Operations Representative
3 weeks ago
The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. In this role you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to incoming appeals and grievances within established compliance timeframes.
Answer telephone inquiries regarding member appeals.
Research, review and resolve high level/high priority member grievances, appeals and complaints, while clarifying issues and educating customers in the process.
Interpret and explain health plan benefits, policies, procedures and functions to members and providers.
Requires at least 4 years combined operations experience such as I&B, Claims, Customer Services, Regulatory Affairs; Requires knowledge of Microsoft Systems such as Power Point, Excel, and Word
Note: You may be placed in a specialty client, or other unit, such as CalPERs.
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Operations Specialist, Consultant
4 weeks ago
El Dorado Hills, United States Blue Shield of California Full timeYour Role The Commercial Appeals and Grievances team performs comprehensive research related to the facts and circumstances of member complaints, appeals, and grievances. The Commercial Appeals and Grievances Operations Specialist – Consultant will report to the Commercial Appeals and Grievances Senior Manager. In this role, you will be responsible for...
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El Dorado Hills, United States Blue Shield of California Full timeYour Role The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances, Advanced Coordinator will report to the Appeals and Grievances Supervisor. In this role you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to...
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Client Operations Specialist
4 weeks ago
El Dorado Hills, California, United States Broadridge Financial Solutions , Inc. Full timeJob SummaryWe are seeking a highly skilled Client Operations Representative to join our team at Broadridge Financial Solutions, Inc. This role is responsible for providing exceptional client service, resolving issues, and ensuring seamless operations.Key ResponsibilitiesEfficiently complete tasks to support internal and external client needs.Act as a liaison...
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Supervisor, Operations
3 months ago
El Dorado Hills, United States Blue Shield of California Full timeYour Role The Commercial Appeals & Grievances department performs comprehensive research related to the facts and circumstances of member complaints, appeals, and grievances. The Commercial Appeals & Grievances Supervisor will report to the Commercial Appeals & Grievances Senior Manager. In this role, you will be accountable for hiring, promoting,...
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Customer Service Representative
4 weeks ago
El Dorado Hills, California, United States Murphy Oil Full timeJob Title: National Contact Center Agent IJob Summary: Murphy USA is seeking a highly skilled National Contact Center Agent I to join our team. As a National Contact Center Agent I, you will be responsible for providing exceptional customer service to our Murphy USA sites, resolving technical issues, and escalating problems to vendors or other departments as...
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Customer Service Representative
1 month ago
El Dorado Hills, United States Caliber Collision Centers Full timeService Center El Dorado Hills - Post St JOB SUMMARY Caliber Collision has an immediate job opening for a Customer Service Representative to perform all-purpose duties, which may include, but not limited to greeting and providing extraordinary customer service to internal and external customers, monitoring work volume scheduled for the center and recommend...
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Appeals and Grievances Representative, Advanced
3 months ago
El Dorado Hills, CA, United States Blue Shield of California Full timeYour Role The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances, Advanced Coordinator will report to the Appeals and Grievances Supervisor. In this role you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to...
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Customer Service Representative
4 weeks ago
El Dorado Hills, California, United States STRAUCH & COMPANY Full timeJob SummaryWe are seeking a highly motivated and customer-focused individual to join our team as a Customer Service Representative at our Green Valley Carwash location.Key ResponsibilitiesProvide exceptional customer service to ensure a high degree of customer satisfaction.Maintain a clean and safe facility, adhering to company standards regarding...
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Customer Service Representative
4 weeks ago
El Dorado Hills, California, United States STRAUCH & COMPANY Full timeJob DetailsJob Location: Green Valley Convenience - El Dorado Hills, CAPosition Type: Part TimeSalary Range: $17.00 - $18.00 HourlyJob Shift: AnyJob Category: RetailDescriptionWe are seeking a highly motivated and customer-focused individual to join our team as a Customer Service Representative. As a key member of our retail team, you will be responsible for...
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Appeals and Grievances Representative, Advanced
3 months ago
El Dorado Hills, United States Blue Shield of California Full timeYour Role The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances, Advanced Coordinator will report to the Appeals and Grievances Supervisor. In this role you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to...
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Customer Service Representative
4 weeks ago
El Dorado, Arkansas, United States Domino's Pizza LLC Full timeDomino's Pizza Team Member Job SummaryAs a Customer Service Representative at Domino's Pizza LLC, you will be responsible for providing exceptional customer service and ensuring a positive experience for our customers.Key Responsibilities:Greet customers and provide them with a positive, engaging experience.Take customer orders using our technology and Point...
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Customer Service Representative
4 weeks ago
El Dorado, Kansas, United States Domino's Franchise Full timeJob DescriptionAt Domino's Franchise, we're looking for a skilled Customer Service Representative to join our team. As a key member of our staff, you'll be responsible for providing exceptional customer service, taking orders, and ensuring a seamless dining experience for our guests.Key ResponsibilitiesTake and process orders accurately and...
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Account Representative
1 month ago
El Dorado Hills, United States Trek Sinclair - State Farm Agent Full timeBenefits: 401(k) matching Bonus based on performance Company parties Competitive salary Free food & snacks Opportunity for advancement Paid time off Signing bonus Training & development ROLE DESCRIPTION:As Account Representative - State Farm Agent Team Member for Trek Sinclair - State Farm Agent, you are...
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Appeals and Grievances Representative, Advanced
2 weeks ago
El Dorado Hills, United States Blue Shield Of California Full timeYour Role The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances, Advanced Coordinator will report to the Appeals and Grievances Supervisor. In this role you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to...
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Appeals and Grievances Representative, Advanced
2 weeks ago
El Dorado Hills, United States Blue Shield Of California Full timeYour Role The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances, Advanced Coordinator will report to the Appeals and Grievances Supervisor. In this role you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to...
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Appeals and Grievances Representative, Advanced
2 weeks ago
El Dorado Hills, United States Blue Shield Of California Full timeYour Role The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances, Advanced Coordinator will report to the Appeals and Grievances Supervisor. In this role you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to...
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El Dorado Hills, United States Blue Shield of California Full timeYour Role The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances, Advanced Coordinator will report to the Appeals and Grievances Supervisor. In this role you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to...
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El Dorado Hills, United States Blue Shield of California Full timeYour Role The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances, Advanced Coordinator will report to the Appeals and Grievances Supervisor. In this role you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to...
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Heavy Equipment Operator
3 weeks ago
El Dorado, United States Marmon Holdings, Inc. Full timeMarmon Railroad Services Come join a team where People make the difference! As a part of Marmon Holdings, Inc., a highly decentralized organization, we rely heavily on people with the aptitude, attitude, and entrepreneurial spirit to drive our success, and we're committed to attracting and retaining top talent. #LI-DNI Responsible for operating heavy...
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Heavy Equipment Operator
3 weeks ago
El Dorado, United States Marmon Holdings, Inc. Full timeMarmon Railroad Services Come join a team where People make the difference! As a part of Marmon Holdings, Inc., a highly decentralized organization, we rely heavily on people with the aptitude, attitude, and entrepreneurial spirit to drive our success, and we're committed to attracting and retaining top talent. #LI-DNI Responsible for operating heavy...