- Humana (Miramar, FL)
- …health first** The Claims Research & Resolution Representative 3 manages claims operations, assisting in processing of corrected claims . The ... Claims Research & Resolution Representatives will be fully trained on all corrected claims processing and reprocessing. **Use your skills to make an impact**… more
- Humana (Miramar, FL)
- …support, client services, client administration, customer service, enrollment and eligibility, claims processing , and call center operations. Investigates and ... community and help us put health first** The Consumer Service Operations Representative is responsible for the daily activities across multiple service functions… 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
- Kemper (Miami, 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
- Sysco (Pompano Beach, FL)
- …+ Assist in resolving any system issues which may arise in daily load processing . + Monitor carrier and system status messages and mitigate any expected inbound ... delivery impacts. + Communicate daily with Director of Transportation, Claims Coordinator, and Transportation Supervisors, Transportation Leads, and Transportation… 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
- HUB International (Davie, FL)
- …the preparation and implementation of all transactions, paperwork, and internal processing for assigned accounts. + Acquires understanding of clients' insurance ... to resolve. + May also negotiate with underwriters and carriers. + Troubleshooting claims and billing issues. + Responsible for overall retention of accounts in… 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