- Humana (Phoenix, AZ)
- **Become a part of our caring community and help us put health first** The Claims Review Representative makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative performs advanced administrative/operational/customer… 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...and commercial lines policies and endorsements + Ability to review and assess Property Damage estimates, total loss evaluations,… more
- The Hartford (Scottsdale, AZ)
- Claims Representative - CH09CN We're determined...with customers and business partners in the management of claims ; + Review and analyze policies and ... 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 highly… more
- USAA (Phoenix, AZ)
- …impactful. **The Opportunity** **It is all about learning and growing.** Our Customer Service Claims Representative role may be a new career for you. There's a ... our Phoenix office (1 Norterra Drive, Phoenix, AZ 85085)** as a Customer Service Claims Representative . You will be part of an outstanding contact service… more
- Aerotek (Tempe, AZ)
- …With Us! (https://careers-aerotek.icims.com/jobs/12922/customer-service- representative -%7c- claims /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336091573) ... has an immediate opening for an ONSITE Customer Service Representative (Intake Compliance Analyst) at the corporate office in...all incoming calls regarding new and existing workers' compensation claims . + Intake new claims and act… more
- Dragonfly Health (Mesa, AZ)
- …supervisor or manager._ 1. Assist pharmacies with real-time and retrospective claims adjudication. Adjust and correct authorizations in dispensing and PBM systems ... to ensure timely claims submission. Research and resolve rejected claims ...pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the… more
- Ryder System (Phoenix, AZ)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The ... Director Claims directs...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- Sedgwick (Phoenix, AZ)
- … system. + Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims . + Evaluates and arranges appropriate ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative Sr **Our teams connect! We collaborate onsite and have a hybrid… more
- The Cigna Group (Phoenix, AZ)
- …on our computer system, answering incoming calls, and making outbound calls to patients to review benefit coverage. **Schedule:** M - F 10:30 am - 7 pm EST **Here's ... patients. + Accurately enter prescriptions into our system, run test claims , run test claims and support patients with their medication orders. Use the knowledge… more
- Highmark Health (Phoenix, AZ)
- …position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist distribution. Interpret ... added benefits. Meet with all identified practices in assigned territory to review practice financial and quality performance. + Perform effective on-site visits… more
- Ryder System (Phoenix, AZ)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- Highmark Health (Phoenix, AZ)
- …for the implementation of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the… more
- CVS Health (Phoenix, AZ)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the Accounts Receivable Supervisor include:** +… more
- DriveTime (Mesa, AZ)
- …Specialists will work with third parties to obtain updates or changes to insurance claims . All processes should be completed in a timely manner to quickly and ... gap providers and ancillary product services on statuses of claims , via phone, portal, and email + Navigate third...completion of the total loss process + Gather and review documents for accounts in order to cancel ancillary… more
- Stantec (Chandler, AZ)
- …System selection to be based on Project/Client needs as well as proactive Claims /Risk mitigation. - Oversee and approve development and management of the Project ... Development and maintenance of the Project Risk Register, based on review of contract conditions, project-specific delivery requirements, client characteristics, and… more
- Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
- …maintain the effectiveness of Quality Systems for managing the batch record review and release process Quality Management Activities supporting all phases of ... compliance. + Manages reports and trends to the Management Representative to help in the preparation of Management reviews...above. + Improves supplier quality performance for batch record review and release process for OAPI GMP release of… more
- BluePearl (Scottsdale, AZ)
- **Job Title:** Overnight Client Service Representative **Location:** Scottsdale Blue Pearl **Reports To:** Client Service Supervisor/Manager **Position Type:** ... possible. We are seeking a compassionate and detail-oriented Overnight Client Service Representative to join our team. **Job Overview:** The Overnight Client Service… 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 ... experience, preferably leveraging AI + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in… more
- Sunrise Senior Living (Scottsdale, AZ)
- …internal business controls. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary. + Clearly communicate and ... Monitoring, Process, and Systems** + Set up ongoing procedures to collect and review information needed to assist in billing and accounting support services to meet… more