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MetroPlusHealth Summer Internship: Business Continuity
InternExpandApply NowActive JobUpdated 6 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.
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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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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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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.
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Our client, a specialty TPA for food franchises, bars, restaurants and entertainment is looking for a General Liability Claim Representative with premises liability, slip and falls, assault and battery, liquor liability (dramshop) and BI experience.
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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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Candidate will also be responsible to develop joint thought leadership with the ISU/accounts.
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HealthComp is a leading third-party administrator (TPA) that specializes in providing customized, full-service healthcare solutions. HealthComp is a leading third-party administrator (TPA) that specializes in providing customized, full-service healthcare solutions.
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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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Department: MHP INFORMATION SECURITY
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In this role, the successful candidate As part of the Pharmacy Business & Analytics (PBA) team, this position monitors and manages Third Party Administrator (TPA) split-billing software reports to ensure regulatory compliance and optimization of 340B Program revenue.
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MetroPlus Health Plan provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
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Complete management reports, expense reports and other special tasks as requested.
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tpa job Company: Metroplus Health Plan in Sunnyside, NY
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