- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist I (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances ... to support the safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Specialist I primary function… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances ... 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)
- Lead Customer Solution Center Appeals and Grievances RN Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... support the safety net required to achieve that purpose. Job Summary The Lead Customer Solution Center Appeals and Grievances RN is responsible for… more
- Ochsner Health (New Orleans, LA)
- …an accommodation to complete the application process, please contact our HR Employee Solution Center at ### (select option 1) or_** **_###@ochsner.org_** **_. ... recommendations to leadership. * Creates, generates, maintains, and monitors customer service surveys, employee morale surveys, performance management statistical… 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
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …physicians, hospitals, and other healthcare providers with member benefits, eligibility, and appeals . The Customer Service Representatives must be able to work ... and communicate effectively with teams. + Transfer misdirected requests and offer solutions to non-routine issues. + Contribute to customer satisfaction and… more
- CTG (Orlando, FL)
- CTG is seeking a **bilingual Call Center Representative** with **at least 1 year of call center experience** to join our client's Orlando team. If you enjoy ... fast-paced environments, solving customer issues over the phone, and helping people in...Review vehicle passage images and process Penalty Charge Notices, Appeals , and Representations. + Escalate unresolved issues to the… 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
- Zions Bancorporation (Midvale, UT)
- …is an investment in our customers and our business. **Your Purpose** + Help every customer feel valued by your words and actions + Inspire our customers to tell ... someone about their positive experience + Deliver meaningful solutions for our customers through inbound phone interactions + Seek to add value to each customers'… 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
- Hawaiian Electric (Honolulu, HI)
- …outside counsel. ESSENTIAL FUNCTIONS: + Provides legal services, advice and practical solutions in relation to a wide range of public utility regulatory, litigation, ... and property damage claims, from case inception to judgment and appeals ; advising officers, managers and employees regarding proposed legislation, newly enacted… 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
- State of Colorado (Denver, CO)
- …potential funding sources to cover the cost of implementing alternative solutions into design/construction projects with budgetary constraints. + Coordinate with the ... Traffic & Safety Resident Engineer to incorporate alternative solutions into identified design/construction projects that would require traffic signal timing and… more
- State of Colorado (Trinidad, 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
- State of Colorado (Pueblo, CO)
- …- Southern Division The Division of Facilities Management is a customer -driven support organization responsible for providing facilities management services to all ... Our goal is to be an organization that meets customer expectations 100% of the time. The facilities managed...Colorado Mental Health Hospital in Pueblo (CMHHIP), Pueblo Regional Center (PRC), Department of Corrections (DOC), Division of Youth… more
- J&J Family of Companies (Trenton, NJ)
- …at https://www.jnj.com/innovative-medicine Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for a ... for the best chance at treatment success. The Patient Engagement and Customer Solutions (PECS) organization serves patients, during their treatment journey… more
- State of Colorado (Denver, CO)
- …- Northern District The Division of Facilities Management is a customer -driven support organization responsible for providing facilities management services to all ... Our goal is to be an organization that meets customer expectations 100% of the time. The facilities managed...Health Hospital at Fort Logan (CMHHFL), Wheat Ridge Regional Center (WRRC and the group homes) and the Division… more