- Humana (Tallahassee, FL)
- …health first** Join a team where your expertise truly makes an impact! As a Grievances & Appeals Representative , you'll be a go-to problem solver, turning ... to make an impact** **Required Qualifications** + 1+ years of grievances and/or appeals experience. + Data entry experience. + Intermediate proficiency with… more
- Healthfirst (FL)
- …outreach through dismissal and complete verbal outreach attempts** + **Analyze incoming appeals and grievances to determine eligibility for dismissal based on ... to the intricate, multi-step details of the Appointment of Representative (AOR) and Waiver of Liability (WOL) processes to...GED from an accredited institution + Work experience with appeals and grievances or healthcare environment +… more
- Point32Health (FL)
- …responsible for the accurate coordination, efficient administration and resolution of member appeals and member grievances submitted by Point32Health members for ... + Must be able to organize, plan and implement the functions of Member Appeals and Grievances , maintain timelines and turnaround times to meet multiple… more
- CTG (Boca Raton, FL)
- **Call Center Representative (Bilingual)** **Location:** Boca Raton, FL **Wage:** $17/hr **Duration:** contract to hire with full benefits **Schedule:** Mon-Fri ... to inquiries or provide updates on investigations. + Escalate unresolved customer grievances to appropriate team members or departments. + Process payments and set… more