- Sedgwick (Flagstaff, AZ)
- …resolution. + Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates ... but not limited to Bachelor of Science in Nursing, Legal Nurse Consultant, Associate in Claims (AIC), Chartered Property and Casualty Underwriter (CPCU), … more
- Highmark Health (Phoenix, AZ)
- …and Thursdays This job is responsible for assisting in the processing and investigation of non-complex health care claims to determine the legitimacy of ... information in applicable case management tracking systems. **ESSENTIAL RESPONSIBILITIES** + Claims Reviews/ Investigation : Arrange for collection of claims … more
- Travelers Insurance Company (Phoenix, AZ)
- …of businesses of all sizes. The BSI Claim Counsel team conducts thorough investigation , analysis, evaluation, and disposition of claims and claim litigation to ... optimize claim results. Travelers' Cyber Claim Team is responsible for handling claims focusing on cyber privacy and security breach incident response, computer… more
- Tucson Electric Power (Tucson, AZ)
- …Company civil litigation management. Assists in-house litigation team with investigations , research, and witness preparation. Collaborates with in-house and outside ... internal fact witnesses and custodians of records in performing fact-finding investigations and in the collection and/or identification of physical and electronic… more
- Robert Half Management Resources (Phoenix, AZ)
- … claims and support actionable outcomes. Responsibilities: * Conduct investigations into potential healthcare fraud, waste, and abuse using specialized software ... for an interim part-time project. This role involves conducting in-depth investigations to detect and prevent healthcare fraud, waste, and abuse, contributing… more
- Community Health Systems (Tucson, AZ)
- …incident reporting to promote a culture of safety and compliance. + Oversees the investigation , processing, and defense of claims and suits against the facility, ... and support new program initiatives. + Manages and oversees risk assessments, investigations , and internal reporting of actual and potential risks across the… more
- Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
- …or medical device product candidates. + Interprets and communicates results of Phase I-IV investigations in preparation for a new drug. + Acts as the signatory on ... research experience (as a general guideline, 1-3 years for Associate Director level; 3-6 years for Director and 6-9...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- HonorHealth (AZ)
- …amendments to existing contracts. Maintain accurate and up-to-date contract records. Claims and Litigation Support, which may include: Compiles, reviews and ... organizes evidence for litigation purposes. Conduct investigations and interviews with hospital employees to gather information critical to defense of hospital.… more
- Humana (Phoenix, AZ)
- …and/or state requirements related to Provider Clinic operations, billing, investigations , and processes. Coordinates site visits for regulators, coordinates ... cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must… more
- Freeport-McMoRan (Safford, AZ)
- …+ Participates on cross-function teams to manage moderately complex incident investigation and root cause analysis. + Accompanies MSHA/OSHA/State Mine Inspectors and ... the company, including interacting with workers' compensation insurers, monitoring claims , developing and administering loss prevention and rehabilitation management/monitoring… more
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