- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... to support the safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will… more
- LA Care Health Plan (Los Angeles, CA)
- Manager, Customer Solution Center Appeals and Grievances Job Category: Management/Executive Department: CSC Appeals & Grievances Location: Los ... support the safety net required to achieve that purpose. Job Summary The Manager, Customer Solution Center Appeals and Grievances is responsible for the… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Audit Readiness Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... net required to achieve that purpose. Job Summary The Customer Solution Center (CSC) Audit...minimum of 5 years of experience in regulatory auditing ( Appeals & Grievances, Call Center , Enrollment) in… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Quality Auditor II Job Category: Customer Service Department: Even MORE Quality Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Customer Solution Center Quality Auditor...Outreach, Ansafone, Web Inquiries, MRU (Member Relations Unit), and Appeals and Grievance, performance against key performance indicators and… more
- US Tech Solutions (Myrtle Beach, SC)
- …High School Diploma or equivalent. + Required Work Experience: 2 years of customer service experience including 1-year claims or appeals processing OR Bachelor's ... may be required based on business needs). + Call center is open from 8am - 7pm. Shift may...customer service experience including 1 year claims or appeals processing OR Bachelor's Degree in lieu of work… more
- State of Colorado (Denver, CO)
- …main point of contact with assistance to public health insurance inquiries and customer specific issue resolution. The center delivers direct services to the ... Member Contact Center Call Agent Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5014829) Apply Member...skills, + have strong reasoning skills, + provide excellent customer service, + be able to simplify complex concepts… more
- University of Pennsylvania (Philadelphia, PA)
- …and much more. Posted Job Title One Stop Counselor - Student Services Center , Division of Finance Job Profile Title Coordinator B Job Description Summary Reporting ... to the Assistant Director of the Student Services One Stop Center , and under general supervision, the One Stop Counselor is responsible for providing a comprehensive… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals . The Customer Service Representatives must be able to ... and communicate effectively with teams. + Transfer misdirected requests and offer solutions to non-routine issues. + Contribute to customer satisfaction and… more
- US Tech Solutions (RI)
- …inquiries to the pharmacist team as appropriate. **Experience:** + 0-3 years in a customer service or call center environment managing 75 calls/day. + Six months ... and/or resolve coverage requests. + Escalate issues to Coverage Determinations and Appeals Learning Advocates and management team as needed. + Must maintain… more
- CVS Health (Springfield, IL)
- …every day. **Position Summary** We are currently recruiting top talent for our Center of Excellence Customer Service group. Responsibilities below include, but ... about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our...not limited to: Customer Service Representative is the face of Aetna and… more
- CVS Health (Tallahassee, FL)
- …constituents expectations are met or exceeded. + Identifies trends and any emerging customer service issues and works to develop solutions to address potential ... about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our...member to ensure you are providing the most complete customer service experience that you can for our members.… more
- US Tech Solutions (May, OK)
- …email boxes, CAS maintenance, etc. **Experience:** + 0-2 years of experience in customer service or call center environment managing high volume calls. + ... internal groups regarding determination status and results (seniors, pharmacists, appeals , etc). + Identify and elevate clinical inquiries to...+ High School diploma or GED **About US Tech Solutions :** US Tech Solutions is a global… more
- US Tech Solutions (RI)
- …etc. 5% **Experience:** Preferred 0-3 years work experience required in a customer service position with high volume call center experience; preferably ... with other internal groups regarding determination status and results (seniors, pharmacists, appeals , etc.). 10% + Identify and elevate clinical inquiries to the… more
- CVS Health (Olympia, WA)
- …constituents expectations are met or exceeded. + Identifies trends and any emerging customer service issues and works to develop solutions to address potential ... are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital… more
- State of Colorado (Centennial, CO)
- …and solutions to address identified gaps. State Emergency Operations Center (SEOC) Support Serves in the SEOC during activations, including nights, weekends, ... employees. Our culture has public service focus, and we strive to provide innovative solutions and services to our fellow Coloradans! Click here to learn why CDPS… more
- Iowa Department of Administrative Services (State Of Iowa, IA)
- …IA Job Type Full-time Job Number 25-03425 Agency 427 Department of Inspections, Appeals & Licensing Opening Date 07/30/2025 Closing Date 8/19/2025 11:59 PM Central ... achievement with a sense of purpose? The Iowa Department of Inspections, Appeals , and Licensing (DIAL) is seeking a highly motivated, skilled, solution… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …IA Job Type Full-time Job Number 26-00205 Agency 427 Department of Inspections, Appeals & Licensing Opening Date 07/24/2025 Closing Date 8/8/2025 11:59 PM Central ... achievement with a sense of purpose? The Iowa Department of Inspections, Appeals , and Licensing (DIAL) is seeking a highly motivated, skilled, solution… more
- Clark County, NV (Las Vegas, NV)
- …for planning, directing, and reviewing the work of staff that have customer and/or system support responsibilities required to maintain and enhance a large, ... processes, creating functional documentation, capturing detailed requirements for blueprinting, solution design, driving continuous improvement initiatives, and directing staff… more
- CDPHP (Albany, NY)
- …values and invites you to be a part of that experience. The Customer Care Representative shall assume full responsibility and ownership for all aspects regarding ... incumbent will address and resolve service problems, complaints, and advise the customer of their rights and responsibilities. The Member Service Representative will… more
- State of Colorado (Denver, CO)
- …Our professionals strive to support state government and the citizens of Colorado. Customer service is a key component for every position in state government as ... completed; + Research information to resolve problems or concerns when the solution is unclear; + Instructs customers on filling out forms/documents; + Distribute… more