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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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Experience of deploying the Operations Audit and Information Security framework at TPA.•Strong Leadership and management ability. Description: Job Description: •Leading the TPA Risk function to develop, implement and maintain an effective Operational Risk and Internal Control Framework.
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FuturePlan is the nation’s largest third-party administrator (TPA) of retirement plans, partnering with advisors in all 50 states. Strong attention to detail and the ability to prioritize, manage tasks and meet in connection with business operations, including related ERISA compliance matters.
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Operations Associate/Purchasing Team Processer. TPA Follow-up calls. Execute, review, and reconcile financial operations transactions, which may include paperwork processing, timely investments, and fund transfers.
$52,000 - $63,000ExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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Provides outstanding customer service and works well with the insured, broker and TPA in the adjustment of complex and mainstream casualty, specialty risks and business auto claims. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients.
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Provide direction, reserve, and settlement authority to TPA claim handlers as outlined in the TPA Shadow Protocol within the Director's authority and elevating requests above authority to appropriate management levels for approval.
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We are seeking an experienced Insurance Operations Associate to support our growing Annuity portfolio at CL Life and Annuity Insurance Company. Experience with insurance administration and TPA infrastructure/management.
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Experience in a third-party administrator (TPA) environment is a plus. Prior experience working in a TPA environment is strongly preferred. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
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ESIS, a multi-line Third-Party Administrator (TPA), provides claims, risk control & loss information systems to Fortune 1000 clients across its North American platform. ESIS is seeking a Claims Assistant in Las Vegas, to report to the Operations Team Leader.
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Coordinates and executes work with other departments such as Subrogation (recovery and progress), Fraud (pulling needed documentation from files, ensuring surveillance is ordered as requested) Payroll, Field Operations, Legal and Human Resources.
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Training includes a virtual classroom environment with trainers who have experience working within the Evolent Customer Service Operations (CSO) call center. 2+ years at a health plan, TPA or related call center setting - Preferred.
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Understands, considers and applies legislation and regulations, including but not limited to IRS, DOL, and ERISA, when preparing, analyzing and interpreting information. The FuturePlan team includes more than 500 credentialed plan professionals, 60 actuaries, and one of the industry's largest in-house ERISA teams.
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Communicate and partner with customers tactfully and empathetically to resolve issues, using clear language translating healthcare-related jargon and complex processes into simple, step-by-step instructions customers can comprehend and act upon.
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Our roots go back decades, with nearly 30 outstanding legacy firms now joined together to deliver unmatched levels of service, innovation and expertise to a fast-growing client base from coast to coast.
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Our team values collaboration, continuous learning, and a customer-centric approach, ensuring that every team member contributes to providing better health outcomes. Knowledge of managed care, Commercial, Marketplace, Medicaid and/or Medicare programs; knowledge of medical policy benefits and exclusions - Preferred.
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