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They will also be responsible for conducting claims delegation and Third Party Administrator (TPA) oversight audits, documenting results and recommending... - Indeed
Must be insurable as determined by Sutter Insurance. Working knowledge of medical terminology, and coding, (e.g., ICD-9, CPT-4, HCPCS) is required.... - Indeed
Prior experience auditing and managing third party administrators. Processes claims that are not administered by third party administrators.... - Indeed
In conjunction with the Finance Department, negotiate with insurance brokers, insurance companies and third party administrators (TPA) with respect to premiums,... - Indeed
Experience in Third Party Administration practices is required. Verifies the validity of medical claims and determines whether payments will be made in... - Indeed
The primary role of the Claims Quality Analyst is to provide claims support by reviewing, researching, investigating and auditing claims that are primarily... - Indeed
5+ years of experience auditing TPAs and GMAs with industry experience to include Warranty, Non-Standard Auto and/or Property & Casualty Insurance is a must.... - Indeed
As a Senior Auditor with a background in accounting and finance and/or health care claims auditing, this position is primarily responsible for performing... - Indeed
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