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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. 8 or more years of experience as a claim professional and/or claims management with a high degree of specialized and technical competence in the handling of professional and general liability claims with emphasis on hands-on file and litigation management.
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You will have the ability to learn advanced skills that include RotoProne therapy, SLED, CRRT, EKOS therapy, intraventricular monitoring and drainage (EVDs), Bolts, Lumbar drains, TPA administration, TTM, TNCC or ATCN paid certification, Trauma Responder MTP and removal of arterial sheaths.
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Intake new claims and act as liaison between employee and Third-Party Administrator (TPA). Collect and submit required paperwork to TPA. Intake new claims and act as liaison between employee and Third-Party Administrator (TPA.
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Prepare funding report for TPA clients. The Finance Specialist independently manages funding aspects with minimal supervision, consistently delivering results that surpass expectations. The Finance Specialist is tasked with overseeing the treasury of client plans within the designated book of business.
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The responsibilities of this role include, but are not limited to brainstorming creative content ideas and working collaboratively with TPA's media team, executing on all tasks for social media management, as well as providing quality control and placing content for all TPA social media channels.
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If you are a New Graduate Nurse with less than 12 months of experience, please visit the main job search page and use keywords RN New Grad to search for openings. Banner Thunderbird Medical Center (BTMC) and Banner Children’s Hospital at Thunderbird provide a preferred destination for surgical, oncological, cardiovascular, neuroscience, orthopedic, pediatric, and women and infant services achieved through best-in-class 5-star CMS rating to provide patients with high quality, safe care for the best possible experience.
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15+ years insurance operations experience, third-party administration (TPA) experience or PBM experience. 15+ years insurance operations experience, third-party administration (TPA) experience or PBM experience.
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RequirementsCurrent, unrestricted license issued within the United States Must have 2 years of general TPA practice of optometry or one year of ACOE accredited post-graduate residency training in an appropriate specialty area.
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At Cetera TPA, we aim to serve our financial advisors base by providing retirement plan expertise and guidance, and our TPA sales team embodies this through various channels within our organization.
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Seek to ensure that Third Party Administrator (TPA) is managing claims efficiently. Monitor to ensure that TPA follows appropriate state workers compensation laws and defenses. Prepares for and attends Claim Review Conference with TPA to evaluate individual cases; reviews, and adjusts financial reserves of claims; negotiates with TPA the settlement of claims within established authority and work together to develop detailed and doable Plans of Actions.
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Coordinate with regional Arch Construction Claims Management and TPA staff to ensure integration of risk control strategies and services into execution of claims management & managed care services.
$180,959 a yearFull-timeExpandApply NowActive JobUpdated 15 days ago - UpvoteDownvoteShare Job
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Experience in US Healthcare Payer/TPA/Insurance space with emphasis on Claims, Clinical Edits, Claims Pricing, Benefit Plans, Premium Billing, Enrollment, Payments, Reinsurance/Stoploss, EDI (834, 835, 837, 278, 270/271, 276/277 etc.
$110,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Oversee multi-jurisdictional workers’ compensation, general, and auto liability claims, including internal and external communications with Third Party Administrator (TPA), attorneys and other parties, as needed.
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Verify receipt of final client contract from carrier/TPA/vendor; review final contract to ensure reflection of negotiated terms. Preferred minimum of 5-7 years of experience with client-facing customer service and/or marketing with an in-depth knowledge of the insurance brokerage business; preferably with self-funded benefit plans, medical stop loss and ancillary coverages.
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Update account holders, TPA partners, management, and plan sponsors as necessary on requests and progress. QTC is hiring immediately for this role! We provide rollover account administration services for all types of qualified retirement plans including: 401(k), Profit Sharing, and Defined Benefit (including Cash Balance Plans and corporate trustee services for qualified retirement plans.
$60,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago
tpa job in Phoenix, AZ
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