Senior Integrated Services Specialist - Claims & Support
4062 Aetna Resources, LLC
CVS Health is seeking a Senior Integrated Service Specialist to serve as the primary contact for claims inquiries, provide status updates, and assist with denials and payments. You will coordinate with providers and support enrollment questions while aiming to improve service delivery. The role emphasizes thorough data interpretation, effective communication, and adherence to established protocols to ensure timely and accurate resolutions for members and clients. #J-18808-Ljbffr 4062 Aetna Resources, LLC
- CVS Health is hiring a Senior Integrated Service Specialist in Phoenix, AZ, to serve as the primary contact for claims-related inquiries. You will provide clear information on submissions... ...processing, and 2-3 years of client support experience, with strong Word/Excel skills...SeniorClaims
$18.5 - $35.29 per hour
...community at a time. Position Summary The Senior Integrated Service Specialist serves as the primary point of... ...for customers seeking assistance with claims-related inquiries. This role is... ...both routine and non-routine business support tasks for the Integrated Services area...SeniorClaimsHourly payFull timeTemporary workLocal area- ...Future of the Grid.Are you a Senior Project Manager with a track... ...Hitachi Energy is seeking a Grid Integration Senior Project Manager to... ...enable renewable integration, and support the growing demand for... ...negotiation, change order management, claims mitigation, and commercial...SeniorClaimsFull timeContract workLocal areaRelocationRelocation package
- ...Senor QA Tester with 8+ years of experience to support a benefits administration platform.... ...requirements. Perform functional, regression, integration, and end-to-end testing. Validate eligibility rules, claims workflows, benefit calculations, and payments....SeniorClaimsFull time
- ...Senor QA Tester with 8+ years of experience to support a benefits administration platform. Scroll... .... Perform functional, regression, integration, and end-to-end testing. Validate eligibility rules, claims workflows, benefit calculations, and payments....SeniorClaims
- ...is seeking a Customer Care Sr. Representative in Phoenix, AZ to manage claimant communications, document data accurately, and support claims processing. The role emphasizes empathy, professional phone presence, and adherence to HIPAA while handling inbound/outbound calls...SeniorClaimsRemote jobFlexible hours
$90k - $115k
Senior Claims Analytics & BI Analyst (Property & Casualty Insurance) 5298 Power BI | SQL | Claims... ...for operational improvement. Support root cause analysis and performance investigations... ...just reports. Support Data Quality & Integration Validate reporting accuracy across...SeniorClaimsRemote workFlexible hours$90.32k - $112.9k
...you. The Wounded Warrior Project (WWP) Senior National Service Officer-Appeals (SNSO-Appeals)... ...value of medical and lay evidence in claims files. Manage appeals dockets information... ...governmental affairs team and provide support to them. Develop relationships to foster...SeniorClaimsTemporary workWork at officeLocal areaWork from homeFlexible hours- Senior Manager, Contracts & Commercial Risk About the Company & Team... ...plays a critical role in supporting operational and strategic decision... ..., contract negotiation, and claims management. The ideal... ...Ensure accuracy, timeliness, and integrity of financial information Manages...SeniorClaimsContract workFor subcontractor
- ...Description We are seeking a Senior Sales Strategist to serve as... ...who can step in when a claim has stalled, a claimant has become... ...and public records to support due diligence efforts. •... ...transparency. 4. CRM & Process Integrity • Maintain detailed...SeniorClaimsContract work
$50k
...delivering exceptional legal services to our customers... ...our business. As a Senior Attorney at Liberty Mutual... ...matters involving claims for monetary damages or... ...mentorship, guidance, and support to junior and mid-... ...value your hard work, integrity and commitment to make...SeniorClaimsLocal areaRemote workFlexible hours- ...analytics initiatives focused on healthcare claims, payment integrity, and regulatory reporting. You will... ...recovery opportunities. Partner with senior business stakeholders to define... ...using SQL, Power BI, and Databricks. Support regulatory, compliance, and audit reporting...SeniorClaims
- ...ophthalmology practices in the country and integrate best-in-class management systems,... ...plans to obtain prior authorization for services Accurately reviews outstanding insurance... ...Reviews and appeals unpaid and denied claims, includes analysis of coding that Analyze...SeniorClaims
$88k - $176k
...case basis. As a Senior Government Consultant I – Program Integrity Specialist, you will play a... ...Medicaid and CHIP fee-for-service and managed care... ...meaningful work alongside supportive leaders dedicated to your... ..., provider oversight, claims review, audit support,...SeniorClaimsMinimum wageFor subcontractorWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week$45 - $55 per hour
...apply for the Healthcare Senior Business Analyst (... ...requires hands-on EMR support and configuration, with... ...understanding its workflows, integration points, and clinical... ...Individual and Family Services Referrals increase... ...Business Analyst - Claims & Encounters Processing...SeniorClaimsFull timeContract workRemote work- ...oriented Pharmacy Billing Assistant to join our team. You will process patient bills and insurance claims, maintain accurate billing records, and provide excellent service to patients, providers, and payers. The role requires 2+ years of related experience, including at...SeniorClaims
- ...operates advanced data centers that support strategic AI, cloud and... ...special place to be. The Senior Operations Maintenance Planner... ...maintenance planning, schedule integrity, and operational readiness for... ...complaint or discrimination claim.The "Know Your Rights" Poster...SeniorClaimsFor contractors
$19.25 - $25.98 per hour
...vital role in ensuring that claims examiners can focus on their... ...applicable source systems, which supports the smooth operation of... ...crucial in claims.Supporting Integrated Claims: Provides direct support... ...experience or equivalent customer service experience...SeniorClaimsHourly payTemporary workImmediate startRemote workFlexible hoursShift work- ...Senior Accountant At Gallagher, we help clients... ...in teamwork, guided by integrity, and fueled by a shared... ...management consulting services to public, private,... ...control and prevention; claims administration and insurance... ...other departments to support strategic decision...SeniorClaimsWork at officeLocal area
- ...KPMG, you can become an integral part of a dynamic... ...extensive network of specialists; enjoy access to our... ...currently seeking a Senior Associate, KPMG Law to... ...providing high-quality legal services to clients... ...some processes), and claims support and managementSeek opportunities...SeniorClaimsContract workWork at officeLocal area
- ...develop recommendations/service approach for... ...qualify value. Provides support and assistance to... .... Partners with senior IH team members to... ...and utilizes a specialist utilization plan that... ...including Claims, Underwriting, and... ...value your hard work, integrity and commitment to...SeniorClaimsLocal area
$195k - $210k
...join a values‑driven community where integrity guides decisions, relentless service sets the bar, and we thrive on big... ...into the details of SQL.As a Senior Solutions Architect Manager, you’ll... ...-Remote #1300 Epiq Class Action & Claims Solutions, Inc.The Compensation range...SeniorClaimsFull timeLocal areaRemote work- ...Pharmacy, part of the Guardian family, in Phoenix, AZ, seeks a detail-oriented pharmacy billing specialist to process bills and insurance claims with accuracy and speed. You will support daily and month-end billing, interact with patients, caregivers, providers, and insurers,...SeniorClaims
$120k - $150k
...Senior Product Engineer (Full Stack) Location: Phoenix... ..., including disability claims, education, healthcare,... ...access patterns - Integrate with third-party and government... ...- Prior U.S. military service or experience working... ...tools may be used to support the review of...SeniorClaimsFull timeRemote workVisa sponsorshipFlexible hours- ## Senior Employee Benefits Account ExecutiveApplyremote... ...special projects that support the success of the... ...B&B products or services that further the customer... ...quarterly or semi-annual claims/data reviews, along... ...unique culture built on integrity, superior capabilities...SeniorClaimsWork experience placementWork at officeLocal area
$61.05k - $98.33k
...The WC Senior Claims Specialist handles complex and high-profile Workers' Compensation claims... ...for the claim, meeting customer service expectations, and supporting the goals of the Claims... ...deliver the most innovative and integrated solutions to our clients. We are...SeniorClaimsMinimum wageFull timeWork at officeLocal areaFlexible hours- ...POSITION SUMMARY The Senior Corporate Counsel -... ...regulatory and toxic tort claims, demands,... ...Provide legal and strategic support to cross‑functional teams... ...written and oral form. High integrity and professionalism,... ...STATEMENT Republic Services is an equal...SeniorClaimsTemporary workLocal areaNight shift
$25.42 per hour
...to succeed as an Operations Specialist for Over, Short and Damage at... ...quick customer resolution and claim prevention Communicate with... ...with operational teams at the service center(s) to solve recurring... ...transportation services, with a highly integrated network of people, technology...SeniorClaimsWork at office- Liberty Mutual is seeking a Senior Attorney in Arizona to lead complex civil litigation involving substantial exposure. You will mentor junior attorneys, coordinate with Claims Representatives and insured clients, and drive strategic outcomes while managing budgets and...SeniorClaims
- ...Hospital, Inc. in Phoenix, AZ is seeking a Part-Time Child Life Specialist II to provide developmentally appropriate psychosocial care to... ...and staff, and participate in interdisciplinary rounds to support patient coping and family-centered care. Join a team dedicated...SeniorPart time
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