- Sedgwick (Phoenix, AZ)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY ... PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims… more
- Prime Therapeutics (Phoenix, AZ)
- …of that. It fuels our passion and drives every decision we make. **Job Posting Title** Claims Specialist Sr **Job Description** The Claims Specialist ... accredited institution or equivalent GED + 1 year of claims experience + Must be eligible to work in...simultaneously **Preferred Qualifications** + 2+ years of experience in claims , insurance, or healthcare + Extensive experience using Excel… more
- CVS Health (Phoenix, AZ)
- …handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- AIG (Scottsdale, AZ)
- …are reimagining the way we help customers to manage risk. Join us as a Senior Production Specialist to play your part in that transformation. It's an opportunity ... forms and guidelines to address those needs. + Works with the Western World claims teams to identify emerging trends, and addresses those issues via T&C changes as… more
- CVS Health (Phoenix, AZ)
- …following: + Executes both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from ... and timely support. + Acts as a subject matter expert on Quality Specialist workflows, policies, systems requirements, and enhancements as well as daily operations… more
- Caris Life Sciences (Phoenix, AZ)
- …than yourself, Caris is where your impact begins.** **Position Summary** The Sr . Compliance Specialist , Conflicts and Provider Auditing will provide support ... Working knowledge of federal healthcare regulations, including HIPAA, Anti-Kickback Statute, False Claims Act, and Stark Law. + Strong writing skills, especially in… more
- Sedgwick (Flagstaff, AZ)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Estimate Review Specialist **PRIMARY PURPOSE** **:** To review all ... services. + Monitors, assists, tracks, and provides approval for all claims that are re-inspected by the Carrier. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES**… more
- Carollo Engineers (Phoenix, AZ)
- …you to build your career. As a member of the Human Resources team, the Senior Compliance & Employee Relations Specialist will be responsible for partnering with ... compliance training programs for employees and managers + Support litigation and labor claims , as needed + Provide backup support to human resources team members as… more
- CVS Health (Phoenix, AZ)
- …do it all with heart, each and every day. **Position Summary** The ** Senior Accounts Receivable Specialist ** prepares accounting and financial records and ... monthly invoices in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required Qualifications** + 2+… more
- Molina Healthcare (Tucson, AZ)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… more