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Customer Service Representative - Kforce (Tampa, FL) Job Responsibilities: Triages resulting rework to appropriate staff Explains member's rights and responsibilities in accordance with contract Assists in preparation of complaint trend reports Assists in compiling claim data for customer audits Determines medical necessity, applicable coverage provisions and verifies member plan eligibility relating to incoming correspondence and internal referrals Performs review of member claim history to ensure accurate tracking of benefit maximums and/or. After registering you may be able to apply for this job directly (if still active) on ((None))'s site. Future job matches may be sent from Geebo approved job partners.
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