- Humana (Miramar, FL)
- **Become a part of our caring community and help us put health first** The Claims Processing Representative reviews and adjudicates complex or specialty ... or electronically while performing basic administrative/clerical/operational/customer support/computational tasks. The Claims Processing Representative determines whether… more
- Humana (Miramar, FL)
- …Claims Research & Resolution Representatives will be fully trained on all corrected claims processing and reprocessing. **Use your skills to make an impact** ... caring community and help us put health first** The Claims Research & Resolution Representative 3 manages...City Center, Jacksonville, FL 32034 + **1 year CAS claims processing experience** + Ability to manage… more
- University of Miami (Miami, FL)
- …necessary. + Responds to customer inquiries regarding insurance coverage for services and processing of claims . + Adheres to University and unit-level policies ... has an exciting opportunity for a Full-Time Insurance Verification Representative to work in Miami. The Insurance Verification ...information. + Obtains authorization for HMO patients. + Verifies claims are mailed to the proper address. + Contacts… more
- Kemper (Fort Lauderdale, FL)
- …Responding promptly to policyholder service requests such as beneficiary changes, claims , loans, etc. + Appropriately keeping records, accounting for money ... collected, and processing paperwork **Our agents are expected to:** + Increase the agency size + Build strong working relationships with customers + Devote whatever… more
- Molina Healthcare (Miami, FL)
- …regulations, NCQA guidelines, and CMS standards. + Provides coordination and processing of pharmacy prior authorization requests and/or appeals. + Explains Point ... of Sale claims adjudication, state, NCQA, and CMS policy/guidelines, and any other necessary information to providers, members, and pharmacies. + Assists with… more
- Ryder System (Miami, FL)
- …**Essential Functions** + Endorsing titles according to respective state requirements. + Processing titles for Insurance claims while working closely with Ryder ... **Additional Responsibilities** + Provide SSC with titles for all insurance claims . + Cross-references title versus systems information for accuracy. + Performs… more
- FirstBank PR (Miami, FL)
- …updating insurance policies according to regulatory requirements (6) Daily batch payment processing Handle and analyze claims and complaint management system for ... external customers with adequate service Assist by organizing and/or processing the daily activities for loan servicing to the...Education and Skills: The physical demands described here are representative of those that must be met by an… more
- National Express (Davie, FL)
- …events to ensure excellence in customer service. + Ability to Investigate claims and incidents of questionable conduct, accidents etc. + Computer literacy skills ... in word processing and spreadsheets _We offer medical, dental, vision, basic...goal is to be a diverse workforce that is representative of the communities we serve. All employment decisions… more
- HUB International (Coral Gables, FL)
- …the preparation and implementation of all transactions, paperwork, and internal processing for assigned accounts. + Manages, organizes, and conducts client meetings ... when necessary and appropriately documents conversations with clients and carrier representative . + Ensures the quality and accuracy of data in all HUB computer… more