- AIG (Atlanta, GA)
- …trial preparation and ultimate resolution claim closure. + Collaborate with insureds, third party administrators, underwriters, and brokers to ensure all ... customers to manage risk. Join us as a Managing Director Complex Claims to play your part...with claim handling and reporting guidelines. + Work with TPA Claims Financial to check the accuracy… more
- AIG (Atlanta, GA)
- …we are reimagining the way we help customers to manage risk. Join us as a Complex Claims Director - TPA Oversight to play your part in that transformation. ... efficiency. How you will create an impact As Complex Claims Director - TPA Oversight,...Oversight, you will analyze and process bodily injury and third - party property damage claims by… more
- Commonwealth Care Alliance (Boston, MA)
- …states will not be considered at this time._** Position Summary: Reporting to the Director , Claims Operations & Quality Assurance, the Regulatory Compliance ... CMS Medicare requirements. This role is housed within the Claims Operations & Quality Assurance team and...* 5+ years in healthcare compliance, regulatory affairs, or claims audit. * Experience working with TPA … more
- Access Dubuque (Dubuque, IA)
- …4647791008 Posted On 04/24/2025 Refreshed On 08/26/2025 **Job Overview** SISCO, our medical claims TPA , is looking for an experienced sales professional to ... ERISA, Affordable Care Act, Insured Ancillary/Voluntary coverages, Affinity Programs, Captives, or TPA operations and related cost control point solutions +… more
- Transdev (Lombard, IL)
- …technical direction on claim decisions and resolution in partnership with our external Third - Party Administrator ( TPA ) partner within the assigned ... to reduce costs and improve outcomes + Direct Third - Party Administrator ( TPA )...claims experience. + Work to continuously improve our claims operations and look at opportunities and… more
- NDCP (Duluth, GA)
- …compensation lost time and medical only claims in an insurance company, third party administrator ( TPA ), or self-insured/high-deductible employer ... as the primary liaison in managing the Company's WC third - party administrator ( TPA ),...and accurate. + Communicate, as needed, with injured employees, third - party claims representatives, medical clinics,… more
- Dollar Tree (Chesapeake, VA)
- …legal on high exposure or high severity claims to develop case strategy. + Direct Third Party Administrator ( TPA ) claims examiners and assign and ... interacts with internal and external legal counsel, insurance representatives, third party claims administrator... claims data to facilitate decisions on liability claims program structure and TPA staffing, direction… more
- Sedgwick (Dallas, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Business Development Director - Casualty Claims (TX & OK) As a Business Development ... new client programs. + Develops the detailed knowledge of individual prospect operations targeting specific needs which may be opportunities for marketing company… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …RESPONSIBILITIES: + This role will be pivotal in managing the relationship with the third - party administrator ( TPA ) and ensuring efficient processes, ... and be the first point-of-contact for Emory HR. OVERSEE OPERATIONS : + Work with HR and TPA ...negotiate contracts (where necessary), and ensure quality of care. CLAIMS MANAGEMENT: + Oversee TPA claim processing,… more
- Commonwealth Care Alliance (Boston, MA)
- …considered at this time._** **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical ... 011250 CCA- Claims Hiring for One Year Term **_This position...on financial ability and forecasting for small to large Operations Management + Collaborate system and data configuration into… more