- 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
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Member Navigator II- Palmdale Location (Onsite) Job Category: Customer Service Department: Even MORE Outreach & Service ... net required to achieve that purpose. Job Summary The Customer Solution Center Member Navigator...of experience resolving health care eligibility, access, grievance and appeals issues, preferably in health services, legal services and… 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
- State of Colorado (Garfield County, CO)
- …III / Cook - Rifle Veterans Community Living Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5183242) Apply Dining Services III / ... Cook - Rifle Veterans Community Living Center Salary $21.13 Hourly Location Garfield County, CO Job...required by policies and procedures Other Duties + Provides solutions to aids for discrepancies in food temperatures +… 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
- CTG (Orlando, FL)
- CTG is seeking a **Call Center Representative (bilingual preferred)** 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
- CTG (Boca Raton, FL)
- …in a team environment, and remain results-driven. **Experience:** + 1 year of customer service experience required. + Previous call center experience preferred. ... **Call Center Representative (Bilingual)** **Location:** Boca Raton, FL **Wage:**...other Saturday 8:30a - 5:00p **Duties:** + Provide exceptional customer service, including verbal, nonverbal, and written communication, in… more
- Johns Hopkins University (Baltimore, MD)
- Founded in 1979, the Johns Hopkins Center for Talented Youth (CTY) is a center for innovation dedicated to advancing the field of gifted education through ... for all financial aid and student account functions at the Johns Hopkins Center for Talented Youth (CTY). Reporting to the Director of Enrollment Services, this… more
- Cleveland Clinic (Beachwood, OH)
- …thorough benefits investigation and processes any necessary prior authorizations and/or appeals for pharmacy claims. + Explain benefit coverage and financial ... physician of results as needed. + Communicate with patients professionally and customer -friendly to schedule the delivery of new and refilled medications and… 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
- 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
- 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
- Iowa Department of Administrative Services (State Of Iowa, IA)
- …IA Job Type Full-time Job Number 26-01598 Agency 427 Department of Inspections, Appeals & Licensing Opening Date 12/17/2025 Closing Date 1/6/2026 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
- American Heart Association (Dallas, TX)
- …in our **Development and Community Health** department based at our National Center office in Dallas, TX. **This position can be home-based.** The Association ... and communications team to develop compelling and persuasive fundraising messages, appeals , and creative assets for direct response campaigns. Collaborate with the… more
- State of Colorado (Denver, CO)
- …reports that assist the division director in measuring performance and customer satisfaction. The position is responsible for identifying office problems, providing ... support to all work units reporting to the Director, to include customer service issues, technical support, and improving relations with state employees. This… more
- City and County of San Francisco (San Francisco, CA)
- …services while piloting innovative models, and implementing best practice solutions with measurable results. HSH's Homelessness Response System (HRS) funds, ... written communication skills with exceptional attention to detail and customer service. + Self-driven, motivated, and can operate with...Rule 111A.35.1. The standard for the review of such appeals is 'abuse of discretion' or 'no rational basis'… more
- AbbVie (North Chicago, IL)
- …Description AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges ... commercial pharmacy, major medical, and government insurance plans, prior authorizations, appeals , and alternate coverage referrals. The supervisor ensures that all… more