- Aerotek (Tempe, AZ)
- …the maximum cost containment. Seek to ensure that Third Party Administrator ( TPA ) is managing claims efficiently. **Essential Functions:** + Conducts ... Reporting to the Workers Compensation Compliance Supervisor and Workers Compensation Compliance Manager , the Claims Review Specialist will assist in the… more
- 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 (Dallas, 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
- Chewy (Reno, NV)
- …for employees, management team, insurance carriers, attorneys, Third Party Administrator ( TPA ) and medical providers on company workers' compensation ... site leadership. + Partner with TPA account manager scheduling quarterly audit of workers' compensation claims...claims program including managing internal and external contracts ( TPA , Counsel, medical providers, etc.) + Provide… 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
- 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
- Baystate Health (Springfield, MA)
- …with a workers' compensation injury or occupational disease; acts as liaison with the third party administrator and interpret and clarify complex statutes ... Description: Workers' Compensation & Return to Work (RTW) Case Manager will manage workers' compensation claims across...and participate in claim reviews and litigation discussions with third party administrator and defense… more
- Amazon (New York, NY)
- … claims , handling litigated and non-litigated claims in conjunction with Third Party Administrators ( TPA 's), outside counsel, and insurance companies. ... team is seeking a talented Worker's Compensation (WC) Manager to support our growing worker's compensation program. Key...claims . * Develop strategy and action plans for claims in tandem with external counsel, TPA 's,… 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
- Crawford & Company (Lake Zurich, IL)
- …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
- 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
- Access Dubuque (Dubuque, IA)
- …claims and claims over the authority of the individual examiner. + Monitors third party claims ; maintains periodical review of litigated claims , ... Claims Team Lead - Liability **Sedgwick** 1 Positions... Medical Group Biologic Nurse (RN/LPN) Grand River Medical Group Account Manager Kunkel & Associates,… 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... Medical Group Biologic Nurse (RN/LPN) Grand River Medical Group Account Manager Kunkel & Associates,… more
- Access Dubuque (Dubuque, IA)
- …Representative (PRN) Grand River Medical Group 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
- Access Dubuque (Dubuque, IA)
- …Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims . + Knowledge of total loss processing, ... Claims Representative - Auto **Sedgwick** 1 Positions ID:... Medical Group 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, ... **Account Service Manager Sr.** **Location: Must reside within 50 miles...design, researching and resolving phone and written inquiries, resolving claims , benefit and enrollment issues. + Presents monthly, ad… 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
- Colorado State University (Fort Collins, CO)
- …the initial reporting of the claim. + Process claims through our outside Third - Party Administrator or Insurance carrier. + Direct injured employees in ... years of relevant experience and/or education in human resources, medical administration, vocational rehabilitation, workers' compensation claims ...also responsible for working with the RMIS of the Third Party Administrator and out… 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