Tpa Claims Jobs in Raleigh, NC (NOW HIRING)

The purpose of this position is to oversee and adjust property and casualty claims for members and TPA customers. This is accomplished by investigating and evaluating property and casualty claims ...

Marpai Administrators ("Marpai") is an AI-powered national TPA (third party administrator) using ... Resolve member and provider issues concerning eligibility, benefits, and claims. * Outbound ...

Call center experience (TPA / Self-Funded Plans preferred). * Basic understanding of healthcare benefits, eligibility, claims processing, provider networks, healthcare terminology, and HIPAA ...

Deep experience in working with healthcare data, including medical claims, pharmacy claims, eligibility, enrollment, or payer/TPA/PBM benefits. * Expertise in using SQL to join complex datasets ...

... * Healthcare claims, eligibility, enrollment, or EDI experience strongly preferred. * Experience working within a Third-Party Administrator (TPA) environment is a plus. CORE COMPETENCIES:

... they handle claims. We accomplish this by creating customized, wealth-building purchase and ... TPA's; we have become true subject matter experts in sales and marketing, captive and risk ...

... they handle claims. We accomplish this by creating customized, wealth-building purchase and ... TPA's; we have become true subject matter experts in sales and marketing, captive and risk ...

... they handle claims. We accomplish this by creating customized, wealth-building purchase and ... TPA's; we have become true subject matter experts in sales and marketing, captive and risk ...

... they handle claims. We accomplish this by creating customized, wealth-building purchase and ... TPA's; we have become true subject matter experts in sales and marketing, captive and risk ...

Partner with vendors and our TPA to resolve employee questions, claims, and eligibility issues. * Maintain compliance with ACA, ERISA, HIPAA, COBRA, FMLA, ADA, and other applicable regulations ...

Partner with vendors and our TPA to resolve employee questions, claims, and eligibility issues. * Maintain compliance with ACA, ERISA, HIPAA, COBRA, FMLA, ADA, and other applicable regulations ...

Partner with vendors and our TPA to resolve employee questions, claims, and eligibility issues. * Maintain compliance with ACA, ERISA, HIPAA, COBRA, FMLA, ADA, and other applicable regulations ...

... claims, PPO network strategies, and bill review organizations. This role is primarily focused on ... or TPA environment, preferably in the New York and New Jersey markets. * Proven track record in ...

... claims, PPO network strategies, and bill review organizations. This role is primarily focused on ... or TPA environment, preferably in the New York and New Jersey markets. * Proven track record in ...

... claims, PPO network strategies, and bill review organizations. This role is primarily focused on ... or TPA environment, preferably in the New York and New Jersey markets. * Proven track record in ...

Partner with vendors and our TPA to resolve employee questions, claims, and eligibility issues. * Maintain compliance with ACA, ERISA, HIPAA, COBRA, FMLA, ADA, and other applicable regulations ...