- Prime Therapeutics (Tallahassee, FL)
- … Senior Medicare Claims Specialist - Remote **Job Description** The Claims Specialist Senior role is responsible for the operational support of ... promote client and member satisfaction + Serve as the escalation point for Claims Specialist ; provide guidance and mentoring to ensure team member's knowledge… more
- Highmark Health (Tallahassee, FL)
- …months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP) **Language ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more
- Centene Corporation (Tallahassee, FL)
- …As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Candidate must live ... in handling escalations, handling problem tickets, and providing feedback to senior team members regarding member/provider issues. + Provides timely and appropriate… more
- Centene Corporation (Tallahassee, FL)
- …As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** ... to remedy these complaints + Reviews complaint trends and uses guidance of senior team members to develop draft recommendations that are designed to enhance member… more