- Highmark Health (Columbus, OH)
- …:** **JOB SUMMARY** This job is responsible for developing the sales strategy for the TPA business line in conjunction with the President of HNAS, which is the ... TPA segment of Highmark. This leader will be accountable...+ Ensure the sales and marketing success of the TPA business, including profitability, sustainability, competitiveness and viability. +… more
- RELX INC (Dayton, OH)
- …of payments. + Coordinate on-going updates to the benefit content on intranet and Third - Party Administrator ( TPA ) websites. Retirement/401k + Bi-Weekly ... Health & Wellbeing + Customer Identification Process (CIP): Work with HSA TPA to ensure enrollments, contributions and refunds are processed timely and communicated… more
- Flynn Restaurant Group (Independence, OH)
- …and manages all aspects of workers' compensation claims handling, litigation strategy, third - party administrator ( TPA ) relationships, and program ... including settlement authority and strategy development. + Monitor and evaluate TPA performance, ensuring compliance with service standards and KPIs. + Collaborate… more
- CVS Health (Columbus, OH)
- …a national carrier, coupled with the unique flexibility and devoted service of a third - party administrator ( _TPA_ ). The Meritain Health underwriting ... years of medical insurance experience, including brokers (producers), carriers, third - party administrators, benefit analysis, underwriting, stop-loss products,… more
- Holzer Health System (Gallipolis, OH)
- …and provide case management services, utilize clinical expertise, and coordinate with the third party administrator and the medical management team. (2) ... Analyze medical trends, and intervene with members at high risk and/or high utilizers. (3) Interact with Nurse Navigator and Nurse Practitioner to provide seamless case management activities across the care continuum, (4) Interact with physicians,… more
- ITW (Troy, OH)
- …service operations. The EH&S Coordinator will coordinate appropriate actions with a third - party administrator for all Worker's Compensation claims, assist ... in preparing training materials and communications, and support incident investigations by researching reports and recommending corrective actions under the guidance of the Sr. Environmental Health and Safety Manager. **ESSENTIAL DUTIES AND RESPONSIBILITIES**… more
- OhioHealth (Mansfield, OH)
- …trial counsel in managing various aspects of formal litigation cases; functions as a Third Party Administrator /claims adjuster to manage, and as authorized, ... to negotiate claims settlements for (self-insured) General Liability claims; otherwise functions as the lead, on-site insurance contact for collecting and submitting claims reports/data associated with a variety of casualty lines of insurance coverage (e. g.… more
- Baylor Scott & White Health (Columbus, OH)
- …with cross functional groups.Knowledge of ACA, Medicare, Medicaid, MCO, TPA business requirements preferred.Experience with healthcare encounters, enrollment and ... and pharmacy data is preferred + Knowledge of ACA, Medicare, and TPA business requirements is a plus. **Skills/Abilities:** + Excellent data manipulation,… more
- CRC Insurance Services, Inc. (OH)
- …products 13. Ability to travel, occasionally overnight **Preferred Qualifications:** 1. TPA Experience 2. Minimum 2 years Commercial Auto Liability insurance ... experience 3. Minimum 2 years' experience handling 1st and 3rd party Property Damage exposures 4. Minimum 2 years Commercial Trucking Liability experience **General… more
- CVS Health (Columbus, OH)
- …years of project management or project lead experience + Healthcare industry or TPA experience + Excellent verbal and written communication skills + Ability to work ... independently and collaboratively in a fast-paced environment across multiple teams. + Experience with management of data and data analytics reporting and dashboards **Preferred Qualifications** + Self Funded Insurance experience + Medical Claims processing… more