• Specialist , Appeals & Grievances

    Molina Healthcare (Tampa, FL)
    …for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with ... Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution of the appeals, dispute, grievances, and/or complaints from… more
    Molina Healthcare (08/30/25)
    - Related Jobs
  • Accounts Receivable Specialist

    Aston Carter (Medley, FL)
    Accounts Receivable Specialist Job Description The Accounts Receivable Specialist is responsible for managing major retail accounts, interfacing with various ... queries, manage AR aging, and inform management about collections and outstanding claims status. The role involves interfacing with customers regarding past due… more
    Aston Carter (08/23/25)
    - Related Jobs
  • Eligibility Specialist II

    MyFlorida (Fort Myers, FL)
    ELIGIBILITY SPECIALIST II - 60040415 Date: Sep 3, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 860103 Agency: Children and Families Working Title: ELIGIBILITY SPECIALIST II - 60040415 Pay Plan: Career Service Position Number: 60040415 Salary:… more
    MyFlorida (09/03/25)
    - Related Jobs
  • Sr Energy Solutions Specialist

    NextEra Energy (Sarasota, FL)
    …programs. Employees perform other technical field activities such as investigation and resolution of demand response customer claims and complex billing issues. ... **Sr Energy Solutions Specialist - Bradenton/Sarasota/Venice** **Date:** Aug 13, 2025 **Location(s):**...& Field Experience Department is seeking an Energy Solutions Specialist to join their team at our Sarasota Service… more
    NextEra Energy (08/28/25)
    - Related Jobs
  • Senior Specialist , Provider Network…

    Molina Healthcare (FL)
    …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... areas of responsibility (eg, Provider Services/Provider Inquiry Research & Resolution , Provider Contracting/Provider Relationship Management). + Provides timely, accurate… more
    Molina Healthcare (08/02/25)
    - Related Jobs
  • Associate Specialist , Appeals & Grievances

    Molina Healthcare (FL)
    …for reviewing and resolving member & provider complaints and communicating resolution to members (or authorized) representatives in accordance with the standards ... and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists...**C** **E:** + 1 year of Molina experience, health claims experience, OR one year of customer service/provider service… more
    Molina Healthcare (08/30/25)
    - Related Jobs
  • Sr. Consumer Loan Specialist - Sales…

    Republic Finance, LLC (Pensacola, FL)
    …in the financial services industry for you, apply today! As a Sr. Consumer Loan Specialist , you will be a key team member in the branch. Your primary responsibility ... core values, company policies, operational procedures and compliance. Processes insurance claims , follow-ups and payments daily and maintains insurance log. Provides… more
    Republic Finance, LLC (08/20/25)
    - Related Jobs
  • Consumer Loan Specialist - Sales Customer…

    Republic Finance, LLC (Jacksonville, FL)
    …in the financial services industry for you, apply today! As a Consumer Loan Specialist , you will be a key team member in the branch. Your primary responsibility ... to quickly and efficiently resolve any customer issues. Processes insurance claims , follow-ups and payments daily and maintains insurance log. Provides excellent… more
    Republic Finance, LLC (08/19/25)
    - Related Jobs
  • Citigold CPC WHV Specialist Bilingual…

    Citigroup (Miami, FL)
    The Telesales Specialist role is a Client Service and Sales support position responsible for servicing and supporting internal and/or external clients primarily ... telephone or email. + Provides exceptional support and issue resolution - all client issues will be owned end to...treated with a closed loop process. + Ensures customer claims and complaints are handled in accordance with FINRA… more
    Citigroup (08/13/25)
    - Related Jobs
  • Quality Assurance Specialist

    Mass Markets (FL)
    …partner in the industry. We are seeking a detail-oriented and analytical Quality Assurance Specialist to join our team. This role is critical in ensuring the highest ... forms to score calls based on communication skills, adherence to scripts, and problem resolution . + Analyze call data to identify trends and areas for improvement. +… more
    Mass Markets (06/13/25)
    - Related Jobs