Chief TPA Claims Operations Leader
Wipro Technologies
Wipro Technologies in Chicago is seeking a Head of TPA Operations, responsible for the end-to-end delivery of health insurance claims services. This leadership position requires ownership of claims and TPA functions, ensuring compliance with all regulations and reporting obligations. The ideal candidate will have over 10 years of experience in health insurance payor operations, demonstrating excellence in operational leadership, regulatory compliance, and client relationship management. A comprehensive benefits package is included. #J-18808-Ljbffr Wipro Technologies
$104.6k - $125k
Role Overview Join us as a Complex Claims Director - TPA Oversight. In this role, you will lead the analysis, processing and resolution of complex bodily injury and third‑party property damage claims, ensuring prompt and cost‑effective outcomes while managing coverage,...Claims- Sedgwick Claims Management Services Ltd is seeking an AVP Operations for our Chicago office. The role requires oversight of technical and operational functions, compliance with industry standards, and managing staffing needs. Successful candidates will have a strong background...ClaimsWork at office
- AXA Partners is seeking a Director of TPA and Cost Containment in Chicago, Illinois. The role requires overseeing the strategic direction... ..., strong leadership skills, and a deep understanding of claims processes. The position offers a competitive salary between $90K...Claims
- Jobtailor in Chicago seeks an enterprise technology leader to own the IT strategy and lifecycle of the EIS platform for insurance delivery, including Policy, Billing, and Claims. You will drive platform availability, security, and performance while guiding architecture...Claims
$262.9k - $404.2k
...and where you do it. Job Category Claim Compensation Overview The annual base... ...the Opportunity? Lead the strategy and operations of Travelers Claim Medical initiatives... ...lines. This role will serve as a thought leader and help develop the following critical areas...ClaimsLocal area- ...vision of a future where cancer no longer claims lives. Our foundational model, ABCD (AI... ...intervention to early molecular detection. The Chief Scientific & Medical Officer (CSO/CMO)... ..., and academic/clinical key opinion leaders. Preferred Qualifications Board certification...ClaimsShift work
$200k - $240k
Chief Product Owner - Affinity This is a hybrid role with the flexibility... ...partnership with Technology, Operations, Risk Capital, and Business... ...Distribution activities Claims participation where... ...Technology, Operations, and Business Leaders—collaborative, but decisive....ClaimsFull timeTemporary workPart timeWork at officeLocal areaShift work$84k - $107k
...TITLE Risk Operations Specialist LOCATION Hybrid in Alsip, IL and Lombard, IL COMP RANGE $84... ...program, with an initial primary focus on claims administration and tactical risk processes... ..., insurance, claims, or brokerage/TPA environment. Demonstrated ability to manage...ClaimsTemporary workRemote workFlexible hours2 days per week- Health Care Service Corp. is looking for a talented individual to manage Payment Integrity Operations in Chicago. The position requires strong leadership and technical knowledge in claims operations to drive business value. Ideal candidates will hold a Bachelor’s degree and...Claims
$190k - $210k
...other roles. Who are you? You are a coach/leader who leads with an inclusive and... ...to meet contract requirements potential claims; escalates to leadership of unresolved deviations... ..., and engineers to establish operational priorities and maintain satisfactory relationships...ClaimsContract workFor contractorsFor subcontractorWork at officeLocal area$42.54 - $65.94 per hour
...patient safety events and works closely with Claims Management to identify potential/actual... ...with Performance Improvement team and Operational Leaders to identify key quality and patient... ...to Third Party Administrator (TPA) in a timely manner Attend monthly Risk...ClaimsHourly payFull timePart timeFor contractorsMonday to FridayFlexible hours$104.6k - $125k
American International Group is seeking a Complex Claims Director in Chicago. This role involves leading the resolution of complex claims efficiently and cost-effectively. Candidate will provide expertise in analysis, processing and managing vendor relationships for bodily...Claims$158k - $190k
...years litigation with insurance focus; pleadings, motions, briefs, discovery requests/responses, subpoenas, claim investigation and assessment, client/expert/TPA/opposing counsel communication, depositions, trial and arbitration prep including motions in limine, jury instructions...ClaimsRemote work$120k - $180k
...professional with a passion for reimagining how organizations operate at scale? Do you thrive at the intersection of strategy, innovation... ...mitigate their risk exposure, whilst our industry‑leading claims service provides them with additional peace of mind. Our success...ClaimsFull timeTemporary workWork at officeLocal areaRemote workWorldwideRelocation packageFlexible hours$157.66k - $197.07k
Chief of Staff - USRD Job at McDonald's, Chicago, IL Ui9jWGxYVnhtMEh3dnpGVEN2YUIrTS9HcGc... ...0 million customers daily.We continue to operate from a position of strength. Our updated... ...Collaborate with other directors and senior leaders to drive initiatives and achieve...Full timeLocal areaRemote workFlexible hours$200k - $280k
Job Description The Head of TPA Operations is a senior, hands‑on leader responsible for the end‑to‑end delivery of health insurance claims services. This role assumes ultimate ownership for the entire lifecycle of claims and adjacent TPA functions, including payment integrity...ClaimsMinimum wageLocal area- ...Healthcare About the Company Insurance company focused on claims for allied healthcare professionals. Industry Insurance... ...leadership role is pivotal in driving team performance, operational excellence, and employee development within the claims division...Claims
$83.4k - $136.5k
...Diploma or Equivalent and 6 or more years of experience in the Claims or Underwriting Support area OR Zurich Certified Insurance Apprentice... ...help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and...ClaimsFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorship- ...Executive (PX) is the senior construction leader responsible for delivering LG Development... ...through certificate of occupancy. Operating at the intersection of development and construction... ...; ensure timely resolution of warranty claims during the post‑CO period Stakeholder...ClaimsContract workFor contractorsFor subcontractor
$145.57k - $189.24k
...organization. Reporting directly to the Chief Risk Officer, EVP , the... ...insurance programs, captive operations, claims management, and key financial... ...to collaborate closely with leaders across the firm and influence... ...Experience with RMIS and TPA systems Strong analytical, financial...ClaimsFull timeTemporary work$195k - $260k
...apply anyway. Who are you? You are a coach/leader who leads with an inclusive and... ...contract requirements and resolve potential claims and deviations. Ensure the team creates... ...superintendents, and engineers to establish operational priorities and maintain satisfactory...ClaimsContract workFor contractorsFor subcontractorWork at officeLocal area- ...seeking a Deputy Executive Director to advance its mission and strategic goals. This senior leadership position involves overseeing operations, collaborating with the Executive Director, and driving performance across the organization. The ideal candidate will have at...
$102.75k
...Position: Chief Resident Location: Loyola MacNeal Hospital, Berwyn, Illinois Academic Year: 2027-2028 We are actively recruiting... ..., LCSW - GME Manager We look forward to receiving your applications and welcoming future leaders in medical education to our team!...FreelancePrivate practiceWork at officeRemote workVisa sponsorshipWork visaNight shift$300k - $400k
...School of Medicine invite applications for an exceptional leader to serve as Chief, Division of Endocrinology. This is an outstanding opportunity... ...Key Responsibilities: Provide strategic direction and operational leadership for clinical, educational, and research...Full timeTraineeshipWork at officeRelocation- ...Through embedded integration, they streamline operations, reduce friction, and improve the... ...experience. As a Product Director, Healthcare Claims Payments in Healthcare Payments, you... ...features that delight customers. As a leader on the team, you leverage your advanced...Claims
$159k
...Radiation Oncology is seeking an accomplished and visionary leader to serve as Chief of the Division of Medical Physics. This is an exceptional... ...: Set Strategic Direction: Define vision for physics operations and align with departmental and institutional goals. Serve...Work at officeRelocation- ...Flexibility may be required based on patient and operational needs. Join a Team That Cares for You,... .... Ensure Third‑Party Administrator (TPA) data integrity through routine reconciliation... ...fee‑for‑service and managed Medicaid claims to prevent duplicate discounts and ensure...ClaimsFull timeContract workPart timeReliefFlexible hours
$28.65 - $29.5 per hour
...‑day management of the assigned location ensuring that parking operations are handled within contractual guidelines of the specific location... ..., hiring and training of frontline staff, reviewing of damage claims, disbursing petty cash and preparation of the annual budget....ClaimsHourly payTemporary workBank staffFlexible hoursShift workNight shiftAfternoon shift$200k - $235k
...grown substantially, in part due to our industry leading success in mergers and acquisitions. Position Summary Working within the Claims Department in a client-facing role, the successful candidate will apply their experience in providing interpretation of policy language...ClaimsFull timeLocal area$200k - $250k
...dedication and creativity, we’ve become industry leaders who have won awards and set records... ...experiences. Leads end-to-end regional operations (Supply Chain, Sales Operations,... ...seekers through fraudulent emails, falsely claiming to represent Coates. These emails often...ClaimsLocal areaFlexible hours
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