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This individual will handle TPA Oversight for general liability and commercial auto claims. Everest Insurance, a member of Everest Re Group, Ltd., has an opportunity for an experienced claims professional to join our Auto and GL TPA Oversight - Casualty Claims team as a Claims Specialist I.
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Qualifications include an OD degree with TPA+ licensure (glaucoma and anti-infective privileges) in Massachusetts, advanced professional credentials such as residency training or equivalent clinical experience, appropriate credentials for a faculty appointment, and an active commitment to excellence in patient care and teaching.
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Sponsor Processing: Onboarding over 10,000 plans in the US and Canada and over 3000 amendments in Canada Advisor and TPA support including billing and administration. Manulife offers eligible employees a wide array of customizable benefits, including health, dental, mental health, vision, short- and long-term disability, life and AD&D insurance coverage, adoption/surrogacy and wellness benefits, and employee/family assistance plans.
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We provide a comprehensive line of service offerings including commercial property, casualty, inland marine/cargo, heavy equipment and large loss adjusting, as well as TPA/claims management and subrogation.
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At the time of the appointment, a successful candidate must hold a Doctor of Optometry degree (O.D.) and have or be eligible to obtain a Massachusetts Optometry License with TPA certification. The New England College of Optometry invites applications for a full-time Assistant or Associate Professor position.
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Experience working within a health plan, managed care organization, provider operated healthcare environment or Third-Party Administrator (TPA)/Business Process Outsourcing (BPO) - Required. The Manager, Credentialing Operations collaborates with Provider Data Management (PDM), Market Operations, Shared Service team, and our external business partners to monitor operations, resolve service barriers, develop solutions to improve effectiveness, and identify continuous improvement initiatives to increase service and operational level agreements.
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Assists HR Onboarding and TPA to register DFCI in new state jurisdictions for SUI and Tax withholding. Analyze and monitor system setup and tax impact of General and Benefit deductions such as Parking, MBTA Pass, Cafeteria benefit plans, Retirement Plans, and other company plans in accordance with IRS annual limits.
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This position is responsible for architecting custom solutions to meet client goals in the areas of claim closure, early intervention, TPA marketing and program design, operational assessments and claim audit projects.
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Foster ongoing carrier and TPA relationships and provide vendor procurement, negotiation, and optimization. Serve as senior employee benefits consultant and strategist for clients, managing client engagements, expanding existing relationships and developing new business in accordance with approved business plan.
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Ongoing collaboration and partnership with the insured, broker and TPA in the handling and adjudication of claims. In this role, the Healthcare & Casualty Senior Claims Examiner will have a unique opportunity to handle and adjust all facets of Senior Care, Healthcare, Transportation, and General Casualty claims in a highly collaborative team environment dedicated to best in class claims handling.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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With annual revenue of over $20 billion, Marsh McLennan helps clients navigate an increasingly dynamic and complex environment through four market-leading businesses: Marsh, Guy Carpenter, Mercer, and Oliver Wyman.
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Prior leadership role in claims or risk for an employer or claim administrator, Demonstrated project management expertise and technical claim background in workers’ compensation and/or liability claims.
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FuturePlan is the nation's largest third-party administrator (TPA) of retirement plans, partnering with advisors in all 50 states. FuturePlan is the nation's largest third-party administrator (TPA) of retirement plans, partnering with advisors in all 50 states.
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As a Claim Account Manager – US Mid-Market for the Americas Claims team, you will be responsible for claim account management functions for customers in our growing US Mid-Market business unit, helping to sell AXA XL Claims value in the marketplace and managing claims-related service issues for our customers, Third Party Administrator (“TPA”) and key distribution partners.
$115,500 - $227,000 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Serve as the department's liaison with TPA regarding regulatory information such as proposed and final Medicare Advantage and/or Medicaid payment regulations and Medicare Advantage manual updates related to coding/billing changes.
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tpa job in Boston, MA
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