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Review department BOB to include review of renewals for fully insured, TPA, stop loss, PBM coverages, cost, and contract terms to ensure standards are met, determines trends, sets expectation and provide communications internally and externally.
$80,000 - $100,000Full-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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This position reports to the VP, Information Technology and would be part of a team that handles all data requests for US operations within Charles Taylor TPA. As a Data Analyst, you would be responsible for performing complex analysis of data from various sources to assist with reporting, data conversion and creating Extract-Transform-Load (ETL) solutions.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Processes claim payments for escrow to TPA, Rental Car payments, and other payments as assigned, maintains record of accounts; prepares correspondence and backup information in support of payments and assures they are properly loaded and tracked into the claims management system.
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The Analyst- Finance supports the finance operations functions for high risk, complex clients completes complicated analysis & reporting and provides guidance and direction for financial management.
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Acts as the primary point of contact, liason between the broker and TPA to ensure exceptional buying experience. Drives new sale strategies and rate recommendations based on financial analysis with an eye on crafting solutions that are win-win-win.
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Oversee administration by the Company’s third-party leave administrator (“TPA”) of associate leaves of absence (under federal and state laws and Company policy, including but not limited to: FMLA, ADA, military, disability, Wellness, and workers compensation leaves, and Canadian laws and regulations.
Full-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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This role reports to the Director of Liability Claims and works with the risk management team to develop the claim program policies, and procedures for: reporting, investigation, and analysis; litigation management; resolution/outcome management; and the delivery of claim information.
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Advanced knowledge in the following areas: risk management; insurance; redline contract review; forecasting and analysis; litigation coordination and document production. Provide redline edits analysis and review of complex loss areas in campus contract/agreements including but not limited to Intellectual Property agreements; Licensing Agreements; Real Estate; Services Agreements; Cyber contract review; Industry Alliance; Agreements; Right of Entry Agreements; NIH grant reviews; Business contracts; Sponsored Projects agreements; Training agreements.
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Maintain an ability to facilitate meetings with leadership, succinctly communicating analysis and understanding of business concepts to improve GuideWell's positioning. Solid understanding of various aspects of the health insurance industry, including funding mechanisms and key strategies to enable winning in local markets (e.g., clinical asset ownership, TPA product strategies, etc.
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Fertility and diabetes benefits. Seeks out and report competitive intelligence that assists in product development and market positioning. If you're excited about the prospect of transforming the future of health care and growing in your career, join our smile revolution.
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Develop detailed test plans and conduct NVH assessments, incorporating modal analysis, Frequency Response Functions (FRF), Operating Deflection Shapes (ODS), and Transfer Path Analysis (TPA.
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Beacon Hill Technologies covers a broad spectrum of IT positions,including Project Management and Business Analysis,Programming/Development, Database, Infrastructure, Quality Assurance,Production/Support and ERP roles.
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Review and comment on all PARs ahead of claims committee meetings, provide analysis to Executive Directors and Claims Manager, and follow up with TPA. Become claims department subject matter expert on all internal and external systems accessed by claims department (Origami, iVos, Risk Console and other internal, carrier or TPA systems.
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Management of Third-Party Administrator (TPA) handled property claims, both active and runoff, including the investigation, analysis and evaluation of coverage liability and damages, within best practices.
Full-timeExpandApply NowActive JobUpdated 18 days ago - UpvoteDownvoteShare Job
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Working closely with in-house counsel, defense counsel, broker, and insurer/TPA, recommend courses of action, including litigation management, in developing an affirmative defense, mitigating liability, and valuation of claims toward economical settlement or final disposition of third-party claims.
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