- The Hartford (Hartford, CT)
- …theirs, too. Join our team as we help shape the future. The Third Party Administrator ( TPA ) Auto/General Liability Consultant is responsible ... high exposure and complex claims, handled by The Hartford's Third Party Administrator ( TPA...authority above established authority levels + Develop and implement resolution strategies to achieve high quality outcomes + Proactively… more
- AIG (Atlanta, GA)
- …and ultimate resolution claim closure. + Collaborate with insureds, third party administrators, underwriters, and brokers to ensure all stakeholders ... skills and experience as a valued member of the team . Make your mark in TPA Overnight...we take pride in delivering responsive, fair and professional service with empathy and efficiency. TPA Oversight… more
- Zurich NA (Addison, TX)
- TPA Technical Specialist 124356 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to choosing your ... Woodland Hills. Zurich Insurance is currently looking for a TPA Technical Specialist. This position will oversee moderate to...Law, and Senior Management to facilitate and ensure the resolution of a variety of liability claims including Premises,… more
- AIG (Atlanta, GA)
- …How you will create an impact + Analyze and process bodily injury and third - party property damage claims by investigating and gathering information to determine ... Complex Claims Director, TPA At AIG, we are reimagining the way...skills and experience as a valued member of the team . Make your mark in Claims Our Claims teams… more
- Amazon (Seattle, WA)
- …trust and privacy? Join the Devices & Services Trust, Privacy, and Accessibility ( TPA ) team team to safeguard customer trust across 30+ devices and ... assessments to evaluate privacy risks across Amazon's products and services , including: * Analyzing system design, service ...is a part of Privacy Governance, Risk, and Compliance team within TPA , which includes developing processes,… more
- Paylocity (Rochester, IL)
- …technical expertise. The Account Manager II delivers outstanding customer service by effectively utilizing available resources and prioritizing issues. The ... Serving as the primary point of contact within a dedicated client support team , the Account Manager II assumes full responsibility for maintaining and enhancing… more
- CHS (Clearwater, FL)
- …Off, Paid Holidays and Paid Training!** **Summary:** Premier Administrative Solutions (PAS) is a Third - Party Administrator ( TPA ) which provides a wide ... level of service , including telephone service , accuracy, call resolution and satisfaction. The Member and Provider Services Supervisor provides… more
- Sedgwick (Southfield, MI)
- …planning. + Attends member meetings and introductions, addresses concerns involving members, third - party administrator ( TPA ) or case development. ... as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Designated Litigation Manager - Pooling (Self Insured Public Entities)… more
- OhioHealth (Columbus, OH)
- …between OhioHealth and our Third - Party Administrator ( TPA ), ensuring seamless coordination and resolution of leave-related and disability management ... inquires. The manager will develop policies, team operations standards, provide training, and ensure associates receive...primary contact for the Third - Party Administrator ( TPA ), ensuring adherence to service… more
- CenterLight Health System (NY)
- …and underpayments. + Review and investigate claims to be adjudicated by the Third - Party Administrator ( TPA ), applying contractual provisions in ... Evaluate and propose revisions to existing SLAs with claims TPA , or introduce new SLAs to streamline processes and...and provide status updates to ensure timely and accurate resolution . + Prepare analysis on network provider performance through… more
- CenterLight Health System (NY)
- …and underpayments. + Review and investigate claims to be adjudicated by the Third - Party Administrator ( TPA ), applying contractual provisions in ... appeals and process the appeals into timely and accurate resolution . Address any issue with management. Work with other...returned monies and proper application of transaction by our TPA . + Perform in-depth claims audit to confirm that… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …programs. Responsibilities Duties include but not limited to: Collaborate with VA clinicians, third party administrator ( TPA ) and community clinicians ... Coordinate follow-up care at the direction of the community clinicians/vendor, TPA and the VA clinicians including providing evaluation and diagnostic reports… more
- CenterLight Health System (NY)
- … of over/underpayments. + Review and investigate claims to be adjudicated by the Third - Party Administrator ( TPA ), applying contractual provisions in ... and regulatory compliance. + Evaluate and revise SLAs with the claims TPA to improve operational efficiency; track and monitor open tickets and configuration… more
- CHS (Clearwater, FL)
- …and celebration throughout the company **Summary:** Premier Administrative Solutions (PAS) is a Third - Party Administrator ( TPA ) which provides a wide ... companies, sharing organizations, insurance marketing organizations, and employers. One such service is Member and Provider Services , where inbound calls,… more
- Elevance Health (Atlanta, GA)
- …is a proud member of the Elevance Health family of companies. We are a third - party administrator ( TPA ) of medical benefits, also providing medical ... Provides oversight for annual renewal activity and ongoing issue resolution . **How you will make an impact:** + Supports...AmeriBen's growth and retention strategies. + Responsible for a team of Employer Service Rep's while ensuring… more
- Brighton Health Plan Solutions, LLC (Las Vegas, NV)
- …Preferred Qualifications + Experience working within a benefits consulting firm or third - party administrator . + Experience managing and understanding union ... needs. + Provide leadership for dedicated onsite operations and service team members. + Meet or exceed...problems facing today's healthcare with our flexible and cutting-edge third - party administration services . Our unique… more
- CVS Health (Hartford, CT)
- …each and every day. **Position Summary** Meritain Health, an Aetna Company, is a third - party administrator ( TPA ) primarily serving self-funded employers. ... of a national carrier and the unmatched flexibility and service of an independent, local administrator and...Accounts (Executive Director) who will develop and manage a team that carries out processes for sales, account management,… more
- Nuvance Health (Danbury, CT)
- …* Serve as back-up for the processing of monthly billing. * Coordinate with Third Party Administrator ( TPA )/Vendors to resolve benefit eligibility, ... administration in a friendly, supportive, and responsive manner. Partner with Benefits team and benefits vendors to resolve issues as applicable. Inform director of… more
- The Hartford (Hartford, CT)
- …for developing the overall strategy, design and management of approximately 50 TPA and Service Vendors relationships supporting our Employee Benefit's front-end ... operational performance, ensuring efficiency, accuracy, and timely delivery of services . + Report out TPA results to...Team Management: + Lead, mentor, and motivate a team of TPA / Vendor Management professionals… more
- Aveanna Healthcare (Atlanta, GA)
- …is responsible for the being the liaison between the Aveanna Field Staff and the third party administrator . This role will require investigation of employee ... culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Here's what...injury claims and oversight that our third party administrator is managing… more