• Supervisor, Customer Solution

    LA Care Health Plan (Los Angeles, CA)
    Supervisor, Customer Solution Center Appeals and Grievances (Temporary) Job Category: Management/Executive Department: CSC Appeals & Grievances ... required to achieve that purpose. Job Summary The Supervisor, Customer Solution Center Appeals...independently. Ability to solve complex issues and identify creative solutions . Computer ease and literacy with Microsoft Office (Word,… more
    LA Care Health Plan (09/16/25)
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  • Customer Solution Center

    LA Care Health Plan (Los Angeles, CA)
    Customer Solution Center Appeals and Grievances Quality Auditing Specialist II Job Category: Administrative, HR, Business Professionals Department: CSC ... support the safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Quality Auditing (QA) Specialist… more
    LA Care Health Plan (08/29/25)
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  • Grievances and Appeals 3

    CenterWell (Sacramento, CA)
    …with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/ customer support duties ... and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by...+ Associate's or Bachelor's Degree + Previous inbound call center or related customer service experience +… more
    CenterWell (10/03/25)
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  • Customer Solution Center

    LA Care Health Plan (Los Angeles, CA)
    Customer Solution Center Audit Readiness Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... net required to achieve that purpose. Job Summary The Customer Solution Center (CSC) Audit...minimum of 5 years of experience in regulatory auditing ( Appeals & Grievances, Call Center , Enrollment) in… more
    LA Care Health Plan (07/17/25)
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  • Customer Solution Center

    LA Care Health Plan (Los Angeles, CA)
    Customer Solution Center Training Specialist II Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & Grievances Location: ... net required to achieve that purpose. Job Summary The Customer Solution Center Training Specialist...CSC staff on identified areas of improvement, such as Appeals and Grievance processes, Claims, etc. Through various delivery… more
    LA Care Health Plan (09/09/25)
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  • Travel Trainer

    Transdev (Oakland, CA)
    …establishing reasons for denial of ADA eligibility appropriate for presentation during an Appeals Process. As a Travel Trainer, you will not only help drive ... in transportation that impact our community. We are seeking customer service-oriented professionals who are advocates for public transportation services.… more
    Transdev (08/27/25)
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  • Eligibility Specialist

    Transdev (San Jose, CA)
    …to include administrators, management, support staff and applicant while providing high quality customer service + Participate in appeals process, upon request + ... maintain their vehicle and fleets, and deliver on mobility solutions . Transdev US employs a team of 32,000 across...Full Time Req ID: 6092 Pay Group: VDD Cost Center : 669 The above statements are intended to describe… more
    Transdev (08/23/25)
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  • Senior Behavioral Health Peer Specialist

    Sacramento County (Sacramento, CA)
    …and instruction + Research and evaluate work problems, and recommend solutions + Develop and maintain cooperative, effective working relationships with others ... state, and local laws, codes, and regulations + Apply customer service skills, including the identification of customer...Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days… more
    Sacramento County (07/22/25)
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