• Managing Director Complex Claims

    AIG (Atlanta, GA)
    …trial preparation and ultimate resolution claim closure. + Collaborate with insureds, third party administrators, underwriters, and brokers to ensure all ... customers to manage risk. Join us as a Managing Director Complex Claims to play your part...with claim handling and reporting guidelines. + Work with TPA Claims Financial to check the accuracy… more
    AIG (07/31/25)
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  • Complex Claims Director , TPA

    AIG (Atlanta, GA)
    …are reimagining the way we help customers to manage risk. Join us as a Complex Claims Director , TPA Oversight to play your part in that transformation. It's ... efficiency. How you will create an impact As Complex Claims Director - TPA Oversight,...Oversight, you will analyze and process bodily injury and third - party property damage claims by… more
    AIG (09/10/25)
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  • MassHealth Regulatory Compliance & Audits…

    Commonwealth Care Alliance (Boston, MA)
    …states will not be considered at this time._** Position Summary: Reporting to the Director , Claims Operations & Quality Assurance, the Regulatory Compliance ... CMS Medicare requirements. This role is housed within the Claims Operations & Quality Assurance team and...* 5+ years in healthcare compliance, regulatory affairs, or claims audit. * Experience working with TPA more
    Commonwealth Care Alliance (09/01/25)
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  • TPA Sales Executive (Fully Remote)

    Access Dubuque (Dubuque, IA)
    …4647791008 Posted On 04/24/2025 Refreshed On 08/26/2025 **Job Overview** SISCO, our medical claims TPA , is looking for an experienced sales professional to ... ERISA, Affordable Care Act, Insured Ancillary/Voluntary coverages, Affinity Programs, Captives, or TPA operations and related cost control point solutions +… more
    Access Dubuque (08/20/25)
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  • Workers' Compensation Claims Specialist

    Transdev (Lombard, IL)
    …technical direction on claim decisions and resolution in partnership with our external Third - Party Administrator ( TPA ) partner within the assigned ... to reduce costs and improve outcomes + Direct Third - Party Administrator ( TPA )...claims experience. + Work to continuously improve our claims operations and look at opportunities and… more
    Transdev (09/14/25)
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  • Workers Compensation Manager

    NDCP (Duluth, GA)
    …compensation lost time and medical only claims in an insurance company, third party administrator ( TPA ), or self-insured/high-deductible employer ... as the primary liaison in managing the Company's WC third - party administrator ( TPA ),...and accurate. + Communicate, as needed, with injured employees, third - party claims representatives, medical clinics,… more
    NDCP (07/12/25)
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  • Liability Manager

    Dollar Tree (Chesapeake, VA)
    …legal on high exposure or high severity claims to develop case strategy. + Direct Third Party Administrator ( TPA ) claims examiners and assign and ... interacts with internal and external legal counsel, insurance representatives, third party claims administrator... claims data to facilitate decisions on liability claims program structure and TPA staffing, direction… more
    Dollar Tree (08/15/25)
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  • Business Development Director - Casualty…

    Sedgwick (San Antonio, TX)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Business Development Director - Casualty Claims (Dallas, TX) As a Business Development ... new client programs. + Develops the detailed knowledge of individual prospect operations targeting specific needs which may be opportunities for marketing company… more
    Sedgwick (08/14/25)
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  • Business Development Director - Casualty…

    Sedgwick (Concord, NH)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Business Development Director - Casualty Claims (Northeast Region) As a Business Development ... new client programs. + Develops the detailed knowledge of individual prospect operations targeting specific needs which may be opportunities for marketing company… more
    Sedgwick (09/11/25)
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  • Emory Health Plan, Vice President - Plan…

    Emory Healthcare/Emory University (Atlanta, GA)
    …RESPONSIBILITIES: + This role will be pivotal in managing the relationship with the third - party administrator ( TPA ) and ensuring efficient processes, ... and be the first point-of-contact for Emory HR. OVERSEE OPERATIONS : + Work with HR and TPA ...negotiate contracts (where necessary), and ensure quality of care. CLAIMS MANAGEMENT: + Oversee TPA claim processing,… more
    Emory Healthcare/Emory University (08/19/25)
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  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …considered at this time._** **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical ... 011250 CCA- Claims Hiring for One Year Term **_This position...on financial ability and forecasting for small to large Operations Management + Collaborate system and data configuration into… more
    Commonwealth Care Alliance (08/26/25)
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  • Insurance Risk Management Specialist

    Rexel USA (Dallas, TX)
    …compensation management across RHUSA + Daily Management of third - party administrator for all RHUSA workers compensation claims + Liaise with National ... Renewal negotiations + Daily liaison with adjusters and RHUSA Operations and Human Resources to troubleshoot claims ...in quarterly claim reviews and best practice audits with Third Party Administrator and other… more
    Rexel USA (07/30/25)
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  • Health - Safety Department Manager

    Florida Crystals Corporation (Baltimore, MD)
    …Department, and, where appropriate, the Third Party Administrator ( TPA ), to review and monitor workers' compensation claims costs and develop plans ... status reports regarding the safety program to the Corporate Director of Health & Safety and the Plant Manager....years of occupational safety and health experience in industrial operations . + Must have strong knowledge of federal, state… more
    Florida Crystals Corporation (09/09/25)
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  • Area Safety Manager - North Central/Great Lakes…

    National Express (Lisle, IL)
    …incidents, completing on-scene investigations, and preparing/submitting corresponding reports to our third - party administrator ( TPA ) and develop ... new Safety Committees **.** + **Safety Oversight:** Work with the Area Safety Director and Operations Management to ensure company safety standards are deployed… more
    National Express (07/12/25)
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  • Safety Manager - 1st Shift

    Perdue Farms, Inc. (Dillon, SC)
    …worker's compensation, assisting the occupational health nurse/ third party administrator in effectively managing all open claims . + Keeps the management ... production and garage safety in conjunction with the non-collocated safety director , safety for live production and garage/transportation operations more
    Perdue Farms, Inc. (08/27/25)
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  • Sr Analyst-Workers Compensation

    Lowe's (Mooresville, NC)
    …outcomes and to identify gaps in the program. Works closely with LCNs, HR, Store Operations and claims administrator to close gaps and increase temporary ... You Will Do** + Evaluates monthly, quarterly, and annual performance of claims administrator and subcontracted vendors through analyses such as cost-benefit,… more
    Lowe's (09/02/25)
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  • Risk Manager

    Berkshire Hathaway Automotive (Irving, TX)
    …general liability, auto liability, and workers' compensation in coordination with outside third - party loss control personnel. * Involved in the organization's ... Automotive Headquarters in Irving, TX and report to the Director of Risk Management. Benefits: * Paid training and...the implementation of the risk solutions that help optimize operations . * Provide risk management consulting to assure compliance… more
    Berkshire Hathaway Automotive (08/29/25)
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  • Operational Manager EHS

    WM (Eagan, MN)
    …coordination and management of claims -related activities, including working closely with third party administrators ( TPA ) and management to resolve ... hazardous conditions and practices. Being highly visible and interactive with operations teams. Perform regular facility inspections and audits per Company… more
    WM (09/13/25)
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  • EHS Manager

    Newell Brands (Winchester, VA)
    …of NWL environmental compliance program for the facility. Supports internal & third party safety & environmental audits, develops and implements safety ... initiatives to reduce injuries. + Maintains good relationships with Workers' compensation TPA 's and manages claims , including return to work practices. +… more
    Newell Brands (08/22/25)
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