- Rady Children's Hospital San Diego (San Diego, CA)
- …about caring for children and their families? Consider joining the Rady Children's Customer Service Team! This position is full time with benefits and generous paid ... insurance process can be frustrating and we are here to help. The Customer Service Representative's primary role is to support relationships with members, providers… more
- CenterWell (Sacramento, CA)
- …our caring community and help us put health first** The Lead - Medicaid Customer Success oversees strategy and operations for multiple Medicaid markets. This role is ... identify opportunities and implement program improvements to enhance our member and customer experience. + Partner with market, government affairs teams, sales teams… more
- Travelers Insurance Company (Diamond Bar, CA)
- …Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity where Wage ... on file quality (including timely contact and proper documentation and proactive resolution of outstanding issues). Achieve a positive end result by returning… more
- Travelers Insurance Company (Irvine, CA)
- …quality claim handling throughout the claim life cycle ( customer contacts, coverage, investigation, evaluation, reserving, litigation management, negotiation ... and resolution ) including maintaining full compliance with internal and external...+ Directly handles assigned severity claims. + Provides quality customer service and ensures quality and timely coverage analysis… more
- Travelers Insurance Company (Diamond Bar, CA)
- …quality claim handling throughout the claim life cycle ( customer contacts, coverage, investigation, evaluation, reserving, litigation management, negotiation ... and resolution ) including maintaining full compliance with internal and external...+ Directly handles assigned severe claims. + Provides quality customer service and ensures file quality and timely coverage… more
- Sharp HealthCare (San Diego, CA)
- …issue management and resolution using diplomacy and dispute resolution techniques.Leads customer relationship engagement activities such as education ... in a timely manner using data analysis, critical thinking and dispute resolution techniques. Maintains continual contact with Plan providers and tracks provider… more
- Cayuse Holdings (Sacramento, CA)
- …high-quality customer service to the client, for the efficient resolution of technology problems and requests + Operates within established guidelines and ... **_EMPLOYEE TYPE:_** Full-Time Hourly Non-Exempt The Service Desk Agent provides customer service solutions within service level agreements using company and project… more
- Travelers Insurance Company (Gardena, CA)
- …customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution ) including maintaining full compliance with internal and external ... including: investigating, evaluating, estimating and negotiating to ensure optimal claim resolution for personal or business claims of moderate severity and… more
- CVS Health (San Diego, CA)
- …of Pharmacy regulations at all times; escalating issues or concerns to the Pharmacy Manager and/or Rx DL for timely resolution if/as needed + Remaining flexible ... for our patients. In addition to supporting the Pharmacy Manager in leading and directing the pharmacy team, you...prescription information and label accuracy, ensuring patient safety + Customer Service and Team Orientation: + Actively look for… more
- IQVIA (Anaheim, CA)
- …and milestone deliverables. May perform role of Data Team Lead (DTL), Program Lead, Customer Site Manager , and/or a leadership role in a specific CDM task ... plan to re-organize and drive change (possibly across a customer account) + Ensure timely follow-up and resolution...orders to completion. + Participate in pricing discussions across customer account. + Serve as Project Manager … more