Senior Unemployment Claims Specialist - AZ Vensure Employer SolutionsSenior Unemployment Claims Specialist - AZChandler, AZVensure Employer Solutions is the largest privately held organization in the HR technology and service sector, providing a comprehensive portfolio of solutions, including HR/HCM technology, managed services, and global business process outsourcing (BPO). Other Benefits: Life insurance, short term disability, long term disability, employee assistance program (EAP), flexible spending account (FSA), health savings account (HSA), Identity theft protection, critical illness, accident, cancer, hospital protection, legal and pet insurance.
Senior Claims Examiner Swift TransportationSenior Claims ExaminerPhoenix, AZMake decisions and resolve conflicts in such areas as application of coverages to submitted claims, application of laws of jurisdiction to investigatory facts, application of policy exclusions and exceptions as well as the ability to read and understand contracts, hold harmless and indemnity agreements. Volunteer opportunities to support our local communities- We have an adoration for helping others which is why we have worked hard to establish partnerships with organizations such as Children's Miracle Network and Habitat for Humanity that allow us to give back.
Claims Examiner 5 Swift Transportation Co LLCClaims Examiner 5Phoenix, AZMake decisions and resolve conflicts in such areas as application of coverages to submitted claims, application of laws of jurisdiction to investigatory facts, application of policy exclusions and exceptions as well as the ability to read and understand contracts, hold harmless and indemnity agreements. Volunteer opportunities to support our local communities- We have an adoration for helping others which is why we have worked hard to establish partnerships with organizations such as Children's Miracle Network and Habitat for Humanity that allow us to give back.
National Litigation & Claims Management Attorney Wilson ElserNational Litigation & Claims Management AttorneyPhoenix, ArizonaThe ideal candidate is not only experienced, but agile, someone who can quickly pivot between priorities, manage competing deadlines, and proactively identify risks and opportunities across a complex, multi-jurisdictional docket. We are seeking a highly skilled attorney with deep experience in litigation, claims management, and, critical discovery strategy and execution to support our representation of a large, national logistics services provider.
Claims Processor Turo IncClaims ProcessorArizona, AZIn general, Turo interacts with candidates through our Careers page and via turo.com email addresses, and we don't ask candidates for sensitive financial or personal info or request money as part of the hiring process (so an application fee or equipment costs). Whether you're flying in from afar or looking for a car down the street, searching for a rugged truck or something smooth and swanky, Turo puts you in the driver's seat of an extraordinary selection of cars shared by local hosts.
Liability Claims Examiner Sedgwick Claims Management Services, Inc.Liability Claims ExaminerAZ$85,000–$105,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. PRIMARY PURPOSE: To address and handle high end General Liability cases with serious injuries, complex coverage scenarios and legal inquiries or disputes; to develop a strategy to bring a case to satisfactory resolution.
Senior Decision Science Analyst - P&C Claims GenAI USAASenior Decision Science Analyst - P&C Claims GenAIPhoenix, AZ$114,080–$218,030 / yearWhat you have: 6 years of data & analytics experience OR a minimum of 4 years of data & analytics experience and up to 2 years of progressive functional business relevant experience within the respective industry of responsibility (i.e. P&C, Bank, Finance, Marketing etc.) for a total of 6 years combined experience OR advanced degree in quantitative analytics field such as Economics, Finance, Statistics, Mathematics, Actuarial Sciences, Operations Research, Data and/or Business Analysis, Data Science or other quantitative discipline and 4 years of experience in data/analytics or functional business experience within the respective industry of responsibility (i.e. P&C, Bank, Finance, Marketing, etc.). Finally, the candidate must possess strong Business Translation & Decision Intelligence capabilities, enabling them to translate complex business problems into AI-driven decision strategies, define key success metrics, and integrate GenAI seamlessly into operational workflows.
Lead Decision Science Analyst - P&C Claims GenAI USAALead Decision Science Analyst - P&C Claims GenAIPhoenix, AZ$143,320–$273,930 / yearFinally, the candidate must possess strong Business Translation & Decision Intelligence capabilities, enabling them to translate complex business problems into AI-driven decision strategies, define key success metrics, and integrate GenAI seamlessly into operational workflows. Researches and pursues the latest and/or industry leading practices in data and analytics, (Ex: Cloud, Data Mining, Python, Neural Networks, Sensor data, IoT, Streaming/NRT data) to advance the overall DSA community knowledge.
Operations Manager - Debit Fraud & Dispute Claims US BankOperations Manager - Debit Fraud & Dispute ClaimsTempe, AZ$75,820–$89,200 / yearIn addition, certain positions may also be subject to the requirements of FINRA, NMLS registration, Reg Z, Reg G, OFAC, the NFA, the FCPA, the Bank Secrecy Act, the SAFE Act, and/or federal guidelines applicable to an agreement, such as those related to ethics, safety, or operational procedures. Leads high performance teams of both entry level and skilled professionals by setting goals, providing ongoing feedback, measuring progress while recognizing success and building accountability with employees.
Claims Examiner, Medical Stop Loss, Remote Crum & ForsterClaims Examiner, Medical Stop Loss, RemoteScottsdale, ArizonaRemoteWith our employee-first focus, the Company is consistently recognized as a great place to work, earning multiple workplace and wellness awards, including the Great Place to Work® Award, Fortune 100 Best Companies to Work For, Fortune Best Workplaces for Parents, Fortune Best Workplaces for Millennials, and many others. Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions.
Fraud & Claims Operations Representative- Bilingual TFS/PCC Wells Fargo & CoFraud & Claims Operations Representative- Bilingual TFS/PCCChandler, AZThey are accountable for execution of all applicable risk programs (Credit, Market, Financial Crimes, Operational, Regulatory Compliance), which includes effectively following and adhering to applicable Wells Fargo policies and procedures, appropriately fulfilling risk and compliance obligations, timely and effective escalation and remediation of issues, and making sound risk decisions. In this role, you will: Support fraud and claims functional area by proactively identifying opportunities to improve customer experience, and offer ideas to mitigate risks through effective authentication of customers in order to prevent fraudulent activity.
EPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full TimeAZEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
Medical Claims Specialist PSA Behavioral Health AgencyMedical Claims SpecialistPhoenix, AZOur Claims Specialist aids in the day-to-day operations of the claims department by gathering information and processing medical and psychiatric healthcare claims.
Claims Support Specialist PSA Behavioral Health AgencyClaims Support SpecialistPhoenix, AZThe Claims Support Specialist will provide administrative support for the day-to-day operations of the claims department and accounts receivable system.
Claims processor Iconma LLCClaims processorAZRecord Keeping: Maintain detailed records of claims processed, decisions made, and communications with claimants for auditing purposes, and report daily results to the lead at the end of each day without fail. Conduct thorough evaluations of claims to assess legitimacy while meeting monthly production and quality targets.
Director of Architecture for Agentic AI Claims Automation - Remote UnitedHealth Group IncDirector of Architecture for Agentic AI Claims Automation - RemoteTempe, AZRemote$134,600–$230,800 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Primary Responsibilities: Define and evolve the end to end architecture for the Agentic AI Claims Automation platform, including agent orchestration, workflow engines, integration layers, data pipelines, and model serving components.
Commercial Auto/GL Claims Specialist Amerisure Mutual Insurance CompanyCommercial Auto/GL Claims SpecialistPhoenix, AZRanked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus. As a property and casualty insurance company, Amerisure's promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee.
Claims - Liability Rotational Specialist Amerisure Mutual Insurance CompanyClaims - Liability Rotational SpecialistPhoenix, AZRanked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus. As a property and casualty insurance company, Amerisure's promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee.
WC Claims Resolution Specialist - Special Risk Policyholders Amerisure Mutual Insurance CompanyWC Claims Resolution Specialist - Special Risk PolicyholdersPhoenix, AZBuilds robust relationships by demonstrating strong analytical, negotiation, and communication skills, with a focus on delivering quality claim outcomes and excellent service. Establish and maintain accurate claim reserves to reflect financial exposure, ensuring clear and proactive communication with the insured regarding rationale and potential impact.
Senior Field Claims Specialist Pyramid, IncSenior Field Claims SpecialistScottsdale, AZFull timeMaintains current knowledge of insurance and applicable product/services court decisions which may impact the claims function current guidelines in the claims function; and policy changes and modifications. Delivers a positive On-Your-Side customer service experience to all internal, external, current and prospective Nationwide customers.