- CVS Health (Tallahassee, FL)
- …day. **Position Summary** Responsible for intake, investigation and resolution of appeals , complaints and grievances scenarios for all products, which may contain ... responses from multiple business units. Ensure timely, customer focused response to appeals , complaints and grievance. Identify trends and emerging issues and report… more
- MyFlorida (Tallahassee, FL)
- …You Will Do: This position's duties include but not limited to the following: CRIMINAL APPEALS : Represent the State of Florida in all criminal appeals filed with ... hearings and the preparation of post-trial proceedings. + Handle appeals from any of the foregoing proceedings to the...the foregoing proceedings to the United States Court of Appeals for the Eleventh Circuit and to the United… more
- MyFlorida (Daytona Beach, FL)
- …in habeas actions in federal district courts, the Eleventh Circuit Court of Appeals , and United States Supreme Court. + Litigation includes attendance at evidentiary ... preparation of briefs, responses, motions, and other functions directly related to appeals (capital direct appeals , interlocutory actions, collateral appeals… more
- MyFlorida (Tallahassee, FL)
- …determinations received from claimants and employers or the Office of RA Appeals and the Reemployment Assistance Appeals Commission. Issues written ... records is maintained and available to the Office of RA Appeals for lower level appeals hearings. Required Knowledge, Skills, and Abilities: + Knowledge of the… more
- MyFlorida (Fort Lauderdale, FL)
- …determinations received from claimants and employers or the Office of RA Appeals and the Reemployment Assistance Appeals Commission. Issues written ... records is maintained and available to the Office of RA Appeals for lower level appeals hearings. Required Knowledge, Skills, and Abilities: + Knowledge of the… more
- MyFlorida (Orlando, FL)
- …determinations received from claimants and employers or the Office of RA Appeals and the Reemployment Assistance Appeals Commission. Issues written ... records is maintained and available to the Office of RA Appeals for lower level appeals hearings. Required Knowledge, Skills, and Abilities: + Knowledge of the… more
- CVS Health (Tallahassee, FL)
- …We are hiring a Senior Analyst to support the Complaint, Grievances and Appeals (CG&A) team. This position will play an important role supporting root cause ... corrective actions within the appeals space by maintaining existing and building new reporting...data cleaning workflows. + Experience working in claims or appeals analytics. + Ability to communicate and translate technical… more
- Adecco US, Inc. (Orlando, FL)
- …guidance on benefit investigations, prior authorizations, claims resolution, and appeals . This client- and customer-facing role requires strong relationship-building ... cases by overseeing benefit investigations, prior authorizations, claims escalations, and appeals , ensuring timely patient access. 3. Design and deliver advanced… more
- Molina Healthcare (St. Petersburg, FL)
- …delegated vendors must follow, and you keep complaint data synchronized across appeals & grievances, enrollment, claims, pharmacy, and quality functions. You surface ... 2. Workflow Integration - Embed CTM insights into downstream operations-Stars, appeals & grievances, enrollment, claims-so each team addresses systemic defects. 3.… more
- MyFlorida (Tampa, FL)
- …will also conduct evidentiary hearings in state circuit court, and file and argue appeals in the Florida Supreme Court. Attorneys will file Petitions for Writs of ... Habeas Corpus in the federal district courts, and handle appeals there from in the Eleventh Circuit Court of... there from in the Eleventh Circuit Court of Appeals and the United States Supreme Court. Attorneys will… more