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Our advanced capabilities in AI, IoT, telematics, data, and analytics drive continual innovation across our platform, as we work to advance the multi-trillion-dollar P&C insurance economy's digital transformation.
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Functions as the liaison between Corporate Care/EHS and HR for all work related injuries and employee return to work clearances; responsible for maintaining data in Agility for quarterly DART reports, and preparing/distributing annual OSHA logs and monthly reports including Safety, Safe Patient Handling, Infection Control and PIC.
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Partner effectively with external sales counterparts and generate monthly sales results within an assigned geographic region in the financial advisor channel and TPA network. Ability to manage pipeline information and reports, data, and insights of a sales territory.
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Certified Provider Credentialing Specialist (CPCS) certification - PreferredExperience working within a health plan, managed care organization, provider operated healthcare environment or Third-Party Administrator (TPA)/Business Process Outsourcing (BPO) - RequiredExtensive knowledge of computers and related software applications, such as Word, PowerPoint, Excel, Project - RequiredPrior supervisory or management experience – Required.
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Proactively inform the TPA of any changes or updates affecting allocation data. Prepare and review data feeds for accuracy and adherence to TPA specifications. This critical role requires seamless collaboration with our trusted third-party administrator (TPA) to ensure the end-to-end accuracy and efficiency of allocating company stock to participants.
$76,300 - $100,100 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The person in this position will be responsible primarily for non-TPA related revenue growth in the Branch for both Jenkins Services, LLC and Jenkins Environmental, LLC. This person will also be responsible for monitoring data input, data output, generated leads, and other sources of client information.
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This role will collaborate with our Third-Party Administrator (TPA) to collect, analyze, and interpret data to improve policy holder experience; as well as identifying areas of improvement relative to day-to-day operations.
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Bachelor's degree (B. A.) from four-year college or university; and the preferred candidates will have a minimum of 5 years of work experience with the third-party administrator selection process, from either the TPA side or on behalf of a broker, carrier, or self-insured entity.
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The Internal Sales Consultant (ISC) is a member of the Inside Sales organization and is tasked with identifying, developing, and maintaining selling relationships in the broker-dealer community within their assigned territory.
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Understand and execute the process for building, testing and deploying EDI file feeds between the client's insurance carriers and HRIS system, to include: plan rule setup, extracting employee data, troubleshooting eligibility during the testing phase and regular upkeep of files once the feeds are active (troubleshooting discrepancies.
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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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Analyzes complicated data to identify trends, makes forecasts and provides recommendations/solutions that facilitate cash application of outstanding balances. Provide reporting to Account Managers, clients, brokers, TPA and/or auditors upon request.
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Responsibilities: Answer day to day questions from business users (unit stat, claims, finance) on questions or issues This person will be doing a significant amount of data review & research of TPA data, applying their experience, and suggesting process improvements, data mapping changes, and one-off data corrections.
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Prior TPA and/or account management experience preferred. Wage ranges are based on national market data and may cover a wide range of geographies. Associate in Claims (AIC) or Chartered Property Casualty Insurance (CPCU) designation preferred.
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This role is requiring someone who lives on the West Coast and has Self Funding experience and TPA experience. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
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