- UpvoteDownvoteShare Job
- Suggest Revision
Review complex claims processing in collaboration with a third-party administrator (TPA), pharmacy benefit manager (PBM) serving as liaison with TPA and PBM. Coordinates with the Third-Party Administrator (TPA) to track claims and ensure that primary payer sources have been identified and contacted.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Participates in the policy and procedure development, maintains internal and external relationships (wholesalers, Covered Entities, and third-party administrator [TPA] vendors) as needed, 340B rules/guidance surveillance, assist in 340B off site audits as necessary, contract management/implementation, reporting/analyzing, and program enhancement/ optimization projects including annual budgeting.
$65,000 - $95,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The TPO will be supported by the Enterprise Supply Chain Third Party Utility which is responsible for the execution of standard third party risk management activities that can be conducted centrally to drive operational efficiencies.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
We have assignments available to help our insurance carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Claims Adjuster or Examiner positions. Handle General Liability / Bodily Injury, Property, Commercial Auto Liability and/or Physical Damage, Workers Compensation, Inland Marine, Professional / Management Liability, Business Interruption, Liquor Liability, Garage/Garagekeepers Legal Liability, or Umbrella claims.
RemoteExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
The Workers Compensation Claims Specialist will handle single and multi-party personal or commercial line Workman’s Compensation claims of moderate to high exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Reporting to a Manager, Third Party Portfolio Management, the Third-Party Portfolio Risk Manager (TPPRM) partners with Product Service Owners (PSOs) in assigned Business Lines (BL), BL Chief Risk Officers (CRO) staff, Risk/Compliance/Audit (RCA) Managers, Procurement Partners, Law Division, Technology and Information Security teams to implement and drive the end-to-end execution of third-party risk management lifecycle.
$102,340 - $132,440 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The Third-Party Risk Analyst supports Third-Party Risk Management (TPRM) activities and our overall GRC program. The Cybersecurity team is seeking a passionate, experienced, and collaborative Governance, Risk, and Compliance (GRC) practitioner to focus on our Third-Party Risk Management (TPRM) program.
$157,000 - $235,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The Third-Party Risk Analyst has experience with risk assessments, risk analysis, ratings, and mitigation controls. The Third-Party Risk Analyst is a critical position within the organization with supply chain risk management responsibilities affecting the organization globally.
$157,000 - $235,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
We are seeking a Risk Manager to support the North America third party risk management program and lead multiple strategic initiatives with the TLMP program. The Third Party Lifecycle Management Program (TLMP) team is a second line of defense Third Party Risk Management team operating as part of the Corporate Risk function and acts as a 2nd Line of Defense.
$71,000 - $119,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
What we do: We are a full service insurance claims management company based in Tampa, FL. Founded in 2002, we've served hundreds of clients all across the U.S., specializing in dozens of claims types (i.e. flood, commercials, TPA, general liability, and more.
Full-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
At USIS/AmeriSys, we provide Third Party Claims Administration and Medical Management services for Workers’ Compensation and Liability claims on behalf of our customers.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
ESIS , a multi-line Third-Party Administrator (TPA), provides claims, risk control & loss information systems to Fortune 1000 clients across its North American platform. Under the direction of the AVP and VP of Claims and Claims Team Leader you will review coverage, investigates facts of third-party claims, secure evidence, assesses, addresses subrogation/recovery/tenders, and apportions liability and settles claims at the best outcome within established claim best practices guidelines and client instructions.
$71,500 - $115,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Ensure Third Party Risk Management policy and procedures and Visa Supplier Manager tool capabilities are implemented according to approved goals and policy. Identify, prioritize and pursue opportunities to enhance Visa’s third-party risk management processes and introduce innovative approaches and solutions to optimize efficiency and effectiveness.
$76,000 - $125,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Support the development, deployment, and execution of the third party risk management framework. Five years of experience in third party risk management, operational risk, or compliance.
$75,000 - $100,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Collaborates with professionals, health plan departments such as Claims and Medical Management, and the third party administrator staff and legal, as necessary, to investigate and facilitate resolution of individual grievances and appeals.
Part-timeExpandApply NowActive JobUpdated Today
tpa compensation claims third party jobs Company: Bolthouse Farms
FEATURED BLOG POSTS
Minimizing Candidate Renegs During the Hiring and Onboarding Process
Candidates reneging on job offers or during the onboarding process can be a frustrating experience for any recruiter. In a talent-driven job market, it’s common for candidates to have more than one job offer to consider. It becomes a race against time to see which organization can offer the best career experience, compensation, and circumstances that secure the right employees.
10 Reasons to Be on Time at Work
Being punctual at work may not be something you’ve given much thought to, but it’s the foundation for building a successful career. All of your technical or job-specific skills will be in vain if your peers and superiors can’t trust you to show up on time and do the work. In fact, Simon Sinek once famously said that
Recruiting in a Recession: Hard Truths That Talent Acquisition Experts Must Accept
The summer had economists from around the globe embroiled in a debate about a possible recession coming in the next few years (or months). As of October 2022, the U.S. Labor Department data put the current inflation rate at 7.7%. The recent layoffs in the tech industry are just the first of what is soon to be a string of cutbacks by companies looking to save costs. For recruiters, this means freezes in hiring and fewer openings. It will also include the uphill task of finding the best candidates for them from the coming influx of recently laid-off job seekers. Now is probably a good time to brace for tough times in the next few years in the talent acquisition industry. To survive and thrive recruiting in a recession, here are some hard truths you will need to accept.
10 Importancies of Setting Realistic Goals
We’ve all heard how important it is to set professional and personal goals. Developing and establishing goals keeps us motivated and moving forward in life. But not all goals are created equal. If you’re chasing goals that are too lofty, you’ll end up disappointed when you cannot reach them. Setting goals that are achievable and measurable is the key to success.
Email Etiquette Principles - Why is it Important
Why is email etiquette important? Let's imagine you're hiring for a new role, and you’ve just received the email below.
10 Reasons HR is Important to an Organization
"Nothing we do is more important than hiring and developing people."
Collaborative Recruiting: The Key to a Better Talent Acquisition Strategy
Talent acquisition is a multi-stage process where candidates undergo various application steps before getting hired. The unfortunate reality is that it is a labor-intense system, with the hiring manager and recruiter often handling all of the work on their own. Ask any one of them, and you will hear about the overabundance of applications and the demanding task of filtering through them to find the best candidates. The quality of talent suffers under the weight of all that work on one person's hands. It's not easy, but as many companies are starting to realize, there is a better way. The future of talent acquisition lies in collaborative recruiting!