- 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 TTPO Complex Claims to play your...with claim handling and reporting guidelines. + Work with TPA Claims Financial to check the accuracy… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …the development, implementation, and maintenance of multiple efficient and effective Third - Party Administrator ( TPA ) systems. **Responsibilities** ... capacity. . Demonstrated expert knowledge of all facets of Third - Party Administration medical, dental and specialty benefits, claims procedures, terminology,… more
- AIG (Atlanta, GA)
- Complex Claims Director , TPA At AIG,...an impact + Analyze and process bodily injury and third - party property damage claims by investigating ... customers to manage risk. Join us as a Complex Claims Director to play your part in...with claim handling and reporting guidelines. + Work with TPA Claims Financial to check the accuracy… more
- CVS Health (Tallahassee, FL)
- …will do** **:** . Leads five different functional areas within Meritain, claims adjustments, recovery, FSA administration, front end mail, and data administration ... scope of approximately 160 employees. . Develops strategies to optimize service operations , ensuring the efficient and effective delivery of services to meet… more
- AIG (Atlanta, GA)
- …who provide technical claims oversight and handling of losses adjudicated by a Third - Party Administrator ( TPA ). They collaborate with TPAs and ... months. What you'll need to succeed + Experience with Claims Third Party Administrators preferred...career to the next level? If yes, the Complex Claims Director role may be for you.… more
- The Hartford (Hartford, CT)
- …partners, understanding their needs and expectations. + Conduct regular audits of TPA operations to ensure compliance with company standards and regulatory ... Vendors. + Identify and mitigate potential risks associated with TPA / Vendor operations . + Work with...Proven track record of effectively managing TPAs and improving claims handling processes. + Claims operations… more
- HUB International (Columbus, OH)
- …full-time opportunity based in our Columbus office, and will report to the Director of Property & Casualty Operations . **ABOUT HUB INTERNATIONAL:** Overmyer Hall ... interactions and presentations + Provide and support clients with claims solutions specific to their business operations ...participate in claim reviews with multiple insurance carriers &/or TPA 's + Assist with marketing of claims … more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical ... Claims Coding Sr. Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding… more
- Covenant Health (Bangor, ME)
- …closely with defense counsel and staff in all aspects of the captive claims management operations for St. Joseph Hospital-Bangor. Ensure timely investigations ... Job Summary The Director of Risk Management and Compliance is accountable...strategies to minimize them. Manage day-to-day risk management program operations at St. Joseph Hospital-Bangor. + Act as a… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …growth, with a strong emphasis on quality control and improvements to enhance claims processing stability, flexibility, and innovation. The Director will be ... related filed with minimum of 7 years' experience in Healthcare Payer or TPA setting. + Extensive background in understanding claims system configuration… more
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