- AdventHealth (Altamonte Springs, FL)
- …you'll need to succeed:** + High School Grad or Equiv Required + Associate Preferred + Ability to use discretion when discussing personnel/patient related ... to appropriately reconcile patient accounts. Resolves and resubmits rejected claims appropriately as necessary. Processes daily and special reports, unlisted… more
- Percepta (Melbourne, FL)
- …**What You Bring to the Role** Education + High School Diploma required + Associate 's **degree preferred ** **Experience** * Minimum 2-3 years of customer service ... real-time technical assistance to reduce the total number of claims requiring technical escalation and reduce the total number...escalation and reduce the total number of contacts per claim * Provide real-time technical subject matter expertise to… more
- CVS Health (Tallahassee, FL)
- …TN) **Education** + High School Diploma/GED or equivalent experience (REQUIRED) + Associate 's or Bachelor of Science in Nursing ( PREFERRED ) **Anticipated Weekly ... members who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current case management and eligibility status.… more
- Travelers Insurance Company (Tallahassee, FL)
- …Will Our Ideal Candidate Have?** + **College degree in STEM related field.** + ** Associate Actuarial Credential preferred .** + **Strong PC skills (MS Office) and ... will be working with the Pricing, Product, Underwriting, and Claims teams to both learn the business and communicate...B&SI reserving team embraces innovative methods, such as advanced claim level models, you'll play a key role in… more
- CVS Health (Plantation, FL)
- …and externally. **Education** + High School diploma or GED required. + Associate 's degree preferred . + Additional healthcare, insurance, or customer service ... in-person support across multiple worksites, handling complex benefit and claims inquiries, and providing education during open enrollment and health-related… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Associate VP, Resolution- CTM Oversight and Operations will serve as a strategic leader overseeing ... operations for higher quality and operational efficiency. + Ensure enrollment and claims processes comply with regulatory requirements and guidelines. + Partner with… more
- Ankura (Miami, FL)
- …in research and analysis project cost records and financial statements + Reconcile claim amounts to accounting systems and to insurers' calculations + Use Ankura's ... proprietary tools and industry standards in the development of claim methodology and work product + Develop computer models of schedules, contractor production rates… more
- NextEra Energy (Miami, FL)
- …Responsibilities * Receives inbound calls and responds to customer requests, inquiries, claims processing inquires, billing or claim disputes. * Handle ... ** Associate Customer Account Specialist** **Date:** Aug 15, 2025...you will be responsible for assisting customer with filing claims , providing detailed explanations of services or products, listening… more
- Molina Healthcare (Jacksonville, FL)
- …**Required Experience** 1-3 years of call center or customer service experience ** Preferred Education** Associate degree ** Preferred Experience** + 3-5 ... pharmacy prior authorization requests and/or appeals. + Explains Point of Sale claims adjudication, state, NCQA, and CMS policy/guidelines, and any other necessary… more
- BayCare Health System (Tampa, FL)
- …:** RN, CDIP, CCDS, or clinical degree **Education** + **Required:** associate 's degree + ** Preferred :** bachelor's degree **Experience** + **Required:** ... Performs special audits for specific issues within facility Inpatient claims . + Acts as the Liaison for coding issues...auditing experience within a large multi-facility inpatient setting + ** Preferred :** 3 years of experience with 3M 360 Equal… more