QNXT Medical Claims Processor (Healthcare BPO) ICONMA, LLCQNXT Medical Claims Processor (Healthcare BPO)Phoenix, AZ$28.57–$42.85 / hourDemonstrate proficiency in using office productivity tools and workflow applications to manage queues update records and communicate with stakeholders in a structured manner Communicate clearly in spoken and written form to document claim actions escalate issues and collaborate with team members and supervisors in a professional setting. Verify coding consistency for diagnoses procedures and modifiers using provided references to minimize claim errors denials and rework -Identify discrepancies or missing information in claim submissions and coordinate with internal teams to obtain clarifications and ensure timely resolution.
Senior Claims Customer Service Rep Pyramid, IncSenior Claims Customer Service RepScottsdale, AZFull timeVerifies coverage under various policies or policy provisions based on variances of state, jurisdiction and regulatory requirement After taking notice of loss, makes direct assignments to inside or field claims adjustment personnel. Outstanding oral and written communication skills needed to effectively interact with the policyholders, claimants, agents and co-workers.
Claims Analyst Arrive Logistics LLCClaims AnalystPhoenix, AZYou will leverage advanced industry knowledge and business acumen to optimize claims operations, ensure financial integrity, and mentor junior team members, acting as a key cross-functional leader to protect the company's interests and drive strategic outcomes. This includes skillfully negotiating settlements, precisely processing all related financial transactions, and analyzing claims trends to identify recurring issues and significant financial exposure, with actionable findings presented to leadership.
Inbound, Claims Call Center Representative (100% remote) PerunHRInbound, Claims Call Center Representative (100% remote)Phoenix, ArizonaRemoteResolve complex claims inquiries and problems, judging when to pass complex queries on to or involve others in order to provide an effective service and clear advice to colleagues and customers. Process clients’ first notice of loss claim reports received through Zurich’s phone & non-phone reporting options in a timely and accurate manner.
EDI Technical Analyst (Claims) - Hybrid Blue Cross and Blue Shield AssociationEDI Technical Analyst (Claims) - HybridPhoenix, AZLevel 2-4)2 years of EDI experience (Level 1)Required EducationHigh-School Diploma or GED in general field of study (All Levels)Required LicensesN/ARequired CertificationsN/APREFERRED QUALIFICATIONSPreferred Work Experience2 years of experience in computer technology and/or information systems (Level 1 -2)2 years of experience working in healthcare-related systems as a business / systems analyst or programmer (All Lev)2 years of experience with 27X, 834, 835 and 837.5 years of experience in data analysis, management, integration and reporting (Levels 3 - 4)3 years of experience working in corporate enterprise-level systems as a business or systems analyst or programmer (Levels 3 - 4)Preferred EducationBachelor's Degree in Computer Science, Information Systems, Business, or related field (All Levels)Preferred LicensesN/A ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIESLevel 1 - Entry-level role; Performs job functions under close supervision or peer reviewPRODUCTION SUPPORTTrack and resolve basic or routine processing problems, coordinating with all areas. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per weekHybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per weekHybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per monthOnsite: daily onsite requirement based on the essential functions of the jobRemote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team buildingPlease note that onsite requirements may change in the future, based on business need, and job responsibilities.
Lead Business Strategy Analyst - P&C Claims GenAI USAALead Business Strategy Analyst - P&C Claims GenAIPhoenix, AZ$127,310–$243,340 / year8 years of data and/or analytics or strategy consulting experience; OR a minimum of 6 years of data and/or analytics or strategy consulting experience and up to 2 years of progressive functional business relevant experience for a total of 8 years of combined experience; OR Advanced Degree in Business, Science, Finance, Economics or related discipline and 6 years of experience in data and/or analytics or strategy consulting. A strong Technical & Analytical Acumen is essential, encompassing a deep understanding of GenAI concepts, data and analytics architectures, AI solution design, and performance measurement to effectively guide both technical teams and business stakeholders.
Claim Examiner Associate Scottsdale Amtrust Financial Services IncClaim Examiner Associate ScottsdaleScottsdale, AZAmTrust is a major player in the commercial P&C market and the third largest workers'' compensation provider in the U.S. Our small business insurance product suite continues to expand with Cyber, BOP, Employment Practices Liability Insurance (EPLI), Package and other core coverages and capabilities, including more middle-market and large accounts. Exposed to facets like Underwriting, Loss Control, Managed Care, and SIU, Claims opens diverse career paths with technical and leadership growth-perfect for making an impact and building a lasting career.
Claim Examiner Associate - Scottsdale AmTrust Financial Services, Inc.Claim Examiner Associate - ScottsdaleScottsdale, ArizonaFull timeOverview: AmTrust is a major player in the commercial P&C market and the third largest workers' compensation provider in the U.S. Our small business insurance product suite continues to expand with Cyber, BOP, Employment Practices Liability Insurance (EPLI), Package and other core coverages and capabilities, including more middle-market and large accounts. Exposed to facets like Underwriting, Loss Control, Managed Care, and SIU, Claims opens diverse career paths with technical and leadership growth—perfect for making an impact and building a lasting career.
Claims Analyst Confident Staff SolutionsClaims AnalystTempe, ArizonaCompany Overview: Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across the country. Our team is dedicated to helping healthcare facilities improve patient outcomes and achieve their goals by connecting them with highly skilled and qualified professionals.
Dental Insurance Claim Processor Comfort Dental East MesaDental Insurance Claim ProcessorMesa, AZPrimary Duties Include: Preparing and electronically submitting dental insurance claims promptly and accurately, including pre-authorizations, narratives, and supporting documentation. Monitoring outstanding claims, generating aging reports, following up with insurance carriers on delays/denials, and pursuing appeals to recover maximum reimbursements.
Claims specialist Pyramid, IncClaims specialistScottsdale, AZFull timeAnalytical skills used to make independent decisions and resolve conflict proven ability to coordinate with defense counsel in the handling of cases involving serious and sometimes complex property damage issues from inception through resolution. Key Requirements and Technology Experience: Undergraduate studies in business administration or related field preferred and/or relevant experience Successful completion of required claims certification schools/courses.
Director Complex Claims and Counsel Banner HealthDirector Complex Claims and CounselPhoenix, AZ$65.70–$109.50 / hourResponsible for obtaining, entering data into claim file and monitoring such data in order to comply with deadlines for meeting Medicare, Medicaid, Ship Extension Act (MMSEA) reporting requirements in relation to claimants and others releasing medical expense claims. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.
Workers Compensation Lead Claim Examiner I AmTrust Financial Services, Inc.Workers Compensation Lead Claim Examiner IScottsdale, Arizona$75,000–$93,000 / yearFull timeOverview: The Lead Claims Examiner is responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants and medical providers. Communicates with internal managed care and medical resources to ensure coordination with medical providers, injured workers and employers in developing return to work strategies and treatment plans.
Lead Claim Examiner I Amtrust Financial Services IncLead Claim Examiner IScottsdale, AZ$66,900–$93,000 / yearCommunicates with internal managed care and medical resources to ensure coordination with medical providers, injured workers and employers in developing return to work strategies and treatment plans. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.
Wealth Management Fraud & Claims - Sr. Fraud Analyst Bank of AmericaWealth Management Fraud & Claims - Sr. Fraud AnalystChandler, ArizonaOur Wealth Management team represents an array of different backgrounds and bring their unique perspectives, ideas and experiences, helping to create a work community that is culture driven, resilient, results focused and effective. Job expectations include performing functions related to research and resolution of fraudulent activity, service support, and delivering practical, innovative solutions to clients while focusing on retention and re-establishing client confidence.
Healthcare Claims Business Analyst InfoMC IncHealthcare Claims Business AnalystPhoenix, AZlibrary":"fa-solid"},"toggle":"burger"}' data-widget_type="nav-menu.default">. Health Systems/Community Based Networks.
Workers'''' Compensation Senior Claim Representative The Hartford Insurance Group IncWorkers'''' Compensation Senior Claim RepresentativeScottsdale, AZ$62,400–$93,600 / yearCandidates who live near one of our office locations (Hartford, CT, Lake Mary, FL, San Antonio, TX, Las Vegas, NV, Naperville, IL or Scottsdale, AZ) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Our dynamic team of claim professionals provide superb customer service with the valuation, disposition and settlement of worker compensation claims while consistently adhering to our corporate claim settlement policies.
Corporate Claim Litigation Attorney Lead Consultant (Remote) Allstate Insurance CompanyCorporate Claim Litigation Attorney Lead Consultant (Remote)AZRemote$90,700–$153,925 / yearThe ideal candidate will have at least 3 years of relevant and substantive experience in a law firm or in-house legal department related to insurance defense work, and some experience managing or litigating bad faith or extra-contractual allegations. Claim Litigation Counsel will be expected to provide guidance to the Claims Organization regarding insurance claims of heightened exposure, complex extra-contractual matters, bad faith, and other major claim-related litigation.
NewClaims Coordinator Dutch Bros IncClaims CoordinatorTempe, AZSupport the Risk & Claims Manager in communicating and monitoring incident/claims reporting and handling processes and procedures: Utilize approved AI and automation tools (e.g., Microsoft Copilot) to support daily administrative tasks such as drafting routine communications, summarizing documentation, and creating templates, improving efficiency and consistency in claims processing. Support the incident/claims process for enterprise-wide programs such as but not limited to Workers' Compensation, Property, Automobile, General/Products Liability,etc: Collect claim information for property damage, workers'compensationor general liability claims, ensuring proper documentation is received from internal and external partners.
Auto Claim Specialist Chubb LtdAuto Claim SpecialistPhoenix, AZThe company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. Position Overview: The Claim Specialist (Commercial) is responsible for handling Commercial Auto Claims, including property damage, property damage liability, rental management, and other applicable coverages.