- CVS Health (Tallahassee, FL)
- …data, user feedback, and market research to enhance digital self-service, claims transparency, provider search, member portals, and mobile applications. + Identify ... regulated industry. + Strong knowledge of healthcare payer operations ( claims , eligibility, enrollment, prior authorization, provider networks). + Experience working… more
- Amazon (FL)
- …you will help develop programs and tools that contain costs, and continue successful third - party administrator ( TPA ) strategies and relationships. You ... loss and subrogation, with the future possibility of adjudicating claims . * Work closely with TPA and...of adjudicating claims . * Work closely with TPA and insurance partners to drive continuous improvement within… more
- CHS (Clearwater, FL)
- …**Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third - Party Administrator ( TPA ) which provides a wide ... If you're ready to make a meaningful impact in a dynamic third - party administration environment, this is your opportunity to shine. **Responsibilities**… more
- Polk County Public Schools (Bartow, FL)
- …and risk management guidelines to District employees. * Responds to information requests from third party administrator ( TPA ) to ensure timely payment ... gathers information, reviews claims , communicates and coordinates information to third - party administrators ( TPA ), payroll departments, and legal… more
- RELX INC (Boca Raton, FL)
- …employees on leave applications and ensuring timely adjudication of claims by the Third Party Administrator ( TPA ) + Entering leave data into ... administering Leave programs? About the Role As a Leave Administrator , you will work as part of a team...Work (RTW) plans + Partnering with HR, employees, and TPA to facilitate Long-term Disability (LTD) applications and providing… more
- CHS (Clearwater, FL)
- …terminology **Qualifications** **Qualifications:** + Minimum two (2) years of medical claims processing experience- Payor/Carrier/ TPA side + Must have reliable ... **Overview** **Health Insurance Medical Claims Examiner** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims … more
- CRC Insurance Services, Inc. (FL)
- …(United States of America) **Please review the following job description:** Process claims , which includes evaluating policy for coverage; working with the insured, ... attorneys on the claim and coordinating the payment of claims . In addition, prepare reports such as loss runs...such as Microsoft Office software products **Preferred Qualifications:** 1. TPA Experience 2. Minimum 2 years Commercial Auto Liability… more
- CHS (Clearwater, FL)
- …and celebration throughout the company **Summary:** Premier Administrative Solutions (PAS) is a Third - Party Administrator ( TPA ) which provides a wide ... + High school graduate or equivalent. + Knowledge of medical terminology, billing, claims and the health insurance industry is STRONGLY preferred but not required.… more
- Lincoln Financial (Tallahassee, FL)
- …with applicable regulations such as IRC 409A and coordinate with legal, tax advisors and third - party administrator as needed. * Serve as a member of the ... key liaison with benefits vendors and brokers in Bermuda, overseeing renewals, claims and service delivery. * Ensure benefits programs meet statutory requirements… more
- City of Coral Gables, FL (Coral Gables, FL)
- … from first report through closure, partners with internal stakeholders and third - party administrators (TPAs), analyzes loss trends, and implements strategies to ... classification. Receive and triage First Reports of Injury (FROIs); file claims with carrier/ TPA within statutory time frames. Act as primary liaison among… more
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