• Claims Adjuster - TPA Oversight

    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 determine ... valued member of the team. Make your mark in TPA Claims Our Claims teams are the proven problem...on coverage, damages, reserves, and liability including an action plan for resolution . Process and pay invoices… more
    AIG (11/08/24)
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  • TPA Segment President

    Highmark Health (Columbus, OH)
    …Health Insurance Sales Management, Health Plan Operations, Provider Contracting or TPA Services . + 7 years of management experience **Preferred** + Highmark ... services and solutions are available to serve the TPA market. + Responsible to develop an ongoing approach.... + Work with internal business partners in evaluating third party partnerships and additional growth opportunities.… more
    Highmark Health (10/01/24)
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  • IT Sr Project Manager - TPA

    CommonSpirit Health (Englewood, CO)
    …planning, execution, and successful delivery of projects focused on integrating Ancillary Third - Party Applications within the Epic system. This role requires ... clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of...vendors, to ensure seamless integration and optimal performance of third - party applications. They are responsible to define… more
    CommonSpirit Health (10/11/24)
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  • Workers' Compensation Claims Representative II…

    Metropolitan Council (St. Paul, MN)
    …and experience ( in Workers' Compensation claims adjusting with an insurance company, third - party administrator , or self-insured employer ): + High school ... government for the seven-county Twin Cities metropolitan area. We plan 30 years ahead for the future of the...Workers' Compensation claims adjusting experience with an insurance company, third - party administrator , or self-insured employer… more
    Metropolitan Council (10/24/24)
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  • Call Center Representative [Full Time]

    CHS (Clearwater, FL)
    …and celebration throughout the company **Summary:** Premier Administrative Solutions (PAS) is a Third - Party Administrator ( TPA ) which provides a wide ... companies, sharing organizations, insurance marketing organizations, and employers. One such service is Member and Provider Services , where inbound calls,… more
    CHS (11/16/24)
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  • Specialist, Grievance and Appeals

    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 activities are documented as required. + Reviews covered and coordinated services in accordance with established plan benefits, application of medical… more
    VNS Health (10/25/24)
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  • Grant Compliance Manager

    Amity Foundation (Los Angeles, CA)
    …Restoration, Renewal About the Position: The Grant Compliance Manager. position for the Third - Party Administrator project supports and monitors a network of ... community-based organizations and non-profits as subrecipient/subgrantee service providers for Care First, Community Investment Funds (CFCI), and non-Care First,… more
    Amity Foundation (11/20/24)
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  • Client Relationship Manager

    Ascensus (St. Louis, MO)
    FuturePlan is the nation's largest third - party administrator ( TPA ) of retirement plans, partnering with advisors in all 50 states. FuturePlan delivers ... 2: Job Functions, Essential Duties and Responsibilities Provide timely, exceptional customer service , including problem solving and issue resolution with minimal… more
    Ascensus (11/08/24)
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  • Manager I Customer Care (US)

    Elevance Health (Columbus, GA)
    …is a proud member of the Elevance Health family of companies. We are a third - party administrator ( TPA ) of medical benefits, also providing medical ... management, human resource consulting and retirement benefits administration services . **Location:** This position will take part in Elevance Health's hybrid… more
    Elevance Health (11/20/24)
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  • Multifunction Services Supervisor…

    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 ... Multifunction Services Supervisor Senior/Inter/Assoc Apply Now **How to Apply**...of Care) standards, while responding constructively and professionally to service requests from patients, visitors, and staff. **Mission Statement**… more
    University of Michigan (11/25/24)
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  • Customer Service Rep Intermediate

    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 ... without reasonable accommodations. **Desired Qualifications + Previous experience with enteral services + Previous experience in customer service **Work… more
    University of Michigan (11/26/24)
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  • Client Services Consultant II

    MetLife (Bridgewater, NJ)
    …* Collaborates and acts as a liaison with client's Third - Party Administrator to assist with problem resolution and trouble shooting. * Coordinates and ... Role Value Proposition: The National Accounts Service organization and its Client Service ...with alternative solutions to requests and can identify possible plan design alternatives, acts as a liaison between the… more
    MetLife (11/12/24)
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  • Paralegal

    HCA Healthcare (Nashville, TN)
    …Manager of Department . + Contacts insurance companies or their designated third party administrator (in writing, telephonically and/or electronically) ... 3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with...service revenue cycle management, or total patient account resolution , for HCA Healthcare. Our services include… more
    HCA Healthcare (10/20/24)
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  • Client Service Manager - Claims

    AIG (New York, NY)
    …large losses ( TPA handled) for potential relationship friction and coordinate resolution of claims and claims service disputes. + Participating in ... servicing issues for primary AIG-handled accounts, and responsible for complex service agreements, claims coordination activities, and issue resolution in… more
    AIG (10/30/24)
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  • Administrator , Benefits

    GCI Communication Corp (Anchorage, AK)
    …for eligibility and accuracy. + Accurately enter data into both the HRIS and third - party administrator databases. + Provide guidance and assistance to new ... GCI's Benefits Administrator will administer GCI's benefit programs, ensuring compliance...benefit programs, and coordinate with vendors for research and resolution . Ensure accurate entry of employee selections into HRIS… more
    GCI Communication Corp (11/15/24)
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  • Manager, Grievance and Appeals, RN

    VNS Health (Manhattan, NY)
    …to, Provider Relations, Claims, Medical Director, third party administrator , pharmacy benefit manager, to achieve resolution of appeals and grievances. ... concerns are addressed, and that we continuously improve our services . This is an exciting opportunity to: * Lead...time off and 9 company holidays + Health insurance plan for you and your loved ones, Medical, Dental,… more
    VNS Health (09/04/24)
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  • Assistant Director, NSF I-Corps Hub: Great Lakes…

    University of Michigan (Ann Arbor, MI)
    …on all job candidates upon acceptance of a contingent offer and may use a third party administrator to conduct background checks. Background checks are ... closely with the Hub Director to shape and execute the annual strategic plan , keeping operational feasibility and resource alignment in focus. + **Monitor Financial… more
    University of Michigan (11/15/24)
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  • Clinical Microbiology Laboratory Supervisor

    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 ... (Allied Health Intermediate Supervisor) for the Clinical Microbiology Laboratory, a full- service , 24 hour a day academic laboratory with state-of-the-art testing and… more
    University of Michigan (11/26/24)
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  • Risk Management Liability Analyst

    Windstream Communications (Columbus, OH)
    …Analyst will act as a crucial liaison between Windstream employees, customers, and our Third - Party Claims Administrator ( TPA ). The role involves managing ... investigations and support the TPA in bringing Third - Party claims to resolution . This... Claims Administrator . + Oversee and facilitate Third Party Liability Claims. + Train, review,… more
    Windstream Communications (11/01/24)
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  • Ambulatory Care - CSPD Supervisor - Multifunction…

    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 ... compliance with bargained for agreements and contracts. + Coordinate work flow and services between departments. + Assist in the resolution of operating… more
    University of Michigan (11/02/24)
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