- 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)
- …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
- VNS Health (Manhattan, NY)
- …Serves as subject matter expert for Medicare and Medicaid benefits administration to support Third Party Administrator ( TPA ) and other internal ... OverviewManages the configuration and maintenance of the claims system used to administer operations ...and reporting any issues that may arise to the Director . + Performs all other duties inherent in a… more
- Hawaiian Airlines (Honolulu, HI)
- …for the oversight of claim management and communication with employees, managers, attorneys, and Third - Party Administrator ( TPA ) * Identify and develop ... team. Leverages experience and industry knowledge to work collaboratively with our third - party Administrator , expertly manage multiple projects and executes… more
- Lifetime Assistance, Inc. (Rochester, NY)
- …all new employees have necessary documentation and information to select benefits. + With a third party administrator ( TPA ), is responsible for the ... USERRA, ADA, ADAAA). + With the guidance of the third party administrator , coordinates loans...absence of the Benefits Specialist for administering Workers' Compensation claims as well as coverage for the Director… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims **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
- Humana (Springfield, IL)
- …part of our dynamic Wisconsin leadership team in this position as the Director , Consumer Service Operations . This position works with insurance companies, ... providers, members, and collection services in the settlement of claims through Call Center operations . Comprised of a team of claims associates researching… more
- State of Massachusetts (Boston, MA)
- …Senior Manager and theProgram Integrity team in managing day-to-day interaction with the OLTSS Third Party Administrator ( TPA ) related to the execution ... their functions relating to AFC and GAFC provider enrollment and credentialing, claims operations , prior authorization, appeals, program integrity and reporting… 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
- American Water (Delran, NJ)
- …focal point for claims administration for field personnel, insurance adjusters, third party administrators and customers. * Responsible for negotiating claim ... can be located in any New Jersey American Water Operations center. /* _ *Primary Role*_ /The Director...working in conjunction with Risk management/ Insurance. Provide and/or TPA to thoroughly review and manage all incidents and… more
- Sedgwick (Flagstaff, AZ)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Business Development Director **PRIMARY PURPOSE** **:** Revenue growth of key accounts, new business ... + 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
- VNS Health (Manhattan, NY)
- …at all levels including but not limited to, Provider Relations, Claims , Medical Director , third party administrator , pharmacy benefit manager, to ... dedicated Manager, Grievance and Appeals (RN)to lead the daily operations of our grievance and appeals processes. You will...analysis and reporting of grievances and appeals data for operations and for required CMS and DOH reporting. Participates… more
- Perdue Farms, Inc. (Accomac, VA)
- …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
- 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
- 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
- Florida Crystals Corporation (Buffalo, NY)
- …Resources Department, and, where appropriate, the Third Party Administrators ( TPA ), to review and monitor workers compensation claims costs and develop ... the Corporate Director of Environmental, Health & Safety. The referenced operations represent manufacturing and packaging & distribution operations but are… more
- Travelers Insurance Company (Braintree, MA)
- …risk control, Risk Management Information Services (RMIS), or within the Third Party Administration service industry, including comprehensive knowledge of ... Opportunity?** Sales Support & Deal Implementation * Assisting the Business Development Director (BDD) in the sales process: the Client Service Executive Officer… more
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