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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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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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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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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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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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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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We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router.
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A mobile, hot spot, or WiFi connection is NOT acceptable - Required. Answer and manage inbound inquiries regarding health plan benefits and claims, eligibility, medical and other healthcare procedures, billing and payments and other related topics from customers in a prompt, courteous manner.
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The HR Generalist will be responsible for supporting HR across various functions, including employee relations, performance management, benefits administration, training and development, and HR administration to support effective and efficient operations of the organization’s human resource department.
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This is a work from home position, which requires a quiet, private workspace without noise and distractions, and reliable internet connectivity provided through a wired connection with a minimum of 100 MBPS speed.
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Demonstrated ability in using computer and Windows PC applications, which includes strong keyboard and navigation skills, ability to type 35 WPM and learn new computer programs - Required. Customer Service Representatives (CSR's) will be working with and providing support to health plan members, providers and/or their representatives.
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