- Humana (Tallahassee, FL)
- …and help us put health first** Join Humana's dynamic team as a Claims Research & Resolution Representative and make a meaningful impact every day! In ... and third-party collection services to facilitate timely and accurate resolution of complex medical claims . + Comprised of a group of calls/ claims /provider… more
- CHS (Clearwater, FL)
- …call resolution and satisfaction. The Member and Provider Service Representative (MPSR) is critical to PAS' success, effectively and efficiently handling calls ... **Overview** ** ** **Medical Insurance Call Center Representative | Member and Provider Services Representative...Supervisor. + For any calls or correspondence where additional research is necessary, clearly explaining to the caller the… more
- University of Miami (Miami, FL)
- … Representative 1 to work in Miami, FL. The Clinical Business Operations Representative 1 facilitates the prompt resolution of problems related to pre and ... necessary patient care and records. The Clinical Business Operations Representative 1 assists patients in a courteous, efficient and...work queues and resolve pending information in order for claims to be released to billing division. + Obtain… more
- Mass Markets (FL)
- …Listen to customers, understand their needs, and resolve customer issues + Research systems to find missing information as applicable; coordinate with other ... account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts,...customer issues to the appropriate staff and managerial for resolution as needed. + Ensure first call resolution… more
- Mass Markets (Tampa, FL)
- …Listen to customers, understand their needs, and resolve customer issues + Research systems to find missing information as applicable; coordinate with other ... account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts,...customer issues to the appropriate staff and managerial for resolution as needed. + Ensure first call resolution… more
- Mass Markets (FL)
- …Listen to customers, understand their needs, and resolve customer issues + Research systems to find missing information; coordinate with other departments to resolve ... information + Escalate customer issues to the appropriate staff and managerial for resolution as needed + Attend meetings and training and review all new training… more
- Mass Markets (FL)
- …video, and voice (VoIP Phone) service disruptions with a focus on first call resolution by problem solving and effective call handling + Ownership of resolving the ... reason for contacting Tech Support + Leverage multiple systems to research and troubleshoot service disruptions; coordinate with other departments to resolve… more
- Point32Health (FL)
- …regulatory requirements + Manage the collection of documents and records (medical, claims , administrative) needed to fully research the appeal or complaint ... works collaboratively with the member and/or the member's authorized representative and must demonstrate superior customer service and benefit interpretation… more
- GE Vernova (Pensacola, FL)
- …working with approved agents to support of daily customs clearances and shipment resolution . + Oversight and support of internal and external audits. + Act ... and solve these issues and ensure risk mitigation efforts. + Support research and preparation of Customs rulings, post-entry amendments, Customs requests for… more
- MyFlorida (Chipley, FL)
- …evaluating, planning and directing employees' work. Ensure detailed review, analysis, and resolution of contractors issues, claims , and time extensions. This ... Central Office, Federal Highway Administration (FHWA), and State Materials and Research Office on technical matters relating to Construction and continual monitoring… more