- Harbor Group Management (Dallas, TX)
- …and supplemental documentation required to support claim resolutions. + Manage third party claim resolution, subrogation/recovery processes. + Maintain claim ... and providing exquisite living experience for our residents. Job Title: Claim Administrator Location: Onsite, Dallas, Texas JOB PURPOSE : The position works closely… more
- CVS Health (Austin, TX)
- …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
- Lincoln Financial (Austin, TX)
- …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
- 7-Eleven (Irving, TX)
- …management strategy. + Build, lead, and manage relationships with brokers, carriers, Third Party Administrators (TPAs), defense attorneys, and other external ... partners. + Oversee the TPA program, including vendor selection, program design, ... TPA program, including vendor selection, program design, claims handling protocols, performance evaluation, and issue resolution. Current… more
- Acosta Group (Lewisville, TX)
- …Sr. Risk Claims Analysts and collaborate closely with internal stakeholders, third - party administrators, brokers, and insurers to ensure effective claims ... + Vendor and TPA Management: + Manage relationships with third - party administrators, insurers, brokers, and legal counsel. Conduct performance reviews… more
- Berkshire Hathaway Automotive (Irving, TX)
- …general liability, auto liability, and workers' compensation in coordination with outside third - party loss control personnel. * Involved in the organization's ... program design, marketing, procurement, and premium allocation. Manage all claims and litigation matters including mediation, involving workers' compensation,… more
- Keurig Dr Pepper (TX)
- …and key stakeholders to identify preventative opportunity areas + Assesses all new claims and immediately engage in those that are serious, questionable, or lost ... on workers' compensation ensuring timely return to work + Partners with claims adjusters, nurse case managers, EHS, Risk Management, managers, and employees and… more
- Kelsey-Seybold Clinic (TX)
- …N/A Preferred: N/A **Special Skills** Required: Strong knowledge of HMOPOS and TPA Plan Design and Claims Processing Member Service Representatives must ... to administrative issues related to health plan operations including claims resolution, premium billing, medical benefit interpretation, organization and coverage… more
- Highmark Health (Austin, TX)
- …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