Current jobs related to Customer Service Grievance Specialist - Detroit - Detroit Wayne Integrated Health Network
-
Customer Service Grievance Specialist
2 months ago
Detroit, Michigan, United States Detroit Wayne Integrated Health Network Full timeCUSTOMER SERVICE GRIEVANCE SPECIALISTUnder the general supervision of the Director of Customer Service, the Customer Service Grievance Specialist is responsible for assuring that DWIHN's grievance process is carried out in accordance with local, state, and federal regulations, BBA, Mental Health Code mandates and MDHHS contract. PRINCIPAL DUTIES AND...
-
Grievance and Appeals Coordinator
2 months ago
Detroit, Michigan, United States G-TECH Services, Inc. Full timeProcess appeals and grievances, analyze, research, and provide comprehensive responses in accordance with established regulatory and accreditation guidelines. Contact customers to gather information and communicate disposition of case. Conduct pertinent research in order to evaluate, respond to, and finalize case. Familiar with standard concepts, practices,...
-
Grievance and Appeals Coordinator
1 month ago
Detroit, Michigan, United States G-TECH Services, Inc. Full timeThe Grievance and Appeals (G&A) Coordinator is responsible for processing appeals, grievances, complaints, and inquiries received from members, authorized representatives, and regulatory agencies. The Coordinator is expected to analyze the customer's concerns, conduct necessary research by leveraging various internal and external resources and contacts in...
-
Healthcare Grievance
2 months ago
Detroit, United States G-TECH Services Full timeJob DescriptionJob DescriptionIndividuals will be responsible for analyzing, researching, resolving, and responding to complaints, appeals, and grievances from our clients members and regulatory agencies.Responds to all cases require a detailed written correspondence to the inquirer. All response letters must include specific elements to meet regulatory and...
-
Intake and Customer Services Specialist
3 months ago
Detroit, United States Access Services Full timeJob Title: Intake and Customer Service SpecialistJob Status: Full-timeJob Summary: Under general supervision, the Intake and Customer Service Specialist assures the accessibility of effective community services that empowers individuals and families to achieve an enhanced quality of life. They interact with customers by addressing inquiries and resolving...
-
Automotive Customer Service Specialist
1 week ago
Detroit, Michigan, United States 696 & Gratiot Towing Llc Full timeJoin Our Team as an Automotive Customer Service Specialist at 696 & Gratiot Towing LLCWe are excited to announce an opening for an Automotive Customer Service Specialist at 696 & Gratiot Towing LLC, a reputable provider in the automotive service industry. In this role, you will be essential in ensuring customer satisfaction in a dynamic setting, addressing a...
-
Detroit, United States The Sherwin-Williams Company Full timeCustomer Service Specialists work closely with wholesale and retail customers to determine their needs, answer their questions about Sherwin-Williams products, and recommend the right solutions. Store associates Customer Service Specialists are also expected to promptly resolve any customer concerns and ensure maximum client satisfaction as well as stay...
-
Zone Bilingual Customer Service Specialist
1 month ago
Detroit, Michigan, United States Sherwin-Williams Full timeCustomer Service Specialists work closely with wholesale and retail customers to determine their needs, answer their questions about Sherwin-Williams products, and recommend the right solutions. Store associates Customer Service Specialists are also expected to promptly resolve any customer concerns and ensure maximum client satisfaction as well as stay...
-
Zone Bilingual Customer Service Specialist
4 weeks ago
Detroit, United States Sherwin-Williams Full timeCustomer Service Specialists work closely with wholesale and retail customers to determine their needs, answer their questions about Sherwin-Williams products, and recommend the right solutions. Store associates Customer Service Specialists are also expected to promptly resolve any customer concerns and ensure maximum client satisfaction as well as stay...
-
Retail Customer Service Account Specialist I
3 months ago
Detroit, United States JPMorgan Chase Full timeAt Chase, you will focus on business results by offering options and finding solutions to help our customers. The Call Center Customer Service Account Specialist's work is creative, exciting, and different every day. As a Specialist I in Customer Service, you will take approximately 80 - 120 inbound calls a day from checking and savings account customers....
-
Customer Service Specialist
2 days ago
Detroit, Michigan, United States Total Quality Logistics Full timeAbout the Role:We are seeking a highly motivated and results-driven Account Representative to join our team at Total Quality Logistics. As an Account Representative, you will play a critical role in supporting our Sales Team to drive revenue growth and build strong relationships with our customers.Key Responsibilities:Communicate effectively with the sales...
-
Customer Service Specialist
1 week ago
Detroit, Oregon, United States Breitenbush Hot Springs Full timePosition OverviewLocationBreitenbush Hot Springs - Detroit, OREmployment TypeFull TimeCompensation$14.70 HourlyRole SummaryBreitenbush Hot Springs Retreat & Conference Center is actively seeking dedicated individuals to join our guest-facing office team as Guest Experience Representatives. This is a Full Time, Year Round opportunity.The office team is in...
-
Customer Service Specialist
1 week ago
Detroit, Oregon, United States Breitenbush Hot Springs Full timePosition OverviewLocationBreitenbush Hot Springs - Detroit, OREmployment TypeFull TimeCompensation$14.70 HourlyRole SummaryBreitenbush Hot Springs Retreat & Conference Center is currently seeking dedicated individuals to join our guest-facing office team as Guest Experience Representatives. This is a Full Time, Year Round opportunity.The office team is in...
-
Customer Service Representative
5 days ago
Detroit, Michigan, United States The Sherwin-Williams Company Full timeAbout the RoleWe are seeking a highly skilled and customer-focused individual to join our team as a Bilingual Customer Service Specialist. As a key member of our sales team, you will be responsible for providing exceptional customer service, building strong relationships with wholesale and retail customers, and driving sales growth.Key...
-
Customer Service Representative
5 days ago
Detroit, Michigan, United States The Sherwin-Williams Company Full timeAbout the RoleWe are seeking a highly skilled and customer-focused individual to join our team as a Bilingual Customer Service Specialist. As a key member of our sales team, you will be responsible for providing exceptional customer service, building strong relationships with wholesale and retail customers, and driving sales growth.Key...
-
Customer Service Representative
5 days ago
Detroit, Michigan, United States The Sherwin-Williams Company Full timeJob SummaryWe are seeking a highly skilled and customer-focused individual to join our team as a Bilingual Customer Service Specialist. As a key member of our sales team, you will be responsible for providing exceptional customer service, building strong relationships with wholesale and retail customers, and driving sales growth.Key ResponsibilitiesProvide...
-
Customer Service Specialist
5 days ago
Detroit, Oregon, United States Breitenbush Hot Springs Full timePosition OverviewLocationBreitenbush Hot Springs - Detroit, OREmployment TypeFull TimeCompensation$14.70 HourlyRole SummaryBreitenbush Hot Springs Retreat & Conference Center is currently seeking dedicated individuals to join our guest-facing office team as Guest Experience Representatives. This is a Full Time, Year Round position that plays a vital role in...
-
Customer Service Representative
1 month ago
Detroit, United States CrossFire Group Full timeJob DescriptionJob DescriptionOur client, a major utility company, is looking for some contract Customer Service Representatives to assist with customer account inquiries in the Metro Detroit area!This is a long-term contract position with a starting pay rate of $14.00/hour (benefits are available). This position will work a hybrid schedule which will...
-
CDL-B Route Customer Specialist
3 months ago
Detroit, United States NuVue Foods Full timeJob DescriptionJob DescriptionWe are looking for reliable, resourceful and enthusiastic Route Customer Specialists who are concerned with customer satisfaction and transporting items in a safe, timely manner. The Route Customer Specialist will be driving along a designated route to deliver pre-ordered products, while adhering to assigned routes and time...
-
Customer Service
4 weeks ago
Detroit Lakes, United States Lakeshirts Full timeCUSTOMER SERVICE IS NOT A DEPARTMENT, IT'S AN ATTITUDE.THE OPPORTUNITY:We're looking for a leader in quality and top-notch customer service to embrace this attitude & contribute daily to our value of WOWing our Customers. If you work well under pressure, can handle any conflict and bring about a positive result (hello, service with a smile), while keeping...
Customer Service Grievance Specialist
2 months ago
CUSTOMER SERVICE GRIEVANCE SPECIALIST
Under the general supervision of the Director of Customer Service, the Customer Service Grievance Specialist is responsible for assuring that DWIHN's grievance process is carried out in accordance with local, state, and federal regulations, BBA, Mental Health Code mandates and MDHHS contract.
PRINCIPAL DUTIES AND RESPONSIBILITIES
- Assists with the development of grievance process and procedures in accordance with Federal Rules, MDHHS guidelines, Michigan Mental Health Code and DWIHN policies and procedures.
- Provides applicable Customer Service information, referral, and linkage.
- Provides oversight of telephone and walk-in-inquiries.
- Assists with the monitoring of the grievance process at DWIHN and contractor network to ensure compliance with established policies and procedures.
- Collaborates and coordinates with various internal/external entities to ensure that issues are addressed in accordance with mandated policies and procedures.
- Maintains the reporting mechanism that tracks and monitors DWIHN and contractor's network complaints and grievances.
- Assists in the review and analysis of grievance data for reporting of trends and patterns.
- Assists in the preparation of weekly, monthly, quarterly, and annual DWIHN, ICO and MDHHS reports on grievance activity.
- Provides technical assistance to DWIHN staff and contractors on grievance protocol and applicable dispute resolution protocols.
- Develops and implements on-going grievance training modules specific to applicable audiences i.e., DWIHN staff, contracted providers, enrollees, and family members.
- Assists in the development and maintenance of standardized grievance educational and informational materials (i.e. handbook, posters, forms, policies etc.).
- Attends periodic meetings within DWIHN and/or the community to address DWIHN's issues and updates that are applicable to grievance activities.
- Fosters a climate of collaboration and innovation to improve upon community integration and wellness outcomes among individuals who receive services.
- Performs related duties as assigned.
* *
KNOWLEDGE, SKILLS AND ABILITIES (KSA'S):
- Knowledge of DWIHN policies, procedures, and practices.
- Knowledge of the DWIHN provider network and community resources.
- Knowledge of the Michigan Mental Health Code.
- Knowledge of MDHHS policies, rules, regulations, and procedures.
- Knowledge of the appeals and grievance processes for behavioral health systems.
- Knowledge of dispute resolution practices and procedures.
- Knowledge of customer service.
- Knowledge of compliance standards.
- Knowledge of the Federal Confidentiality Regulations, 42 CFR, Part 2.
- Knowledge of documents / regulations that govern the provision of mental health services, e.g., Medicaid Manual Mental Health and Substance Abuse Chapter III, State Plan for Medicaid, Michigan Department of Health and Human Services Quality Plan, BBA requirements and the Mental Health Code.
- Knowledge of the principles, practices, and techniques of fact finding and conducting investigations.
Assessment skills.
Organizational skills.
Analytical skills.
Time Management skills.
Report writing skills.
Decision Making skills.
Customer Service skills.
Communication skills.
Active Listening skills.
Skill at meeting deadlines
Multitasking skills.
Prioritizing skills.
Written communication skills.
Accuracy and detailed oriented skills.
Investigation skills.
Training skill
