• Appeals and Grievance Analyst

    Point32Health (FL)
    …(https://www.point32health.org/) . **Job Summary** Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance ... responsible for the accurate coordination, efficient administration and resolution of member appeals and member grievances submitted by Point32Health members for… more
    Point32Health (08/16/25)
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  • Broker Supervisor , Marketplace (Remote)

    Molina Healthcare (Orlando, FL)
    …and independent contracting, down line broker applications commissions, Broker Agent appeals / grievances , educating Brokers on plan benefits in all markets, ... Oversees the detailed process of broker commission reconciliation * Handles Broker Agent appeals / grievances . * Educates Brokers on plan benefits in all markets.… more
    Molina Healthcare (08/30/25)
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  • Claims Manager

    CHS (Clearwater, FL)
    …client trust. * Investigates and participates in formal responses relating to complaints, grievances and appeals received by or applicable to PAS. Participates ... * Establishing production requirements for Examiners, and along with the Supervisor monitoring performance against the requirements. * Establishing and monitoring… more
    CHS (08/08/25)
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