- CVS Health (Tallahassee, FL)
- …routine nature. + Handle incoming calls from members and providers regarding claims status, benefits and eligibility, PPO participation, etc + Maintain department ... established performance metrics at a meets or exceeds expectations level + Work together as a team and apply the Aetna Core Values in day-to-day operations + Creating a Differentiated Service Experience + Demonstrating Service Discipline + Handling Service… 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
- GE Aerospace (Jacksonville, FL)
- …terms and conditions and transmit information to Procurement. + Manage claims . + Includes commercial sourcing management such as data analysis, negotiations ... support, etc., this may also include purchasing activities. + Expected to participate and or lead Lean process improvement projects using Flight Deck tools. + May lead functional teams or projects with minimal resource requirements, risk, and/or complexity. +… more
- Kemper (Jacksonville, FL)
- …aspect of core Insurance Systems (eg, Agent Facing, Policy Mgmt, Claims , etc.).; SDLC, working with third-party vendors & software enhancements, transformations, ... & updates; leading, coaching & mentoring team members in Datahub, Guidewire ClaimCenter, Guidewire Policy Center apps. 5% short-term, domestic travel may be involved to attend industry conferences. The range for this position is $131,053 to $168,100. When… more
- CVS Health (Tallahassee, FL)
- …Qualifications** + Healthcare Insurance and PBM knowledge including Prior Authorizations, Claims , Rebates, Network contracting, Sales, Call Center Ops and Pharmacy ... Ops + Business process design and development experience using SSMS (Sql Server Management Studio) Agent + SQL job monitoring, troubleshooting and issue resolution with the potential of off hour support + SQL programming, MS PowerShell, Open Query integration… more
- ManpowerGroup (Tampa, FL)
- …and provide feedback as part of the installers ongoing training + Help resolve claims and customer issues + Maintain parts storage areas in the warehouses, including ... organization, and placing replenishment orders. + Maintain accountability for the cleanliness and organization of the company trucks. + Act as a liaison between the shipping and picking leadership in the warehouse and communicate long term needs to Area… more
- Walmart (Live Oak, FL)
- …and quarterly budget reports working with contractors and estimators to resolve claims reviewing and approving contractor payments change orders and invoices and ... managing project scope and contingency + Monitors and enforces compliance with laws and regulations for construction projects by establishing communicating and monitoring standards of performance for contractors and suspending noncompliant work collaborating… more
- Molina Healthcare (Orlando, FL)
- …advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain efficient ETL pipelines ... to support ongoing reporting and analytics workflows. + Utilize Databricks and Snowflake to develop scalable data pipelines and analytical datasets. + Create and maintain Power BI dashboards to deliver insights on utilization, outcomes, and cost drivers across… more
- CVS Health (Tallahassee, FL)
- …compliance impacting plan sponsors. + Collaborate with internal departments-including claims , customer service, and client management-to ensure effective issue ... resolution and maintain strong working relationships. + Stay informed about industry trends, regulatory changes, and best practices related to self-funded plans. **Required Qualifications** + A minimum of 7 years of relevant experience in a TPA (Third Party… more
- Western Digital (Tallahassee, FL)
- …business models + Familiarity with legal guidance for marketing related claims and/or product liability matters + Knowledge of product regulatory matters ... related to hardware or software products SKILLS + Strong proficiency in drafting contracts or writing persuasively for a third-party audience + Attentively listens to others and encourages the open expression of diverse ideas and opinions + Provides timely and… more