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We have assignments available to help our insurance carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Commercial Claims Adjuster or Examiner positions. P&C Commercial Claims Adjuster - Carrier or TPA - REMOTE.
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Thorough understanding of permitting standards (Including but not limited to TPA, Special Event, Fire, Health & Safety, Building & Safety, Noise, etc.) As an Event Producer on our team, you will oversee all aspects of event production, collaborating with other teams on concept development, and ensuring flawless execution.
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The attendi ng physician w i ll perform dut i es of a fu ll-t i me rad i ation oncologist i n our department, i n clud ing but not limited t o seeing new ou tpa t ient and inpatient consu lt s and follo w ups , developing and v i ewing radiat i o n plans , perform ing on treatment visits, and participating i n departmenta l and hosp i ta l meetings includ i ng quality assurance, tumor boards and ca n cer comm itt ee.
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Review and oversight of quarterly fund closes based on data received from the Third Party Administrator (TPA), which includes review of related support for all balance sheet and income statement accounts.
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Consult on all pharmacy benefit programs to increase sales and revenue for Keenan core business (healthcare, schools, municipalities, commercial, TPA, COE), Keenan Pharmacy legacy Marketing Partners, Keenan Pharmacy acquisitions and AP offices across the country.
$100,000 - $125,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Perform claim account management for assigned clients to communicate claim issues and results, participate in the TPA audit process, and collaborate on technical and service issues relating to the TPA performance and the client.
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Assists in compliance reviews of internal and Third Party Administrator's ("TPA") claims processing policies and procedures. Minimum of 3 years related claims and/or auditing experience requiredExperience working in a TPA or HMO or managed care environment preferredKnowledge of Medicare and Medicaid claims requiredPrior training and knowledge of DRG, ICD9 and CPT4 requiredProficient PC skills, including Microsoft Windows requiredKnowledge of HIPAA guidelines required.
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The Claims Division is seeking a Director to join the Workers' Compensation Team. In this role, the responsibilities include but not limited to TPA oversight of complex and severe Workers’ Compensation claims across all business units with Defense Base Act, CA, USL&H, and NY.
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TPA & Programs Claims Shared Services Lead AXIS is seeking a TPA & Programs Claims Shared Services Lead to join our TPA, Litigation and Vendor Management Services North America Claims team.
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Assists TPA with provider compensation configuration by creating and testing compensation grids used for reimbursement and claims processing. Reviews and investigates claims to be adjudicated by the TPA, including the application of contractual provisions in accordance with provider contracts and authorizations.
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Knowledge of MLTC/ Medicaid/Medicaid benefit. The Claims Specialist will be responsible for reviewing claims processed by the outside vendor, including resolving provider appeals/disputes. Analyzes patient and medical information to identify COB, Worker's Compensation, No-Fault, and Subrogation conditions.
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Supporting the professional development of TPA/Paralegals by implementing training programs for new TPA/Paralegals and ongoing training for senior TPA/Paralegals. Providing direct and ongoing supervision to TPA/Paralegals.
$99,000 - $175,000 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Candidate will also be responsible to develop joint thought leadership with the ISU/accounts.
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ResponsibilitiesDuties include, but are not limited to: 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.
$80,500 - $137,000Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Quarterbacks all post bind activities including policy production, compliance issues, audits and adjustments, legal agreements, receipt of collateral, legal agreement execution, TPA coordination and any other related items.
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tpa job in New York, NY
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