- Deloitte (Tallahassee, FL)
- …by reviewing services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against strategy. + ... Act as an extension of the HR team, assisting with ad hoc requests or issues. + Prepare client presentations and reports. + Build and maintain strong client relationships through exceptional service. + Serve as a project manager to train and mentor junior team… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …as well as knowledge of the interconnection between Utilization Management, claims , and regulatory requirements to respond to complex and/or escalated inquiries. ... + Identifies members who could benefit from care management and refers to the appropriate care manager. + Utilizes critical thinking skills to identify process issues and problems and recommend and/or implement solutions. + May identify workflow and systems… more
- ZOLL Medical Corporation (West Palm Beach, FL)
- …and workflows to achieve operational efficiencies. + Responsible for improved claims billing yield within a defined geography consisting of assigned accounts, ... including eligibility for potential bonus incentive opportunities based on same. + Assist with departmental projects and special tasks when assigned (eg, Pilot Teams). + Achieve and maintains acceptable performance metrics. + Comply with Standard Operating… more
- Republic Finance, LLC (Tampa, FL)
- …analysis, making credit decisions, administering loan closings, and processing insurance claims . Your management abilities shine as you assist the Branch Manager ... with recruiting and training as well as developing and implementing plans to meet sales goals while promoting our core values, and ensuring an outstanding customer experience. If you love digging in to get the job done and seeing your hard work pay off in the… more
- Humana (Tallahassee, FL)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies,… more
- Dal-Tile Corporation (Fort Myers, FL)
- …in compiling data for reports and visual summaries related to pricing, product, claims , inventory, and samples. + May support sales order processing by preparing ... documentation and flagging discrepancies for review. + Help coordinate logistics for sales meetings and conventions, including travel and material preparation. + Provide general support to sales operations by gathering information and assisting with process… more
- WTW (Miami, FL)
- …teams of consultants across WTW, including brokers, service colleagues, and claims advocates, to deliver efficient and effective support. This role requires ... strong leadership, communication, and project management skills to align resources with client needs. A Client Advocate (CA) will need to have: + Strong negotiation skills + Strong management skills (mentoring and leading ACAs; coordinating with brokers) +… more
- MyFlorida (Tampa, FL)
- …recruiting, billing, or collecting accounts, checking credit, processing insurance policies or claims or providing customer service. + OR an Associate degree or ... higher from an accredited college or university. + OR 60 semester hours or 90 quarter hours can substitute for the experience. + Plus minimum of two years of processing experience in the Economic Self-Sufficiency Program as an Economic Self-Sufficiency… more
- Elevance Health (FL)
- …written correspondence regarding insurance benefits, provider contracts, eligibility and claims . + Analyzes problems and provides information/solutions. + Operates a ... PC/image station to obtain and extract information; documents information, activities and changes in the database. + Thoroughly documents inquiry outcomes for accurate tracking and analysis. + Develops and maintains positive customer relations and coordinates… more
- Marriott (Fort Lauderdale, FL)
- …* Works with the unemployment services provider to respond to unemployment claims . * Attends unemployment hearings and ensures property is properly represented. * ... Ensures employees are treated fairly and equitably. * Ensures Guarantee of Fair Treatment policy is consistently followed and proper documentation is maintained on all disciplinary issues. * Ensures employees are treated fairly and equitably and that issues… more