Complaint Resolution Specialist

Job OverviewWe are seeking an experienced Claims Resolution Specialist to join our team at Intercare Insurance. This role will be responsible for effectively managing workers compensation claims from start to finish, ensuring timely and cost-effective resolution.

Job Summary:">The Senior Investigator - Equal Opportunity Specialist will play a vital role in upholding the principles of equity and inclusion at Chapman University. This position is responsible for conducting thorough investigations into complaints of discrimination, harassment, and sexual misconduct, ensuring that all parties are treated fairly and with...

Job Summary: Reporting jointly to the AVP of Employee Relations Services and to the Equal Opportunity Director, the Sr. Employee Relations Specialist supports two business units with a primary focus on Employee Relations. The incumbent resolves complex and sensitive employee relations issues, advising and counseling client groups.Responsibilities:Provides...

Job DescriptionThe Midtown Group is seeking a highly motivated and experienced Senior Clinical Appeals Specialist to join our team.This role requires strong clinical knowledge, excellent communication skills, and the ability to work independently in a fast-paced environment.Key Responsibilities:Participate in managing medical appeals and state hearing...

We are seeking a highly motivated and experienced Clinical Appeals Specialist to join our team at Equiliem Healthcare. This role involves participating in managing medical appeals and state hearing reviews for all lines of business, including handling expedited and standard requests.The ideal candidate will ensure appeals and state hearing requests are...

Job Description:Job Title: Provider Support SpecialistJob Summary:We are seeking a highly skilled and motivated Provider Support Specialist to join our team at Regal Medical Group. The ideal candidate will have a strong background in customer service, member retention, and sales, with a minimum of 3 years of experience in a fast-paced call center...

Barker and Sons Plumbing is a leading provider of plumbing services, and we are seeking a skilled Customer Service Advisor to join our team. As a Customer Service Advisor, you will be responsible for providing excellent customer service and support to our customers.Job DescriptionThe successful candidate will have excellent communication and problem-solving...

Job DescriptionA busy orthopedic specialty practice in Orange County seeks a skilled Financial Operations Specialist. This critical role supports medical professionals by overseeing key financial functions. Responsibilities include:Main Responsibilities:• Maintaining accurate financial records through analysis of balance sheets and general ledger...

About This RoleWe are seeking a detail-oriented Medical Biller and Cash Application Specialist to join our team at BMR Partners Inc. As a key member of our Reimbursement Department, you will play a vital role in assisting the Reimbursement Supervisor with all aspects of Collections, Billing, and Cash Application.Job Summary: The successful candidate will be...

About the RoleWe are seeking a highly skilled Customer Service Manager to lead our team in providing exceptional customer experiences. As a key member of our organization, you will be responsible for managing customer relationships, resolving issues, and driving business growth.Key ResponsibilitiesCustomer Relationship Management: Develop and maintain strong...

Job Summary: We are seeking a skilled Claims Examiner to join our team at TAJ Technologies Inc. In this role, you will be responsible for analyzing complex workers' compensation claims to determine benefits due, managing claims through well-developed action plans, and ensuring timely and cost-effective claims resolution.Key Responsibilities:Analyze and...

Welcome to DAS Technology Group, a specialized recruiter for the Semiconductor, RF & Defense/Space Industry. We are working with our client to design and manufacture semiconductor products for high-speed and defense applications.Our team is looking for a skilled Product Engineer to join their Orange County, CA location. The successful candidate will be...

Job DescriptionSchedule: Monday to Friday, 8am-5pm. The position involves working overtime and weekends.Industry: StaffingLanguage Requirements: English and Spanish. Main Responsibilities:Support human resource functions to include serving as a primary point of contact for employees addressing questions, concerns and grievances. Provide counsel to employees...

Job OverviewThe Fedcap Group seeks a skilled School Behaviorist to implement effective treatment plans for clients in individual or group settings.Key Responsibilities:Develop and execute comprehensive treatment plans tailored to meet the unique needs of each client.Counsel and advise individuals or groups struggling with substance abuse, empowering them to...

About the RoleWithum is seeking a highly skilled and experienced Senior Tax Manager to join our team in Orange County, CA.This is a unique opportunity to work with a brilliant team of tax specialists who are dedicated to providing exceptional tax services to our clients.As a Senior Tax Manager, you will be responsible for leading tax engagements, supervising...

About Alignment HealthcareAt Alignment Healthcare, we are revolutionizing healthcare for seniors. Our world-class technology platform, innovative care delivery models, deep physician partnerships, and serving heart culture set us apart from the rest. We have built a talented and passionate team committed to our mission of transforming healthcare for...

About the PositionWe are seeking a highly motivated and compassionate Medical Technician to join our team at HealthRIGHT 360. As a Medical Technician, you will play a vital role in providing comprehensive care to our clients, working collaboratively with our multidisciplinary team to ensure the best possible treatment outcomes.Key ResponsibilitiesAssist...

**100% on-site with reporting to Orange, CA; this assignment is expected to last 6 months**The Claims Resolution Specialist will be the first line of contact for Health providers. The incumbent will assist providers with questions related to the payment of claims and resolution of claims payment issues. Responds and researches issues on provider questions...

Job Description Summary Reporting jointly to the AVP of Employee Relations Services and to the Equal Opportunity Director (EODO) in a matrix reporting model, the Sr. Employee Relations Specialist supports two business units: Employee Relations and Equal Opportunity, with primary focus being Employee Relations. The incumbent supports an array of functions...

Job Overview:MCI is looking for an experienced Inbound Call Center Specialist to join our team. As a key member of our customer support team, you will be responsible for resolving customer complaints, answering questions, and providing product information via phone or email.You will work closely with our sales team to identify opportunities to upsell...

Job DescriptionJob DescriptionWe are offering a contract for a permanent position in the critical infrastructure industry, based in Orange, California. The opening is for a Dispatcher who will manage the dispatching of a team across OC and LA counties. This role demands a high level of organization and attention to detail, as well as the ability to handle a...

Spectrum Center Schools and Programs, a growing, dynamic organization with a social mission to offer hope, is seeking Behavior Specialists to join our award-winning team and perform meaningful work in a culture that welcomes innovation, encourages creative expression and offers limitless potential for personal and professional satisfaction! If you thrive...

*Pay:* $26.00-$31.00 per hour*Hours: *Monday-Friday 8 am-5 pm*Location:* Onsite in Orange, CA*Position Purpose: *The Grievance Resolution Specialist will be responsible for coordinating the grievance and appeal resolution process.*Responsibilities: *- Gathers pertinent information regarding the grievances and appeals received, including member or provider...

Warehouse Specialist- South Orange, NJ LHH is proactively recruiting for a Warehouse Specialist in Irvington, NJ. This position is a Contract to possible Hire(temp to possible Perm). The anticipated pay range is between $22-$24/hr. depending on experience. Need someone to start ASAP. Benefit offerings include medical, dental, vision, life insurance,...

Our client, a well-respected California Healthcare Network, is seeking a highly motivated and experienced Grievance & Appeals Nurse Specialist to join our team. The Grievance and Appeals Nurse Specialist participates in managing medical appeals and state hearing reviews for all lines of business, including handling expedited and standard requests. The...

Summary of need: We are seeking a highly motivated and experienced Grievance & Appeals Nurse Specialist to join our team. The Grievance and Appeals Nurse Specialist participates in managing medical appeals and state hearing reviews for all lines of business, including handling expedited and standard requests. The contractor will ensure appeals and state...

Title: Program Assistant - GARS Duration: up to 6 months Compensation: $23.92-$33.49/hour Description: Under general supervision, the Program Assistant will assist with specialized services relevant to the Grievance and Appeals Resolution Services (GARS) department. The incumbent will work independently, exercising discretion and judgment and...

This position will assist in the customer relationships and partner with the Sales team topreserve our current customer base. The Account Manager will assist in building a long-termprofitable relationship through opportunities presented, which include generating new orders, providing status of current orders, and generally acting as the communication focal...

Our client, a well-respected California Healthcare Network, is seeking a highly motivated and experienced Grievance & Appeals Nurse Specialist to join our team. The Grievance and Appeals Nurse Specialist participates in managing medical appeals and state hearing reviews for all lines of business, including handling expedited and standard requests. The...

About the RoleMCI is a leading Business Process Outsourcing (BPO) company that specializes in delivering tailored solutions to meet the diverse needs of our clients. With a commitment to excellence and a focus on innovation, we have established ourselves as a trusted partner in the industry.Key ResponsibilitiesAs an Account Receivable Recovery Specialist,...

Job Description:The Code Enforcement Support Specialist will provide administrative support to the code enforcement and residential inspections teams. This role involves managing documentation, coordinating inspection schedules, processing code violation cases, and assisting with communication between inspectors, residents, contractors, and municipal...

The Administrative Assistant is responsible for supporting the smooth and efficient operation of the office while managing a variety of administrative and facilities-related tasks. The ideal candidate is proactive, detail-oriented, and capable of handling multiple priorities with professionalism. Do you thrive on getting things done efficiently and having a...

Job Title: Senior Customer Field Services Manager We are seeking an experienced leader to oversee the daily activities of our Customer Field Technicians. As a Senior Customer Field Services Manager, you will be accountable for the performance of our team and ensure task completion by setting priorities and coordinating work activities with other supervisors....

Job DescriptionJob DescriptionA Large Medical Insurance Company is seeking Bilingual Customer Service Representatives in Orange, CA. Salary: $21- $26 per hourOnsite position Bilingual in one of the following languages required: Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese Position is onsite in Orange, CA. Job Summary The Customer Service...

Executive Director and Title IX Coordinator EX9926 Staff (Full-Time) > Student Services > Student Services DeLand, FL ID: 1361-280 Full-Time/Regular Stetson University is committed to reducing issues of gender-based harassment and violence. To this end, the Executive Director and Title IX Coordinator provides leadership and guidance on matters of Title IX...

This Health Information Management Data Integrity Specialist is responsible for performing duties related maintaining the overall integrity of health information in the electronic medical record and other source systems by researching and resolving overlays. Position is responsible for answering and responding to telephone request. Essential Functions ...

EDUCATION and/or EXPERIENCE 3-5 years experience as an Account Manager, or in other sales/customer service role in manufacturing, preferably in aerospace. Bachelors degree in business, sales or marketing is a plus. Ability to work in a team and collaborate to resolve problems effectively. Thorough knowledge of MS Office; ERP knowledge is required...