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Direct Claims Jobs in Arizona (NOW HIRING)

Swift Transportation

Claims Coordinator

Phoenix, AZ · On-site

$15.98 - $21.99/hr

Process payments as directed by Claims Leadership and according to company policy. * Assist with directing internal and external incoming calls and/or taking phone messages. * Process and distribute ...

Swift Transportation

Claims Coordinator

Phoenix, AZ

$20/hr

Process payments as directed by Claims Leadership and according to company policy. * Assist with directing internal and external incoming calls and/or taking phone messages. * Process and distribute ...

Next Step Systems

Medical Claims Examiner

Tucson, AZ · On-site

Medical Claims Examiner, Tucson, AZ Under general supervision from the Director of Operations, the responsibility of Medical Claims Examiner consists of processing claim data and adjudicating medical ...

Next Step Systems

Medical Claims Coder

Tucson, AZ · On-site

Medical Claims Coder, Tucson, AZ Under general supervision from the Director of Operations, the responsibility of Medical Claims Coder consists of processing claim data and adjudicating medical and ...

Next Step Systems

Medical Claims Examiner

Tucson, AZ · On-site

Under general supervision from the Director of Operations, the responsibility of Medical Claims Examiner consists of processing claim data and adjudicating medical and inpatient claims received from ...

Next Step Systems

Medical Claims Coder

Tucson, AZ · On-site

Under general supervision from the Director of Operations, the responsibility of Medical Claims Coder consists of processing claim data and adjudicating medical and inpatient claims received from all ...

Next Step Systems

Medical Claims Examiner

Tucson, AZ · On-site

... as directed. - Compare business operations and coordinate technical analysis support for upcoming collection of accounts. Medical Claims Examiner Qualifications: - High School diploma or GED plus ...

Amwins

Medical Claims Manager

Mesa, AZ · Hybrid

Collaborates with the Director of Claims to support consistent, high-quality service delivery for clients. * Relationship Building: Builds positive, collaborative relationships with internal ...

Hiscox

Sr. Claims Examiner

Scottsdale, AZ · Hybrid

$80K - $125K/yr

The Senior Claims Examiner adjudicates assigned claims within given authority and provides ... and direct distribution channels and is today the fastest-growing business unit within the Hiscox ...

Chubb

ESIS Claims Team Leader, AGL

Phoenix, AZ

Key Objective Supervise and direct the activities of Claims Representatives in the investigation and settlement of claims to ensure prompt, efficient, and fair claims service. Major Duties and ...

Amwins

Medical Claims Manager

Peoria, AZ · Hybrid

Collaborates with the Director of Claims to support consistent, high-quality service delivery for clients. * Relationship Building: Builds positive, collaborative relationships with internal ...

Amwins

Medical Claims Manager

Scottsdale, AZ · On-site

Collaborates with the Director of Claims to support consistent, high-quality service delivery for clients. * Relationship Building: Builds positive, collaborative relationships with internal ...

Amwins

Medical Claims Manager

Glendale, AZ · Hybrid

Collaborates with the Director of Claims to support consistent, high-quality service delivery for clients. * Relationship Building: Builds positive, collaborative relationships with internal ...

Amwins

Medical Claims Manager

Tempe, AZ · Hybrid

Collaborates with the Director of Claims to support consistent, high-quality service delivery for clients. * Relationship Building: Builds positive, collaborative relationships with internal ...

Chubb

ESIS Claims Team Leader, AGL

Phoenix, AZ · On-site

$86K - $124K/yr

Key Objective Supervise and direct the activities of Claims Representatives in the investigation and settlement of claims to ensure prompt, efficient, and fair claims service. Major Duties and ...

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Showing results 21-40

All JobsDirect Claims JobsDirect Claims Jobs in Arizona

Direct Claims information

What is a direct claim?

Direct claims refer to insurance claims that are filed directly by the policyholder with their own insurance company, rather than going through a third party or the at-fault party's insurer. This process is common in situations like auto accidents, where the policyholder seeks compensation for damages or losses under their own policy. Direct claims help streamline the process, reduce delays, and ensure the policyholder receives prompt assistance and settlements. They are often associated with 'first-party' insurance coverage, such as collision, comprehensive, or health insurance claims.

Can you work remotely in direct claims jobs?

Many direct claims jobs offer remote work options, especially for roles involving claims processing, customer service, or administrative tasks. Employers may require familiarity with claims management software and good communication skills, and remote positions often involve standard office hours and secure internet connections.

Do I need a degree to be a direct claims specialist?

A degree is not typically required to become a direct claims specialist, but relevant experience, knowledge of insurance policies, and strong communication skills are important. Many employers provide on-the-job training and may prefer candidates with a high school diploma or equivalent. Certifications in insurance or claims processing can enhance job prospects.

What are some common challenges faced by professionals in direct claims roles, and how can they effectively manage these challenges?

Professionals in Direct Claims often face the challenge of balancing a high volume of claims with the need for thorough investigation and timely resolution. Managing customer expectations and handling sensitive situations, such as denied claims or complex cases, can also be demanding. Effective communication, strong organizational skills, and staying updated on policy guidelines are crucial for success. Building collaborative relationships with adjusters, underwriters, and other departments helps ensure accurate and efficient claims processing.

What are the key skills and qualifications needed to thrive as a direct claims specialist?

To thrive as a Direct Claims Specialist, you need a solid understanding of insurance policies, claims processes, and relevant legal regulations, often supported by a degree in business, finance, or a related field. Familiarity with claims management software, customer relationship management (CRM) systems, and sometimes industry certifications like AIC or CPCU is typical. Exceptional attention to detail, problem-solving abilities, and strong communication skills set top performers apart in this role. These skills and qualifications ensure claims are processed accurately and efficiently, leading to customer satisfaction and minimized risk for the insurer.

What is the difference between Direct Claims vs Claims Adjuster?

AspectDirect ClaimsClaims Adjuster
CredentialsInsurance license, knowledge of policiesInsurance license, sometimes certifications like AIC or CPCU
Work EnvironmentCustomer service, office or remoteFieldwork, office, or remote
Employer & IndustryInsurance companies, agenciesInsurance companies, third-party administrators
Search & Comparison IntentUnderstanding direct claims handlingEvaluating claims adjustment roles

Direct Claims professionals primarily handle claims directly from policyholders, focusing on processing and resolving claims within the insurance company. Claims Adjusters evaluate, investigate, and settle claims, often working in the field or remotely. Both roles require insurance licensing, but Claims Adjusters may have additional certifications. While their work overlaps in claims processing, Direct Claims roles are more customer-facing, whereas Claims Adjusters focus on assessment and negotiation.

What are popular job titles related to Direct Claims jobs in Arizona? For Direct Claims jobs in Arizona, the most frequently searched job titles are:
What job categories do people searching Direct Claims jobs in Arizona look for? The top searched job categories for Direct Claims jobs in Arizona are:
What cities in Arizona are hiring for Direct Claims jobs? Cities in Arizona with the most Direct Claims job openings:
Direct Claims jobs near you

Claims Examiner

National Systems America L.P.

Glendale, AZ • On-site

Contractor

Re-posted 7 days ago

Job description

Company Description
National Systems America LLC provide high-quality and cost-effective IT consulting, staff augmentation and project management solutions that enable our clients to reduce costs and improve performance. Our success is evident in the long term relationships we hold with our clients and consultants and we have a proven track record for addressing our customer's most challenging needs.
Job Description
Job Details:
Job Title - Claims Examiner
Location - Phoenix AZ - (Glendale) 2512 W. Dunlap Ave Phoenix AZ 85021
Duration - 3 months Contract
JOB DESCRIPTION:
Processing basic payments and/or claim denials for Medicaid medical claims; demonstrating the highest levels of customer service, technical skills and professionalism to ensure mutually rewarding and continued provider relationships.
ESSENTIAL RESPONSIBILITIES:
• Examining and entering basic claims for appropriateness of care and completeness of information in accordance with accepted coverage guidelines, ensuring all mandated government and state regulations are consistently met.
• Processing claims for multiple plans with automated and manual differences in benefits, as well as utilizing the system and written documentation to determine the appropriate payment for a specific benefit.
• Approving, pending, or denying payment according to the accepted coverage guidelines.
• Maintaining internal customer relations by interacting with staff regarding claims issues; researching, and ensuring accurate and complete claim information; contacting insured or other involved parties for additional or missing information; updating information to claim file with regard to claims status, questions or claim payments.
TRAINING & EXPERIENCE:
• High School diploma and/or 1 year directly related work experience.
• Knowledge of medical terminology, CPT-4, ICD-9, ICD-10, HCPCS, ASA and UB92 Codes, and standard of billing guidelines required.
• Experience with Facets or QNXT a plus
Best Regards,
Ram
National Systems America, L.P
5945 Dallas Parkway, Suite 100
Plano, Texas 75093
Direct Phone: 972-212-8731
Qualifications
Additional Information
All your information will be kept confidential according to EEO guidelines.

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