- The George Washington University (Washington, DC)
- …and legal professionals. Coordinate with third party administrators ( TPA ), insurers, and legal professionals to manage claims effectively. Conduct ... for eligibility, completeness, and accuracy while handling routine and moderately complex claims , including some litigated ones with limited settlement… more
- AIG (Atlanta, GA)
- … Claims Director TPA Join us as a Complex Claims Director , Third Party Administrator ( TPA ) to grow your experience in Claims . ... for your deep technical expertise and/or ability to oversee complex insurance losses, structures and claims processes....need to succeed + 10+ years work experience in claims overseeing TPA claims +… more
- AIG (Atlanta, GA)
- …AIG, we are reimagining the way we help customers to manage risk. Join us as a Complex Claims Director to play your part in that transformation. It's an ... an impact + Analyze and process bodily injury and third - party property damage claims by...with claim handling and reporting guidelines. + Work with TPA Claims Financial to check the accuracy… more
- AIG (Atlanta, GA)
- …we are reimagining the way we help customers to manage risk. Join us as a Complex Claims Managing Director to play your part in that transformation. It's ... and ultimate resolution claim closure. + Collaborate with insureds, third party administrators, underwriters, and brokers to...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 ... help customers to manage risk. Join us as a Claims TPA Regulatory Governance and Performance Manager... party for the entire governance lifecycle. The Third Party Administrators (TPAs) Claims … more
- MTA (New York, NY)
- …Compensation program to third - party administration and manage the selected Third - Party Administrator ( TPA ) during the transition and thereafter. ... At the conclusion of the transition, the Senior Commercial Director will continue to oversee the TPA ...process of MTA's Workers' Compensation program from self-administration to third - party administration, ensuring a smooth and efficient… more
- The Coca-Cola Company (Atlanta, GA)
- …oversight of the insurance broker, claims adjustors and accountants, and third - party claims administrators (TPAs) and insurers handling workers' ... The Director , Global Claims oversees and coordinates...all claim activity with the insurance broker, carrier, and third - party claim administrators + Manage the relationship… more
- Iron Mountain (Boston, MA)
- …depositions and mediations.** + **Manage accountabilities in the administration of first and third party worker's compensation claims . This role manages ... claims management as well as the management of third - party service providers including brokers, insurers and... activity to include loss/payments** + **Manage litigated and complex claims and is entrusted with significant… more
- The City of Rochester, MN (Rochester, MN)
- …but not limited to: submitting claims and documentation to a third - party administrator ; processing injury-on-duty pay; calculating workers compensation ... and employees. + Provide customer service support by researching complex employee benefit questions and determining proper course of... prior to documentation being submitted to the City's third - party administrator ; processes and validates… more
- Publix (Lakeland, FL)
- …programs involving self-insured and significant retained risk. + Experience with self-administration of claims , TPA claims , or workers' compensation carrier ... **29854BR** **Position Title:** Director of Workers' Compensation - Lakeland **Department:** Risk...is to direct and oversee Publix's self-administered workers' compensation claims function including claims handling, nurse case… more
- North Carolina Central University (Durham, NC)
- …**Supervise Workers Comp Analyst and Business System Analyst** + Review injury claims , worker's compensation invoices, and TPA fee approvals, review and ... **Posting Details** Position Information **Working Title** Director of Budgets & Financial Planning **Position Number** 611559 **Appointment Type** Permanent - Full… more
- Alight (IL)
- …you experienced working in high-growth, performance focused environments, and administering complex programs?** **Are you an accomplished, visionary executive with a ... coordination, and execution of new system functionality focused on optimizing claims management delivery.Working closely with Operations teams to implement process… 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 ... Specialist directly supports the Corporate Compliance Office Senior Directors (Senior Director , HIPAA Program and Senior Director , Compliance Program… more
- FFP (Indianapolis, IN)
- …and new benefit introductions + Support the leave of absence program with third - party administrator , including short- and long-term disability and Family ... payroll account transactions (eg salaries, benefits, garnishments, deductions, taxes and third - party payments) Compliance - + Maintains compliance with federal,… more
- Perdue Farms, Inc. (Lewiston, NC)
- …worker's compensation, assisting the occupational health nurse/ third party administrator in effectively managing all open claims . + Keeps the management ... efforts for the 1,800+ employees assigned to the Lewiston, NC food manufacturing complex and other eastern NC facilities by maintaining a world-class culture through… 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 ... and nursing practice, and the organization/system. The CNS and the Clinical Nursing Director are partners in leading the nursing clinical practice area. The CNS… more
- Commonwealth Care Alliance (Boston, MA)
- …is an individual contributor role. Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Medical/BH Reimbursement Policy ... sufficiently to ensure accurate implementation of payment rules within the Plan's claims adjudication system, including the claim editing systems (CES and Zelis).The… 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, the Payment Integrity (PI) ... for a comprehensive claim accuracy program. The individual will optimize pre/post claims auditing and claim recovery programs that will drive incremental value year… more
