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You will report to the Workers’ Compensation Claims Manager- TPASHARE your talentWe’re looking for someone who has these abilities and skills:·Advanced level claim handling experience involving high value/complex claim management and litigation management.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Collaborate and maintain cross-functional working relationships with team members of multiple business units; Claims Third-party Administrators (TPA), Programmers, and approved vendors to analyze and correct data quality errors.
RemoteExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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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.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Wright Public Entity serves as a management company providing claims administration, risk management & loss control, underwriting & marketing, and client services in New York for the NY Schools Insurance Reciprocal (NYSIR: ‘A’ rated by Best), NY Municipal Insurance Reciprocal (NYMIR: ‘’ rated by Best) and Statewide Schools Health Plan. We also act as a TPA for Workers Compensation for various self-insured schools & municipalities in New York.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Understanding and knowledge of exposure identification and analysisPosses a cross functional generalist knowledge of other disciplines including claims, risk control, audit, premium accounting, finance and legal.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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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.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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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.
Full-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Claims Management – manage claims for assigned insurance programs and work closely with in-house litigation counsel, claim consultants, and TPA on efficient resolution strategies.
$120,000 - $165,000Full-timeExpandApply NowActive JobUpdated 22 days ago - UpvoteDownvoteShare Job
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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.
ExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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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.
ExpandApply NowActive JobUpdated 19 days ago - UpvoteDownvoteShare Job
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Our TPA client is currently seeking a highly skilled and experienced Commercial Property Claims Adjuster to join their Claims Department. As a Commercial Property Claims Adjuster, you will be responsible for managing claims involving 1st party property coverage for a public entity client.
Full-timeRemoteExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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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 20 days ago - UpvoteDownvoteShare Job
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Prior Third-Party Administrator (TPA) experience preferred. The position of ESIS Business Development Manager (BDM), Specialty Claims reports to the SVP, ESIS, Specialty Claims and to the SVP, ESIS Sales.
Full-timeExpandApply NowActive JobUpdated 23 days ago - UpvoteDownvoteShare Job
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Possess a cross-functional generalist knowledge of other disciplines including claims, risk control, audit, premium accounting, finance and legal. 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.
$148,614 - $201,066 a yearFull-timeExpandApply NowActive JobUpdated 21 days ago - UpvoteDownvoteShare Job
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Posses a cross functional generalist knowledge of other disciplines including claims, risk control, audit, premium accounting, finance and legal. Possess a thorough understanding of all loss sensitive programs including products, pricing, expensing, actuarial loss projecting techniques, retention and aggregate setting, limit profiles, ALAE, and effective utilization of facultative reinsurance.
$200,634 - $271,446 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago
claims tpa jobs in Sunnyside, NY
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