Appeals and Grievances Representative, Advanced

Appeals and Grievances Representative, Advanced - CalPERS at Blue Shield of California summary: The Appeals and Grievances Representative, Advanced at CalPERS is responsible for receiving and investigating member grievances and appeals, ensuring compliance with established timeframes. This role involves responding to member inquiries, resolving high-priority...

Your 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...

Your RoleThe 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...

Your 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...

Job Description Your Role The Commercial Appeals & Grievances department performs comprehensive research related to the facts and circumstances of member complaints, appeals, and grievances. The department partners with the customer service and operations teams to ensure alignment with service levels to provide service worthy of our family and friends....

Supervisor, Operations (Regulatory Appeals) at Blue Shield of California summary: The Operations Supervisor for Regulatory Appeals oversees the compliance processing of appeals and grievances within healthcare operations. This role involves managing relationships with regulatory bodies and ensuring operational efficiency through strategic initiatives and...

Supervisor, Operations (Regulatory Appeals) at Blue Shield of California summary: The Supervisor of Operations (Regulatory Appeals) oversees the Regulatory Appeals and Grievances team, ensuring compliance with healthcare regulations and maintaining relationships with regulatory bodies. Responsibilities include managing operational efficiencies, coaching team...

Your Role   The Regulatory Appeals and Grievances team is responsible for compliant processing of appeals and grievances. The Operations, Supervisor will report to the Manager for Appeals and Grievances. In this role you will be responsible for supporting and maintaining the relationships between Blue Shield, and regulators including the Department of...

Your RoleThe Regulatory Appeals and Grievances team is responsible for compliant processing of appeals and grievances. The Operations, Supervisor will report to the Manager for Appeals and Grievances. In this role you will be responsible for supporting and maintaining the relationships between Blue Shield, and regulators including the Department of Managed...

Your Role   The Regulatory Appeals and Grievances team is responsible for compliant processing of appeals and grievances. The Operations, Supervisor will report to the Manager for Appeals and Grievances. In this role you will be responsible for supporting and maintaining the relationships between Blue Shield, and regulators including the Department of...

Your Role The Growth and Servicing analytics team is part of the centralized Data and Analytics organization and oversees Analytics relating to Contact Center, Digital, Marketing, Claims, Appeals, Grievances, Disputes, Customer Experience and Lines of Business. The Data Analyst, Senior will report to the Senior Manager of Inventory Management. In this role...

Do you enjoy working in a collaborative environment where everyone works together as a team? Do you have excellent communication and interpersonal skills? If so, we may have the perfect opportunity for you! As a customer service representative at Safeway, you will play a vital role in delivering exceptional customer service and supporting the success of our...

Job Description Job Description Position OverviewSuccessful State Farm Agent is seeking a qualified professional to join their winning team for the role of Account Representative - State Farm Agent Team Member. We seek an energetic professional interested in helping our business grow through value-based conversations and remarkable customer experience. If...

Our CultureWe are honored to be recognized as a Military Friendly Employer for 2022, 2023, and 2024, and have received designation as a Top Employer for Hispanic and Latinos by HLPA in 2023 and 2024. Our diverse culture and inclusive environment make us an attractive employer for candidates from all backgrounds.Job DescriptionWe are seeking experienced...

OverviewWe are seeking a Retail Sales Representative to join our team at Walmart. As a member of our General Merchandise team, you will play a key role in providing excellent customer service and ensuring that our customers have an enjoyable shopping experience.Job DescriptionAs a Retail Sales Representative, your primary responsibilities will...

Job SummaryPatient Relation Representatives play a vital role in ensuring excellent service standards at Corewell Health. They troubleshoot and investigate customer grievances/complaints, respond to inquiries, and maintain high customer satisfaction while acting as a liaison between customers and hospital personnel.The ideal candidate will have 2 years of...

**Kim Dupree State Farm Agency Overview**We are a passionate team dedicated to making a difference in the lives of others. Our agency is committed to delivering exceptional service to our clients, and we are seeking a highly motivated individual to join our team as a Customer Service Representative - Insurance.Job Responsibilities:In this role, you will be...

We offer a generous employee discount, Employee Assistance Program, opportunity for advancement, paid Time Off for all employees, medical/dental/vision insurance, 401K with company match, and voluntary benefits through AFLAC. Our ideal candidate has the flexibility to work within our normal store operating hours, including weekends, and has a desire to build...

**Job Title:** Delivery Service RepresentativeCompany Overview:Qdoba is a leading fast-casual restaurant chain known for its flavorful Mexican-inspired food.Salary:The estimated annual salary for this position is approximately $40,000 - $50,000 depending on experience and location.Job Description:As a Delivery Service Representative at Qdoba, you will be...

At Torrid, we're passionate about providing an amazing shopping experience that fosters positive customer connections and loyalty. As a Retail Merchandising Representative, you'll play a crucial role in making this happen.Key Responsibilities:Ensure the sales floor is visually appealing and meets our high standardsPerform register functions while utilizing...