- 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 (Atlanta, GA)
- Complex Claims Director , TPA At AIG,...an impact + Analyze and process bodily injury and third - party property damage claims by investigating ... customers to manage risk. Join us as a Complex Claims Director to play your part in...with claim handling and reporting guidelines. + Work with TPA Claims Financial to check the accuracy… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Position Summary: Reporting to the Director , Claims Operations & Quality Assurance, the Regulatory Compliance & Audits Sr. Specialist ... 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
- The Hartford (Hartford, CT)
- …partners, understanding their needs and expectations. + Conduct regular audits of TPA operations to ensure compliance with company standards and regulatory ... Vendors. + Identify and mitigate potential risks associated with TPA / Vendor operations . + Work with...Proven track record of effectively managing TPAs and improving claims handling processes. + Claims operations… more
- Beacon Mobility (Beacon, NY)
- …and return to work awareness - who, what needed, when + Ensure TPA and operations awareness of critical elements and drive claims closure + Ensure TPA ... from New England to New Mexico. Reporting to the Director of Claims , the Region Claims...and project management skills while delivering analytical support to operations , safety and claims leadership. Support to… more
- HUB International (Columbus, OH)
- …full-time opportunity based in our Columbus office, and will report to the Director of Property & Casualty Operations . **ABOUT HUB INTERNATIONAL:** Overmyer Hall ... interactions and presentations + Provide and support clients with claims solutions specific to their business operations ...participate in claim reviews with multiple insurance carriers &/or TPA 's + Assist with marketing of claims … more
- Commonwealth Care Alliance (Boston, MA)
- …for One Year Term **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims ... Coding Sr. Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding configuration… more
- 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
- Covenant Health (Bangor, ME)
- …closely with defense counsel and staff in all aspects of the captive claims management operations for St. Joseph Hospital-Bangor. Ensure timely investigations ... Job Summary The Director of Risk Management is accountable and responsible...strategies to minimize them. Manage day-to-day risk management program operations at St. Joseph Hospital-Bangor. + Act as a… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …growth, with a strong emphasis on quality control and improvements to enhance claims processing stability, flexibility, and innovation. The Director will be ... related filed with minimum of 7 years' experience in Healthcare Payer or TPA setting. + Extensive background in understanding claims system configuration… more
- Sedgwick (Flagstaff, AZ)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Business Development Director **PRIMARY PURPOSE OF THE ROLE** **:** Revenue growth of key accounts, ... + Focus on insurance carriers, brokers, agents, risk managers, MGA's, MGU's, TPA 's and similar accounts as directed + Facilitates the development of new… more
- WelbeHealth (CA)
- **Senior Applications Analyst - TPA Systems & Claims Processing** WelbeHealth is a value-based healthcare organization that's transforming the future of senior ... date as per the guidance and priorities of the Director or VP, IT Applications. This role will directly...Work independently to research, define, plan, and implement new TPA and claims processing system, supporting payer-side… more
- University of Michigan (Ann Arbor, MI)
- …job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are ... Cycle Liaison acts under the oversight of the Senior Director for Revenue Cycle Services and reports to the...and operational impacts. + Provides operational guidance to clinical operations and revenue cycle + Monitor's performance and summarizes… more
- 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
- 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
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