- AIG (Atlanta, GA)
- …Claims Director TPA Join us as a Complex Claims Director , Third Party Administrator ( TPA ) to grow your experience in Claims . Make ... need to succeed + 10+ years work experience in claims overseeing TPA claims +...skills. + Provide superior customer service and investigate first party commercial property claims . + Coverage review… 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 ... 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
- AIG (Atlanta, GA)
- …and consistently executed. This position reports to the Claims Head of TPA Governance/ Third Party Management for General Insurance. Your Contribution at ... party for the entire governance lifecycle. The Third Party Administrators (TPAs) Claims ...Risk Management Policy and Standards. + Oversee the day-to-day operations of the TPA Governance State Regulatory… more
- 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 Complex Claims Managing Director to play your part...with claim handling and reporting guidelines. + Work with TPA Claims Financial to check the accuracy… more
- Commonwealth Care Alliance (Boston, MA)
- …is Important to Us:** **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… more
- Colorado State University (Fort Collins, CO)
- …Suspicion of Impairment testing program. + Committee support. + Vendor management - Broker, Third Party Administrator , RMIS . Responsible for selection and ... line with CSU's strategic goals, mission and values. The Director / Chief Risk Officer for the Office of Risk...and Risk Services. Position is responsible for the overall operations for RMI . RMI is responsible for workers… more
- JBS USA (Hyrum, UT)
- …new and existing WC claims + Continuous communication with Risk Manager, Third Party Administrator , WC Managers, Safety Managers, Occupational Health ... laws, government regulations, OSHA requirements and JBS policies. + Oversee TPA administration and management of workers' compensation claims +… more
- Apache Industrial Services (Houston, TX)
- …of claims and loss control activities, management of relationships with third party service providers including brokers, insurers and other TPAs, preparing ... Job Description Position Title: Director , Risk Management Position Reports To: General Counsel...the development and management of the company's risk and claims handling approach. Communicates risk policies and processes for… more
- Lancaster General Health (Lancaster, PA)
- …Knowledge of the policies and procedures sufficient to direct full health plan and claims operations effectively. + Knowledge of the principles and practices of ... Establishing and maintaining effective working relationships with employees, policy-making bodies, third party payors, hospitals and other health care… more
- Sedgwick (Atlanta, GA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Business Development Director - Property and Casualty **PRIMARY PURPOSE** : Revenue growth of ... maintains client relationships/partnerships + Brokers, agents, risk managers, MGA's, MGU's, TPA 's and similar accounts as directed + Facilitates the development of… more
- Perdue Farms, Inc. (Raleigh, NC)
- …worker's compensation, assisting the occupational health nurse/ third party administrator in effectively managing all open claims . + Keeps the management ... looking for a Safety and Security Manager (Live Production) to support live operations . The Safety and Security Manager (Live Production) leads safety & security… more
- VNS Health (Manhattan, NY)
- …health plan departments such as Claims and Medical Management, and the third party administrator staff and legal, as necessary, to investigate ... and accuracy standards are met. Coordinates efficient functioning of day-to-day operations according to defined processes and procedures. Creates and maintains… more
- VNS Health (Manhattan, NY)
- …health plan departments such as Claims and Medical Management, and the third party administrator staff and legal, as necessary, to investigate ... and accuracy standards are met. Coordinates efficient functioning of day-to-day operations according to defined processes and procedures. Creates and maintains… more
- VNS Health (Manhattan, NY)
- …at all levels including but not limited to, Provider Relations, Claims , Medical Director , third party administrator , pharmacy benefit manager, to ... systems to support analysis and reporting of grievances and appeals data for operations and for required CMS and DOH reporting. Participates in analyses and reports… more
- United Rentals (Charlotte, NC)
- …employee leave and accommodation experiences. + Works in collaboration with Payroll and the third party administrator to ensure accurate pay during leaves ... and efficient processing of disability claims processing. + Develop and deliver training for HR...and maintain strong partnerships with HR, Legal, Payroll, and third - party administrators to efficiently manage leaves and… 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
- Crawford & Company (Las Vegas, NV)
- …government entities or accreditation bodies, and external audits of Crawford claims operations . Responsibilities + Provides recommendations to branch management ... experience in managing Western jurisdictions! Under the direction of the Director of Compliance, oversees and coordinates all operational compliance issues for… more
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