- Amazon (Arlington, VA)
- …You will help develop programs and tools that contain costs, and continue successful third - party administrator ( TPA ) strategies and relationships. You ... claims . * Develop strategy and action plans for claims in tandem with internal/external counsel, TPA 's,...compensation package, in addition to a full range of medical , financial, and/or other benefits. For more information, please… more
- United Site Services (Sacramento, CA)
- …to determine if In-House claim, or report to Third Party Administrator ( TPA ), using established claims protocol + Adjust (determine liability, ... Manager /Sr. Corporate Counsel + Work closely with TPA adjusters and Medical Providers to monitor... Medical Providers to monitor the progression of claims to final resolution + Pursue 3rd party… more
- Amazon (Houston, TX)
- …you will help develop programs and tools that contain costs, and continue successful third party administrator ( TPA ) strategies and relationships. You ... candidate will support and report to a Senior Risk Manager and be enthusiastic about driving change, enjoy working...claims through safety measures. . Ensure that the TPA manages the claims diligently, partners with… more
- Robert Half Technology (Las Vegas, NV)
- …as appropriate for Plan implementation through meetings, webinars, and events. Work with Third Party Administrator to resolve escalated employer billing, and ... This position is also responsible to work with the Manager of Hospitality, Alaska and Benefits and the Director...special requests with other teams across the Fund and Third Party Administrator . Build relationships… more
- Lowe's (Mooresville, NC)
- …a large Fortune 50 company and retail environment experience working with a third - party administrator **About Lowe's** Lowe's Companies, Inc. (NYSE: LOW) ... within scope of authority + Notifies insurance carriers and third -parties of claims as appropriate + Settles...and implementing ways to address improvement opportunities + Assist Claims Manager with hiring, training, and development… more
- WTW (New York, NY)
- …claim capability presentations and overall account exposure assessment. + Onboard partner third party administrator (s) and new accounts both internally ... claim review meetings, and act as the focal relationship manager . Reporting directly to the head of claims...claims processing systems. + Significant experience in managing TPA 's and the TPA claims … more
- Axis (Red Bank, NJ)
- …audit processes for direct handled and oversight claims handling of Program and delegated/ TPA claims as well as Manager Quality File Reviews conducted by ... Developing and implementing appropriate quality and compliance reviews of delegated/ TPA claims service providers and Vendors to...licensing requirements with an immediate focus on North America claims in partnership with a third - party… more
- Nevada County (Nevada City, CA)
- …safety meetings. + Follow the status of workers' compensation claims with a third - party administrator ( TPA ); serve as liaison with departments, legal ... Risk Manager Print (https://www.governmentjobs.com/careers/mynevadacounty/jobs/newprint/4458021) Apply Risk Manager...counsel, and the TPA ; make recommendations for settlement; and coordinate return to… more
- Access Dubuque (Dubuque, IA)
- …is correct. + May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims . + ... Claims Associate - Workers Compensation / Medical...Group Processor TRICOR, LLC Biologic Nurse (RN/LPN) Grand River Medical Group Account Manager Kunkel & Associates,… more
- WATTS (North Andover, MA)
- …casualty claims for the corporation together with brokers, insurance carriers and the third party claims administrator . + Handle high exposure and ... ahead. As the Product Liability and Insurance Risk Management Manager , you will work onsite in North Andover, MA...product liability claims handling process, management of third party administrator for … more
- Crawford & Company (VA)
- …the processing of the claim. + Identifies wage loss expenses and wage exposures on medical claims . + Documents receipt and contents of medical reports. ... exceeding, $2,500 after compensability has been determined. + Evaluates medical claims for potential fraud issues, loss...bill coding rules and state regulations. + Keeps Team Manager informed verbally and in writing of activities and… more
- Access Dubuque (Dubuque, IA)
- …is correct. * May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims . * ... Claims Associate - Liability **Sedgwick** 1 Positions ID:... Medical Group Biologic Nurse (RN/LPN) Grand River Medical Group Processor TRICOR, LLC Account Manager … more
- Access Dubuque (Dubuque, IA)
- …offering including medical , dental vision, 401K on day one. \#claimsexaminer # claims Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If ... Litigated Claims Examiner - Auto Liability **Sedgwick** 1 Positions...Group Processor TRICOR, LLC Biologic Nurse (RN/LPN) Grand River Medical Group Account Manager Kunkel & Associates,… more
- Elevance Health (Columbus, OH)
- …of the Elevance Health family of companies. We are a third - party administrator ( TPA ) of medical benefits, also providing medical management, ... a check, or ask you for payment as part of consideration for employment. **Account Service Manager Sr** + Job Family: SLS > Sales Support + Type: Full time + Date… more
- Access Dubuque (Dubuque, IA)
- …River Medical Group Processor TRICOR, LLC Biologic Nurse (RN/LPN) Grand River Medical Group Account Manager Kunkel & Associates, Inc. **Share this Job** ... Claims Examiner - Auto Liability **Sedgwick** 1 Positions...auto policies, coverage's, principles, and laws + Knowledge of medical terminology for claim evaluation and Medicare compliance +… more
- Maxim Healthcare Services (Columbia, MD)
- …files + Participates in and leads conference calls with local offices, third - party administrators (TPAs), medical providers, attorneys, and other ... The Workers' Compensation (WC) Claims Examiner II understands and participates in every...the In-take Coordinators, the broker of record, the WC Manager and fellow Maxim co-workers at every level of… more
- Elevance Health (Columbus, OH)
- …of the Elevance Health family of companies. We are a third - party administrator ( TPA ) of medical benefits, also providing medical management, ... check, or ask you for payment as part of consideration for employment. **Account Service Manager ** + Job Family: SLS > Sales Support + Type: Full time + Date… more
- Crawford & Company (Chicago, IL)
- …Us Think all TPAs are the same? Think again. With Broadspire, our leading global third - party administrator ( TPA ), Crawford & Company is the consultative ... of the claims processing journey. We offer casualty claim and medical management services to assist large organizations in achieving their unique goals,… more
- Leprino Foods (Greeley, CO)
- …verbal/written correspondence with employees, doctor offices, and third party administrator and participates in periodic claims reviews. + Works with the ... with external agencies including local fire department. Workers Compensation / Claims Management + Coordinates/attends medical visits associated with… more
- Elevance Health (Alameda, CA)
- …to improve the delivery of care. **Carelon Behavioral Health, Inc. will be the Third Party Administrator for California's Statewide School-Based Fee Schedule ... payment as part of consideration for employment. **Provider Network Manager ** + Job Family: PND > Network Contracting +...project. Key responsibilities will include claims payment and remittance, network management, provider credentialing, data… more