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Remain current with Carrier and TPA service and technology capabilities, industry trends, development around key case law, and industry claims solutions. From sharing our time, talent, and resources to support local non-profit organizations, animal shelters, and environmental beautification and restoration projects – to partnering with eco-conscious vendors and taking steps to reduce our own environmental footprint – we’re working to build a better future.
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Work with carrier/TPA claims department to establish claims handling guidelines/best practices. The Claims Advocate might also be responsible for preparing, facilitating and rolling out TPA partnerships as needed.
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Ensure proper communication of loss information to the client and carrier/TPA. Coordinate and participate in regular claim reviews with the client and the carrier/TPA as requested and allowed.
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WHAT WE ARE SEEKING We have assignments available to help our insurance carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Commercial Claims Adjuster or Examiner positions.
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Pull claim reports and loss data from multiple carrier/TPA technology platforms. Stay informed regards to workers’ compensation laws, legislative updates, carrier’ claims product/program developments, technology to continuously improve knowledge and performance.
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Minimum 3 years of progressive TPA, Insurance Carrier, or Brokerage experience in claims management. Understanding of the insurance/TPA industry and market place. Under the supervision of the Regional Vice President - Client Services, maintains market share by providing excellent customer service and account management to small and medium size Broadspire clients.
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Reports directly to the Department head and is accountable for the development, direction and oversight of claims-related compliance activity for the company inclusive of regulatory change management, state and third party claim administrator (TPA) audits, claims reporting and data calls, claim penalty payments, claims- related research and consumer complaints for all applicable lines of business.
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Minimum 3 years' experience in Workers' Compensation claims adjusting with insurance carrier or TPA required. Directing and advising Third Party Administrator (TPA) as to desired claims handling, maintain open communication with TPA for claim details.
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Progressive responsibilities in multi-line claim adjusting and management with a TPA, insurance carrier, or corporate entity. Support litigation of insured claims including preparation of discovery responses; monitor Third Party Administrator (TPA) and outside counsel.
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Function as primary liaison with carrier, TPA, vendors to oversee necessary captive deliverables to ensure timely reporting and member/consultant support. Attributes and Skills Bachelor's degree or equivalent work experience 5+ years of group health, stop loss or self-funding benefits consulting experience; or experience working at an insurance carrier.
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Receive, review, and process reports of on-duty employee injuries, coordinate worker's compensation claims, arrange and authorize treatment of the employee by medical care providers; review and process medical bills and solve billing/payment problems with medical providers; process return-to-work and other documents and forms required by insurance carrier, TPA, and/or State of Michigan.
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We are seeking an enthusiastic and motivated Employee Benefits Account Manager who will be responsible for the care and services of assigned clients and will work collaboratively with the Producer in managing a book of business by coordinating and providing day-to-day service for employee benefits clients by maintaining client relationships, supporting client retention, maintaining strong carrier relationships and understanding client needs.
$80,000 - $100,000 a yearFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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A minimum of 5 year of management in underwriting and/or insurance operations at a carrier, MGA or TPA. A minimum of 5 year of management in underwriting and/or insurance operations at a carrier, MGA or TPA.
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P&C Commercial Claims Adjuster - Carrier or TPA - REMOTE Put your Insurance Experience to work - FROM HOME At Wahve, we value significant insurance experience and want to revolutionize the way people think about phasing into retirement by offering qualified candidates the opportunity to continue their career working from home.
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Communicate to the Accounting, FP&A and Controller functions risk financing mechanisms and related costs including premium costs, broker fees, TPA costs, global allocation models to Carrier entities.
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