Commercial Appeals and Grievances Operations Manager

At Blue Shield of California, we are seeking a skilled Appeals and Grievances Case Manager, Senior to join our team. In this role, you will play a critical part in managing and resolving member appeals and grievances in a timely manner.About the RoleThis position involves answering inquiries, investigating issues, and providing explanations of health plan...

Your RoleAt Blue Shield of California, our Appeals and Grievances team plays a crucial role in receiving, documenting, investigating, referring, and coordinating grievances, appeals, and complaints. As an Appeals and Grievances, Advanced Coordinator, you will report to the Appeals and Grievances Supervisor. In this position, you will be responsible for...

About the RoleWe are seeking a highly skilled Regulatory Complaint Coordinator, Intermediate-CalPERS to join our team at Blue Shield of California. In this role, you will be responsible for processing and responding to Appeals and Grievances as well as inquiries received directly from CalPERS members, regulatory agencies and CalPERS directly.As a key member...

OverviewThe Appeals and Grievances team at Blue Shield of California plays a crucial role in managing and resolving member appeals and grievances. As an Appeals and Grievances Representative, Advanced Coordinator, you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to appeals and grievances within established...

Company Overview: Blue Shield of California is a leading healthcare organization dedicated to providing exceptional service and support to its members. Our Commercial Appeals & Grievances department plays a vital role in ensuring that our members receive fair and timely resolutions to their complaints, appeals, and grievances.Salary: The estimated annual...

About UsBlue Shield of California is a leading healthcare organization dedicated to delivering high-quality, affordable care to its members.Job SummaryWe are seeking an experienced Supervisor, Operations for our Commercial Appeals & Grievances department. This role will be responsible for overseeing the daily operations and people management functions within...

Job OverviewThe CalPERS team within the Appeals and Grievance Department plays a crucial role in processing and responding to appeals, grievances, and inquiries received from CalPERS members, regulatory agencies, and CalPERS directly. This team ensures timely and effective resolution of complex cases, maintaining the highest level of professionalism and...

Overview: Blue Shield of California seeks an experienced Operations Supervisor to lead the Commercial Appeals & Grievances department. This role is responsible for supervising coordinators, conducting research, and managing appeals and grievances.Responsibilities:Foster a collaborative work environment and develop high-performing teams.Manage routine...

Company OverviewBlue Shield of California is a leading health care organization dedicated to improving the health and well-being of its members. Our team is passionate about delivering exceptional service and promoting healthy lifestyles.

Company OverviewBlue Shield of California is a leading health insurance organization dedicated to providing comprehensive coverage to its members. Our Commercial Appeals & Grievances department plays a crucial role in ensuring that member complaints, appeals, and grievances are handled efficiently and effectively.

Job Summary:Blue Cross and Blue Shield Association seeks a skilled Regulatory Complaint Coordinator to support our Appeals and Grievance Department. This role involves managing complex regulatory complaints, conducting research, and collaborating with various stakeholders to resolve issues related to CalPERS appeals and grievance processing. The successful...

Company Overview:The Blue Cross and Blue Shield Association is a premier healthcare organization committed to delivering exceptional services to its members. Our team within the Appeals and Grievance Department plays a crucial role in processing and responding to appeals, grievances, and inquiries from regulatory agencies, CalPERS members, and other...

About This RoleAs a Healthcare Advocate Coordinator at Blue Shield of California, you will play a critical role in managing and resolving member appeals and grievances in a timely manner.Your key responsibilities will include answering inquiries, investigating issues, and providing explanations of health plan benefits to members and providers. To succeed in...

Our team is responsible for resolving member appeals and grievances in a timely manner.About the RoleThis role involves answering inquiries, investigating issues, and providing explanations of health plan benefits to members and providers.You will be working with our Appeals and Grievances team to ensure that all cases are resolved within established...

Role OverviewThe Appeals and Grievances Representative, Advanced is responsible for managing member appeals and grievances. This role involves answering inquiries, investigating issues, and explaining health plan benefits to members and providers.

Job DescriptionIn this exciting role as a Regulatory Complaint Coordinator, you will be part of a dynamic team that handles appeals, grievances, and inquiries for CalPERS. You will work closely with regulatory agencies, CalPERS members, and other stakeholders to provide excellent customer service while ensuring compliance with regulatory requirements.About...

We are seeking a dependable and hardworking Refuse Truck Driver to join our team at Clear Horizon LLC. This position involves operating a refuse collection truck to collect trash and recyclable materials from residential and commercial locations.**Key Responsibilities:**Operate refuse trucks safely and efficiently, adhering to traffic laws and company safety...

About RCP ConstructionRCP Construction is a mid-sized commercial construction company dedicated to building a better experience through high-quality customer service, teamwork, attention to detail, and follow-through.Our company culture views our team members as our most valuable resource and treats them accordingly. We believe in giving back to our...

Job DescriptionWe are seeking a dependable and hardworking Refuse Truck Driver to join our team. This position involves operating a refuse collection truck to collect trash and recyclable materials from residential and commercial locations.This role offers an excellent opportunity for individuals who are passionate about making a positive impact on the...

Logistics Expert NeededSyndeo Staffing is seeking a highly skilled CDL Driver to join our team. As a key member of our logistics team, you will be responsible for transporting freight safely and efficiently, adhering to all Federal and State Department of Transportation regulations and laws.This is an excellent opportunity for those looking to advance their...