- Kemper (Tampa, FL)
- …and state requirements. + Works directly with strategic partners like Product, Claims , and Operations on issues impacting the account. + Performs other duties ... sales/marketing management experience + Extensive knowledge of insurance operations: claims , coverages, products and underwriting is preferable to effectively… more
- Truist (Orlando, FL)
- …guidelines. 2. Independently analyze, research, and support electronic payment cases/ claims /inquiries escalated by internal departments and client service centers to ... resolution. Claims /inquiries related to Regulation E are met in accordance with the CFPB (Consumer Finance Protection Board). 3. Adhere to department standards… more
- CVS Health (Tallahassee, FL)
- …team or the Aetna Provider Contact Center. Concerns submitted vary- Claim inquiries, Retro contract loads/pricing concerns, EDI transmissions, Delayed payments, etc. ... + Must be able to use all Meritain applications to review and respond effectively to the submitted inquiry. + Ability to effectively communicate findings to the submitter and or to other Meritain departments and Wholesale Operations. + Ability to handle an… more
- CVS Health (Tallahassee, FL)
- …Qualifications** + Healthcare Insurance and PBM knowledge including Prior Authorizations, Claims , Rebates, Network contracting, Sales, Call Center Ops and Pharmacy ... Ops + Business process design and development experience using SSMS (Sql Server Management Studio) Agent + SQL job monitoring, troubleshooting and issue resolution with the potential of off hour support + SQL programming, MS PowerShell, Open Query integration… more
- ManpowerGroup (Tampa, FL)
- …and provide feedback as part of the installers ongoing training + Help resolve claims and customer issues + Maintain parts storage areas in the warehouses, including ... organization, and placing replenishment orders. + Maintain accountability for the cleanliness and organization of the company trucks. + Act as a liaison between the shipping and picking leadership in the warehouse and communicate long term needs to Area… more
- Walmart (Live Oak, FL)
- …and quarterly budget reports working with contractors and estimators to resolve claims reviewing and approving contractor payments change orders and invoices and ... managing project scope and contingency + Monitors and enforces compliance with laws and regulations for construction projects by establishing communicating and monitoring standards of performance for contractors and suspending noncompliant work collaborating… more
- Molina Healthcare (Tampa, FL)
- …Perform research and analysis of complex healthcare utilization and performance date, claims data, pharmacy data, and lab data regarding utilization and cost ... containment information. + Evaluate, write, and present healthcare utilization and cost containment reports and makes recommendations based on relevant findings. + Oversee development, organization, and ongoing maintenance of data representing a wide range of… more
- Molina Healthcare (Orlando, FL)
- …advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain efficient ETL pipelines ... to support ongoing reporting and analytics workflows. + Utilize Databricks and Snowflake to develop scalable data pipelines and analytical datasets. + Create and maintain Power BI dashboards to deliver insights on utilization, outcomes, and cost drivers across… more
- CVS Health (Tallahassee, FL)
- …compliance impacting plan sponsors. + Collaborate with internal departments-including claims , customer service, and client management-to ensure effective issue ... resolution and maintain strong working relationships. + Stay informed about industry trends, regulatory changes, and best practices related to self-funded plans. **Required Qualifications** + A minimum of 7 years of relevant experience in a TPA (Third Party… more
- Western Digital (Tallahassee, FL)
- …business models + Familiarity with legal guidance for marketing related claims and/or product liability matters + Knowledge of product regulatory matters ... related to hardware or software products SKILLS + Strong proficiency in drafting contracts or writing persuasively for a third-party audience + Attentively listens to others and encourages the open expression of diverse ideas and opinions + Provides timely and… more