- CVS Health (Albany, NY)
- …plans. **Required Qualifications** + A minimum of 7 years of relevant experience in a TPA ( Third Party Administrator ) environment or fully insured ... compliance impacting plan sponsors. + Collaborate with internal departments-including claims , customer service, and client management-to ensure effective issue… more
- Public Consulting Group (Albany, NY)
- …maximize program revenue, improve business processes, and achieve regulatory compliance. Services: + Third Party Administrator Services + Enhance Health and ... Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost Allocation Plans and Time Studies + Cost Settlement and… 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
- Catholic Health (Buffalo, NY)
- …Catholic Health at NYS Workers' Compensation Board hearings, effective interaction with Third Party Administrators ( TPA 's), claim reserving practices, ... (IDM) position is responsible for monitoring and aggressively managing claims leaves, and absences associated with occupational and non-occupational injury… more
- MTA (New York, NY)
- …future claims costs. Oversees OCIP claims and settlements and monitors third party administrators ( TPA ) to check for, cost, accuracy and best ... the overall management of a staff of 2 people including the Sr Claims Administrator , 1 Analyst and approximately 7 consultants. + Responsible for the management… more
- Highmark Health (Albany, NY)
- …overdue payments, Resolution of inquiries related to broker commissions or TPA 's, Creation of monthly reports detailing problematic accounts, Termination of groups ... for non-payment, Completing write-offs as appropriate, Coordinating AR issues affecting claims or inquiry processing with Membership and Billing personnel.Lead or… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …complex product/program implementation in the HealthCare Payer domain and or Third - party Administration of self-funded clients + Documents scope, objectives ... solve the problems facing today's healthcare with our flexible and cutting-edge third - party administration services. Our unique perspective stems from decades of… more
- ConnextCare (Pulaski, NY)
- …summary plan descriptions 7. Point of contact for all benefits carriers, brokers, TPA , etc. for all communications required in the successful execution of the ... all Employee Incident Reports, maintain OHSA reporting logs 18. Oversee Worker's Compensation claims 19. Assign and track completion of all annual inservices for the… more