- Travelers Insurance Company (Orlando, FL)
- …employs creative resolution strategies. + Promptly and properly disposition all claims within delegated authority. + Negotiates disposition of claims with ... or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff… more
- Elevance Health (Miami, FL)
- …an equivalent background. **Preferred Skills, Capabilities, and Experiences:** + Strong medical claims processing experience highly preferred. + Proficient in ... Make an Extraordinary Impact.** **Title** : Financial Operations Recovery Specialist III **Location(s):** Columbus, GA, Atlanta, GA, Mason, OH, Indianapolis,… more
- 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
- Aston Carter (Medley, FL)
- Accounts Receivable Specialist - Hybrid | Medley, FL | $Multi-Million Company Join a thriving industry leader! We're actively hiring an Accounts Receivable (AR) ... Specialist to support a high-performing finance team at a...retailer accounting teams and internal stakeholders. + Process invoices, claims , and apply payments accurately. What We're Looking For… more
- Aston Carter (Medley, FL)
- Actively seeking an AR Specialist to work with a multi-million dollar company in the Medley, FL area! This is 2 days work from home and 3 days on site. This will ... queries, manage AR aging, and inform management about collections and outstanding claims status. The role involves interfacing with customers regarding past due… more
- 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):**...requirements, consistent with federal, state, and local laws. Supporting medical or religious documentation will be required where applicable… more
- 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
- 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 (FL)
- …for reviewing and resolving member & provider complaints and communicating resolution to members (or authorized) representatives in accordance with the standards ... to state and federal and Molina Healthcare guidelines. + Requests and obtains medical records, notes, and/or detailed bills as appropriate to assist with research. +… more
- 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