- CVS Health (Tallahassee, FL)
- …problems. + Perform adjustments across all dollar amount level on customer service platforms by using technical and claims processing expertise. + Applies ... Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …data entry + Proficient in Microsoft Word, Excel, and Outlook required + Customer Service + Results-oriented + Good organization/Attention to detail + Reliable ... is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial… more
- Travelers Insurance Company (Tallahassee, FL)
- …evaluation, and disposition of claims and claim litigation to achieve superior customer service and to optimize claim results. As a valued member of ... Accountants Professional Liability (APL) and Real Estate Professional Liability (RPL) claims and litigation against various types of accounting and real estate… more
- Prime Therapeutics (Tallahassee, FL)
- …or designated customer contacts. + Directs operations account manager in resolving customer service issues and actions supportive of the achievement of ... customer service requirements including attainment of performance...Service Level Agreement performance, assurance of accuracy of claims payment and administrative policies, rate maximization through ongoing… more
- CVS Health (Largo, FL)
- …ability to obtain within 120 days of hire). + 2+ years of experience working in customer service . + Comfortable with onsite Monday - Friday travel to client site ... and externally. + Associate's degree preferred. + Additional healthcare, insurance, or customer service training a plus. **Education** + High School diploma… more
- Sedgwick (Orlando, FL)
- …empathic and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Provide excellent customer service to external customers and internal support to ... environment. + Must meet minimum typing requirements. + Experience: Clerical or customer service experience or equivalent combination of education and experience… more
- MyFlorida (Tallahassee, FL)
- …required to support the Division's operational needs. Provides prompt, professional and courteous customer service in response to all inquiries and requests for ... Title: HEALTH INSURANCE FRAUD ANALYST II - 72004150 Pay Plan: Career Service Position Number: 72004150 Salary: $59,000 - $62,000 Posting Closing Date: 09/02/2025… more
- MyFlorida (Jacksonville, FL)
- …involving exercise of independent judgment and initiative in a DOH setting. Provides excellent customer service and quality care experience at every customer ... planning/Management skills + Input FBCCEDP client's billing invoices and claims into electronic databases. + Track paid invoices and...the needs of the audience. + Skills related to customer service and actively looking for ways… more
- MyFlorida (Jacksonville, FL)
- …time constraints and must performed with a high rate of accuracy. Provides excellent customer service and quality care experience at every customer encounter ... Works with billing HUB to address all discrepancy of claims + Attends in- service education, staff meetings...designing forms, and other office procedures and terminology. + Customer and personal service - knowledge of… more
- Sedgwick (Miami, FL)
- …including Microsoft Office products + Demonstrated commitment to timely reporting + Strong customer service skills + Strong interpersonal skills + Attention to ... Defect **PRIMARY PURPOSE** **:** To investigate and adjust property and casualty claims , both residential and commercial, with little to no supervision. **ESSENTIAL… more