- Travelers Insurance Company (Orlando, FL)
- …coverage, investigation, evaluation, reserving, litigation management, negotiation and resolution ) including maintaining full compliance with internal and external ... facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed....Actively and enthusiastically shares experience and knowledge of creative resolution techniques to improve the claim results of others.… more
- Molina Healthcare (St. Petersburg, FL)
- …operations that involve clinical HCS staff. Communicates findings to the Supervisor or Manager , HCS Department for resolution . + Maintains a minimal caseload as ... determined by leadership to ensure communication and adherence to appropriate guidelines and support staff who have an ongoing member case load for regular outreach and management. + As a Lead RN provide support, recommendations, and education as appropriate… more
- Molina Healthcare (Jacksonville, FL)
- …7 years' experience in healthcare claims review and/or Provider appeals and grievance processing/ resolution , including 2 years in a manager role. * Experience ... reviewing all types of medical claims (eg CMS 1500, Outpatient/Inpatient, Universal Claims, Surgery, Anesthesia, high dollar complicated claims, COB and DRG/RCC pricing), and IPA. + 2 years supervisory/management experience with appeals/grievance and/or claims… more
- CVS Health (Tallahassee, FL)
- …heart, each and every day. **Position Summary** The Product Implementation Manager supports Product Application Strategy and Operations within the Aetna Commercial ... related to systems supported including escalating to appropriate technology partners when resolution requires further intervention. + You will act as a product… more
- CVS Health (Lakeland, FL)
- …of Pharmacy regulations at all times; escalating issues or concerns to the Pharmacy Manager and/or Rx DL for timely resolution if/as needed + Remaining flexible ... for our patients. In addition to supporting the Pharmacy Manager in leading and directing the pharmacy team, you...additional bottles needed to fill a prescription + Issue Resolution : + Identifying challenging patient or colleague interactions and… more
- TD Bank (St. Johns, FL)
- …meeting Operational, Customer and Sales objectives. In the absence of any other manager , the Store Supervisor is expected to manage the Store and have the ... to ensure Customer issues are handled appropriately through Customer problem resolution guidelines and personally participates in the negotiation and resolution… more
- Cayuse Holdings (Tallahassee, FL)
- …+ Provides high-quality customer service to the client, for the efficient resolution of technology problems and requests + Operates within established guidelines and ... and integrations) + Provide aid and technical support for the resolution of problems, incidents, issues, and emergencies including major incident manage… more
- Southern Glazer's Wine and Spirits (Miramar, FL)
- …communicating the issue to development staff to assist in their resolution **Primary Responsibilities** + Provide day-to-day production support for SAP ... for new P2D/WM and Manhattan WMS-related tickets, ensuring timely resolution . + Serve as a team leader with large-scale...Python, etc.) and deployment tools such as Turnover, QGM/Solution Manager , as well as devOps and CI/CD practices +… more
- Citigroup (Miami, FL)
- …banking relationships by providing efficient and timely client service and problem resolution + Ensure adherence to all internal policies and compliance to legal ... and collaborate with operational and middle office teams to ensure effective resolution . + Coordinate account maintenance for all products and reporting on WINS… more
- Ensono (Miami, FL)
- …applying vendor software license keys, updating hardware configurations. Position reports to Manager , MF System Programming **Night Shift 7 pm** **to 7 am CST** ... + Research reported issues to determine cause and best circumvention and/or resolution , enlisting resources from other teams and customer, as required to provide… more