ)
- …discrepancies as needed. 5. Collaborate with the Customer Service team on complex claims research and resolution. 6. Understand Enclara Pharmacia's standard ... supervisor or manager._ 1. Assist pharmacies with real-time and retrospective claims adjudication. Adjust and correct authorizations in dispensing and PBM systems… more
- Ryder System (Phoenix, AZ)
- … claims within Ryder's self-insured, self-administered liability program. Oversees claim -handling processes performed by a professional staff. Handles complex ... resolution, and adherence to service standards.** **ESSENTIAL FUNCTIONS** Investigates and resolves complex and high exposure claims , as well as directs outside… more
- Sedgwick (Phoenix, AZ)
- …Prairie, MN 55344 **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based on medical documentation and the applicable ... Fortune Best Workplaces in Financial Services & Insurance Disability Representative Sr **Our teams connect! We collaborate onsite and...by the disability plan. + Oversees additional facets of complex claims including but not limited to… more
- Banner Health (Phoenix, AZ)
- …medical claims , customer service, and managed care** to answer complex questions and find solutions regarding coverage, benefits and other coverage inquiries. ... including remote and hybrid opportunities. As a **Provider Experience Representative ** for Banner Plans & Networks you will take...service to providers serves as a primary resource in complex and/or sensitive cases and other resources necessary to… more
- Molina Healthcare (Chandler, AZ)
- …or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to ... as they arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes initiative in preventing… more
- TEKsystems (Tempe, AZ)
- …with One Medical* Overview This is an inbound healthcare contact center representative role working for a nationwide primary care practice. Description + Managing ... those involved in their care as they navigate a complex healthcare system including but not limited to needs...patient facing healthcare service roles (eg, Patient Access Reps, Claims Processors, Pharmacy Benefits Techs, etc.) * Strong written… more
- Wells Fargo (Phoenix, AZ)
- …us! **About this role:** Wells Fargo is seeking an Associate Customer Service Representative in Everyday Banking. Find out why we're the #1 financial services ... Services include deposits, payments and ATM operations, global fraud and claims , account reconciliation, cash vault services, mail and courier solutions, print… more
- Molina Healthcare (Phoenix, AZ)
- …knowledge of provider services and contracting subject matter expertise. + Resolves complex provider issues that may cross departmental lines and involve Senior ... setting. **Required Experience** + 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed… more
- Highmark Health (Phoenix, AZ)
- …of medium to high degree of complexity. + Ability to visualize, articulate and solve complex problems representative of a broad range of service and claim ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the … more
- CDM Smith (Phoenix, AZ)
- …Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. ... Identify contractual requirements to maintain and prosecute claims , and assist project team in managing to those requirements. Ensure that proper documentation is… more
- Stantec (Chandler, AZ)
- …with Earned Value management and forecasting. - Experience with scheduling large, complex projects. - Experience with claims management for design projects. ... - airports, transit and rail, ports and marine, highway and bridge, including complex bridges, interchanges, and managed toll projects. Join our Major Projects Team… more
- Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
- …and commercial products. + Develops comprehensive quality strategies for complex biologic development programs that address unique manufacturing challenges. + ... compliance. + Manages reports and trends to the Management Representative to help in the preparation of Management reviews...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Prime Therapeutics (Phoenix, AZ)
- …with various levels of leadership within the organization, acting as a representative of the broader Financial Systems team + Provide consulting services to ... and Access tools + Ability to analyze and solve complex problems using analytical tools + Time management and...AI + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data… more
- Highmark Health (Phoenix, AZ)
- …execution. The VP of Solution Delivery will lead a diverse team, manage complex projects, and foster strong relationships with internal and external stakeholders to ... leadership at client organizations. + Act as a trusted advisor and representative of the Highmark enterprise. + Collaborate effectively with internal stakeholders… more
- CRC Insurance Services, Inc. (Phoenix, AZ)
- …with cross-functional teams, including clinicians, underwriters, actuaries, and claims professionals, to develop comprehensive risk management solutions. Contribute ... Travel required. EDUCATION AND EXPERIENCE The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations… more