- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- …best value for the government. Independently examines clinical health records and claims folders to determine eligibility and entitlement for items and services ... based on adopted criteria and advises Veteran of the same. Assists and trains new Purchasing Agents in ordering of appropriate prosthetic appliances, purchase card reconciliation, stock and inventory control, etc. Responsible for processing emergent orders… more
- The Hartford (Lake Mary, FL)
- …in the RMS process - meeting with insured's, making presentations, working with claims and underwriting, etc. + Work with Risk Engineering Manager on special ... projects and developing reports to support Regional Office objectives QUALIFICATIONS: + High school diploma required; a BA/BS degree is required with coursework focused on Occupational Safety and Health Studies, Fire Sciences, Pure Sciences, Engineering or… more
- NextEra Energy (Sarasota, FL)
- …field activities such as investigation and resolution of demand response customer claims and complex billing issues. **Job Duties & Responsibilities** Under general ... supervision: + Provides solutions for improving the efficiency of complex commercial building systems by presenting project costs and savings in order to implement energy savings plan and achieve sales + Performs commercial energy assessments to educate… more
- Towne Park (Lake Buena Vista, FL)
- …- 15% Understands and drives business metrics for forecasting, productivity, claims , customer service, and turnover. Ensures all associates accurately identify and ... collect revenue for all vehicles. Ensures that shift reports, cash drops and other revenue reports are completed with detail and accuracy. Supervises the reconciliation of revenue and tickets at the end of every shift. Ensures that controls are in place for… more
- Mass Markets (FL)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, ... Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse… more
- CVS Health (Tallahassee, FL)
- …that align with strategic goals. + **Drive Strategy:** Collaborate with sales, claims , and customer service teams to develop tailored underwriting strategies based ... on market trends and business objectives. + **Mentor & Guide:** Share your expertise by mentoring peers, reviewing work for accuracy, and identifying training opportunities. + **Ensure Compliance:** Conduct audits, track allowances, and ensure all financials… more
- MyFlorida (Cape Coral, FL)
- …regulatory requirements and court orders. Monitors dispute settlement programs, approves claims , and confirms the disposition of awards, settlements and other ... agreements. Plans and conducts studies of problems and procedures. Gathers and organizes information on problems or procedures. Analyzes data gathered and develops solutions or alternative methods of proceeding. Documents findings of study and prepares… more
- Monte Nido (Miami, FL)
- …with our client's insurance most successfully. + Communicate with billing regarding billing/ claims issues and status of single case agreements as needed. + ... Effectively communicate with program leadership, clinicians, and admissions regarding status of client authorization, potential denials, and potential for private payment. + Follow workflow and medical record requirements for utilization review and clinical… more
- CVS Health (Tallahassee, FL)
- …Respond to customer benefits questions, and clarifications on billing, eligibility, and claims processes. + Retain and grow the client relationship and effectively ... position our products with an emphasis on expanding our book of business. **Required Qualifications** + 2-5 years industry experience, with experience in Self- funded customers preferred. + Customer service experience, preferably with complex accounts.… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …records for annuity contracts and life insurance held in Trust. . Files death claims on annuity, life and pension contracts as necessary. . Secures and confirms ... beneficiary information and notifications as necessary. . Participates in Trust Committee and exercises sound judgment in the acceptance and execution of administrative functions. . Reviews accounts on a daily basis through the use of the administrative… more