- Elevance Health (Woburn, MA)
- **Title: Grievance / Appeals Representative I** **Locations:** **Woburn, MA** **and** **Manchester, NH** This role requires associates to be in-office 1 - 2 ... employment, unless an accommodation is granted as required by law._ The ** Grievance / Appeals Representative I** is responsible for reviewing, analyzing and… more
- Point32Health (MA)
- …(https://www.point32health.org/) . **Job Summary** SUMMARY Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and ... for the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual… more
- Point32Health (MA)
- …Point32Health (https://www.point32health.org/) . **Job Summary** Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and ... for the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual… more
- Humana (Boston, MA)
- …of our caring community and help us put health first** The Grievances & Appeals Representative 2 manages client denials and concerns by conducting a ... with clinical and other Humana parties. The Grievances & Appeals Representative 2 performs varied activities and...Degree + Previous experience in medical claims processing + Grievance and appeals experience + Medical terminology… more
- Fallon Health (Worcester, MA)
- …us on Facebook, Twitter and LinkedIn. **Brief summary or purpose:** Fallon Health (FH) Appeals and Grievance process is an essential function to FH's compliance ... standards, other applicable regulatory requirements and member expectations. The FH Member Appeals and Grievance Intake Administrator serves to administer the FH… more
- Fallon Health (Worcester, MA)
- …and appeals , which includes,sending the appropriate acknowledgement of the grievance /appeal, educating the member and/or member representative about the ... us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** Fallon Health (FH) Appeals and Grievance process is an essential function to FH's compliance… more