- CRC Insurance Services, Inc. (Fort Lauderdale, FL)
- …procedures. + Conduct audits of work performed by customer service, processing, and support teams to ensure accuracy and compliance with policies. + Drive issue ... resolution when production issues arise. + Provide actionable feedback and partner with team leads to improve performance outcomes. + **Reporting & Performance Analytics:** + Develop and maintain dashboards and reports that track key operational metrics and… more
- Highmark Health (Tallahassee, FL)
- …structure. Additionally, the incumbent may be assigned special projects to help support and improve the care of our members **ESSENTIAL RESPONSIBILITIES** + Conduct ... electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions, to determine medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and… more
- Truist (Tampa, FL)
- …work with various specialists and IRM partners who are designated to support client service and business development efforts (eg credit, mortgage, planning, ... investment, trust and fiduciary services, and insurance services) in a manner that promotes client retention and prospect referrals. This includes effectively executing on the specialist delivery model utilizing both centralized and regionalized partners to… more