- CVS Health (Albany, NY)
- …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
- Port Authority of New York and New Jersey (New York, NY)
- …Role Under the direction of the Workers' Compensation Principal Program Coordinator, oversee Third - party Administrator ( TPA ) claim adjusters in ... coordinate the delivery of salary adjustments on lost time claims from the TPA to the Agency's...injury data and trends. Perform the functions of System Administrator for the Risk Management Information System, including updating… more
- Amazon (New York, NY)
- …you will help develop programs and tools that contain costs, and continue successful third party administrator ( TPA ) strategies and relationships. You ... prevent claims through safety measures. . Ensure that the TPA manages the claims diligently, partners with Risk Management and Legal (internal and external),… more
- Amazon (New York, NY)
- …You will help develop programs and tools that contain costs, and continue successful third - party administrator ( TPA ) strategies and relationships. You ... claims . - Develop strategy and action plans for claims in tandem with internal/external counsel, TPA 's,...for claims in tandem with internal/external counsel, TPA 's, and insurance companies. - Mediation attendance in conjunction… more
- Amazon (New York, NY)
- …partners. *Help develop programs and tools that contain costs, and continue successful third - party administrator ( TPA ) strategies and relationships. ... claims . *Develop strategy and action plans for claims in tandem with internal/external counsel, TPA 's,...for claims in tandem with internal/external counsel, TPA 's, and insurance companies on both litigated and non-litigated… more
- Amazon (New York, NY)
- …will support the team focusing on litigation management, discovery, litigation process improvement, third party administrator ( TPA ) programs across all ... Amazon Defense Counsel on litigated complex bodily injury (BI) claims for Amazon's expanding worldwide delivery fleet. Key job...to, and the performance management of, outside counsel and TPA partners handling litigated BI cases. * Coordinate and… more
- Axis (New York, NY)
- …claims management and handling expertise for both the oversight and management of TPA handled claims . This is primarily a casualty position, but multi-line ... will you do in this role?** + Auditing of Third - Party Administrators to ensure reserve adequacy. +...and severe loss as defined by escalation criteria and claims guidelines. + Ensuring TPA compliance with… more
- Northwell Health (New York, NY)
- **Req Number** 166205 Flexstaff is hiring a CLAIMS SPECIALIST on a fulltime Temporary basis. (Coding/ Claims experience needed, Data Analysis a plus) The ... conditions + Validates DRG grouping and (re)pricing outcomes presented by the claims processing vendor. Attends JOC meetings with providers as appropriate to assist… more
- Lincoln Financial (Albany, NY)
- …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
- Axis (New York, NY)
- …the investigation, analysis and evaluation of coverage liability within best practices for first- party and third - party claims for environmental cleanups, ... management skills or experience practicing law as well as claims management (both directly managed and TPA ...as claims management (both directly managed and TPA managed claims ) + Demonstrated ability to… more
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