- Humana (San Juan, PR)
- **Become a part of our caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by ... trained skillsets and/or partnerships with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced… more
- CenterWell (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by ... trained skillsets and/or partnerships with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced… more
- AmeriHealth Caritas (Newark, DE)
- …more about us at www.amerihealthcaritas.com. **Responsibilities:** Reporting to the Supervisor, Appeals and Grievances , this position is responsible for the ... complaints/issues to management + Monitors to ensure that all problems with appeals / grievances presented by plan members/participants are resolved in accordance… more
- MTA (New York, NY)
- …and participate in monthly conferences with union representatives to discuss contract grievances and employee discipline appeals ; perform analytical review of ... Senior Labor Relations Representative Job ID: 12716 Business Unit: MTA Headquarters...Aug 15, 2025 Description JOB TITLE: Senior Labor Relations Representative DEPT/DIV: Labor Relations WORK LOCATION: 420 Lexington Ave… more
- CTG (Boca Raton, FL)
- **CTG is seeking to fill a Bilingual (English/Spanish) Customer Service/Call Center Representative opening for our client in Boca Raton, FL.** **Location:** Boca ... to inquiries or provide updates on investigations. + Escalate unresolved customer grievances to appropriate team members or departments. + Process payments and set… more
- Fallon Health (Worcester, MA)
- …of Coverage, departmental policies and procedures, and regulatory standards. The Member Appeals & Grievances Intake Administrator is responsible for triaging and ... assigning all incoming appeals and grievances...acknowledgement of the grievance/appeal, educating the member and/or member representative about the grievance/appeal, gathering all pertinent and relevant… more
- Commonwealth Care Alliance (Boston, MA)
- …lines or medical setting preferred * Prior experience with service authorizations, grievances and appeals , scheduling medical appointments preferred * Ability to ... members and all those involved in CCA members' care. The Member Service Representative (MSR) is responsible to provide a best-in-class service experience to all… more
- State of Colorado (Sterling, CO)
- …plans, and conducts performance evaluations; resolves informal staff and/or inmate grievances . Assigns tasks, monitors and inspects work progress and ensures ... pay, creates schedule and assigns tasks and resolves informal grievances according to agency policy; reduces inmate idleness and...the official appeal form, signed by you or your representative . This form must be delivered to the State… more
- State of Colorado (Denver, CO)
- …professional development training (as available). Resolves informal staff grievances . Provide formal/informal performance feedback. Initiate progressive discipline, ... interventions for all youth. Responds to and resolves youth grievances . Act as first public contact with agency when...the official appeal form, signed by you or your representative . This form must be delivered to the State… more
- Navy Exchange Services (NEX) (Jacksonville, FL)
- …discipline. Provides guidance and assistance to management on disciplinary actions, grievances , and appeals . Ensures appropriateness of charges and penalties. ... effectiveness across the entire workforce. Supervises subordinate exempt Human Resources Representative . Duties and Responsibilities - - As District Human Resources… more
- State of Colorado (Lakewood, CO)
- …Liaison is a critical position for the agency as the primary CDPS representative at the state capitol. The Legislative Liaison plays a key leadership role ... related to employee coaching, corrective action, disciplinary matters and grievances ; makes recommendations for appropriate action; drafts and issues written… more
- City of New York (New York, NY)
- … and administer the contractual grievance process. Serve as Hearing Officer for grievances and disciplinary appeals . Represent the agency at hearings before the ... play a key role in managing internal labor relations investigations, union grievances , and collective bargaining agreements and engagement with Union Partners, and… more
- State of Colorado (CO)
- …makes recommendations to hire, promote or transfer; + Manages informal grievances , provides documentation to support corrective actions when needed; + Oversees ... Procedures, 4 CCR 801, for more information about the appeals process. The State Personnel Board Rules and Personnel...the official appeal form, signed by you or your representative , and received at the following address within 10… more
- State of Colorado (Canon City, CO)
- …include dental holds, special diets and work restrictions; + Respond to offender grievances ; + Participate in the daily dental clinic operations to include tool ... the official appeal form, signed by you or your representative . This form must be delivered to the State...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Adams County, CO)
- …best solution and solve problems. Handle complaints, settle disputes, resolve grievances and conflicts and negotiate with others. + Time Management: Independently ... the official appeal form, signed by you or your representative . This form must be delivered to the State...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Colorado Springs, CO)
- …+ Ensure that youth grievance policy and procedure are followed. Review of grievances to include investigation, follow up and appropriate action Shift Supervision + ... the official appeal form, signed by you or your representative . This form must be delivered to the State...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Chaffee County, CO)
- …assigns tasks, inspects work and performs inmate evaluations and resolves inmate grievances ; reduces inmate idleness and creates real life work opportunities to ... the official appeal form, signed by you or your representative . This form must be delivered to the State...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Chaffee County, CO)
- …employee evaluations and plans; conducts performance evaluations, resolves informal grievances ; creates schedules, assigns tasks, inspects work; approves time, ... the official appeal form, signed by you or your representative . This form must be delivered to the State...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Denver, CO)
- …and disciplinary actions. + Addresses employee complaints and resolves informal grievances . + Positions start the hiring process, interview applicants, and recommend ... Board or request a review by the State Personnel Director. You will find the appeals process, the official appeal form, and how to deliver it on the State Personnel… more
- New York State Civil Service (Albany, NY)
- …law. The incumbent serves as the Chancellor's representative in hearing appeals of disciplinary and contract grievances pursuant to the collective bargaining ... policy for classified service employees.- Serves as the University's representative in the administration of the grievance procedures (contract, non-contract… more