• Membership Accounting Advocate

    Convey Health Solutions (Fort Lauderdale, FL)
    …preferred + Minimum 2 years Health Plan Operations experience including; Enrollment (preferred), Claims processing or Customer Service . + Working knowledge ... AND RESPONSIBILITIES Enrollment Processing + Process queue items, inter-departmental and customer requests timely and accurately + Review incomplete and pending… more
    Convey Health Solutions (08/20/25)
    - Related Jobs

  • Customer Resource Manager

    General Motors (FL)
    …by handling and resolving issues in a timely manner. They own critical customer interactions and advocate for the customer bridging communications ... may be eligible for relocation benefits._ **The Role** The Customer Experience Team within Customer Care and...including supporting Lemon Law processes as well as small claims or other arbitration dispute resolutions. **What You'll Do… more
    General Motors (08/26/25)
    - Related Jobs

  • Field Case Manager-Sign On Bonus Eligible

    Sedgwick (Miami, FL)
    …of a rapidly growing, industry-leading global company known for its excellence and customer service . + Celebrate your career achievements and each other through ... professional needs. . **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Serve as patient advocate to support, guide and coordinate care for injured workers, families and… more
    Sedgwick (08/29/25)
    - Related Jobs

  • Field Case Manager-Sign-On Bonus Eligible

    Sedgwick (Tallahassee, FL)
    …of a rapidly growing, industry-leading global company known for its excellence and customer service . + Celebrate your career achievements and each other through ... professional needs. . **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Serve as patient advocate to support, guide and coordinate care for injured workers, families and… more
    Sedgwick (08/27/25)
    - Related Jobs

  • Representative, Provider Relations HP (Must Reside…

    Molina Healthcare (FL)
    …**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 2 - 3 years customer service , provider service , or claims experience in a managed care setting. ... policies and procedures while achieving the highest level of customer service . **Job Duties** This role serves...works directly with the Plan's external providers to educate, advocate and engage as valuable partners, ensuring knowledge of… more
    Molina Healthcare (08/02/25)
    - Related Jobs

  • Provider Services Representative

    Molina Healthcare (Miami, FL)
    …a managed healthcare setting. **Required Experience** + 2 - 3 years customer service , provider service , or claims experience in a managed care setting. ... Molina healthcare policies and procedures while achieving the highest level of customer service . **KNOWLEDGE/SKILLS/ABILITIES** This role serves as the primary… more
    Molina Healthcare (08/28/25)
    - Related Jobs

  • Appeals and Grievance Analyst

    Point32Health (FL)
    …the member and/or the member's authorized representative and must demonstrate superior customer service and benefit interpretation skills in all interactions. ... of business. **Job Description** + Act as a member advocate ; clearly communicating the appeal and grievance process and...**Experience** + Required (minimum): 2-4 years' experience as a customer service or member services representative in… more
    Point32Health (08/16/25)
    - Related Jobs

  • Senior Representative, Provider Services

    Molina Healthcare (FL)
    …a managed healthcare setting. **Required Experience** + 3 - 5 years customer service , provider service , or claims experience in a managed care setting. ... healthcare policies and procedures while achieving the highest level of customer service . **KNOWLEDGE/SKILLS/ABILITIES** + Under general supervision, responsible… more
    Molina Healthcare (08/28/25)
    - Related Jobs

  • Manager, Provider Contracting - Tampa, FL market…

    The Cigna Group (Tampa, FL)
    …RESPONSIBILITIES** + Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (eg, Hospital ... of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales… more
    The Cigna Group (07/23/25)
    - Related Jobs

  • Provider Contracting Lead Analyst - South Florida…

    The Cigna Group (Sunrise, FL)
    …+ Manages submission process of contracting and negotiations for fee for service with physicians and ancillaries. + Supports the development and management of ... of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales… more
    The Cigna Group (07/12/25)
    - Related Jobs