- AIG (Atlanta, GA)
- Complex Claims Director , TPA At AIG,...an impact + Analyze and process bodily injury and third - party property damage claims by investigating ... help customers to manage risk. Join us as a Complex Claims Director to play...claim handling and reporting guidelines. + Work with TPA Claims Financial to check the accuracy… more
- Axis (New York, NY)
- …for candidates taking part in the selection process. AXIS is seeking a _Senior Claim Director , Specialty Complex_ _Claims_ to join our North America Claims ... team. This role will report the Head of Specialty Complex Claims . As a direct report to...Claims teams regarding coverage issues, coverage disputes and claim handling issues, time limited demands, emerging issues, including… 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 ... providing strong member experiences. . Proven leadership experience managing teams in a complex matrix organization . Outsource vendor experience a plus . Ability to… 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...your career to the next level? If yes, the Complex Claims Director role may… more
- The Hartford (Hartford, CT)
- …compliance with company standards and regulatory requirements. + Provide expert guidance on complex claims and support TPAs in the resolution of high-exposure ... TPAs to ensure adherence to service level agreements and claim handling guidelines. + Analyze data to identify trends,...field is preferred. + Minimum of 7-10 years of TPA Management / front-end sales / back-end claims… more
- San Jose State University (San Jose, CA)
- …of workers' compensation claims . + Act as liaison between CSU's third - party administrator , injured employees, and treating physicians. + Coordinate ... primary point of contact for staff, faculty, management and third - party claims administrators for all...applicable leave benefits. + Ensure timely reporting of injury claims , track claim status, and maintain OSHA… more
- Providence (Irvine, CA)
- …we have an unparalleled opportunity awaiting you! **The Role** As the Senior Director of Product Development, you will spearhead the successful growth and operation ... contact for employer clients, addressing issues related to access, network, claims administration, and performance. + **CRM Custodian:** Maintain an employer-based… more
- Veterans Affairs, Veterans Health Administration (Iron Mountain, MI)
- …in the consult review process for referrals being submitted off-station under the third - party administrator or Community Care. After conducting a clinical ... leaders to function as a key participant in the Director and Chief of Staffs top advisory group. Maintains...of the organization, along with the ability to manage complex programs. The Chief of Staff will be responsible… more
- Perdue Farms, Inc. (Accomac, VA)
- …worker's compensation, assisting the occupational health nurse/ third party administrator in effectively managing all open claims . + Keeps the management ... efforts for the 1,700+ employees assigned to the Accomac, VA food manufacturing complex and other eastern VA facilities by maintaining a world-class culture through… more
- VNS Health (Manhattan, NY)
- …health plan departments such as Claims and Medical Management, and the third party administrator staff and legal, as necessary, to investigate ... well as contractual requirements. + Investigates and reviews routine and complex situations and underlying issues, analyzes and solves problems, focusing primarily… more