• Grievances & Appeals…

    Humana (San Juan, PR)
    **Become a part of our caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by ... trained skillsets and/or partnerships with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced… more
    Humana (09/19/25)
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  • Grievances and Appeals 3

    CenterWell (Raleigh, NC)
    **Become a part of our caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by ... trained skillsets and/or partnerships with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced… more
    CenterWell (10/03/25)
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  • Coord Appeals & Grievances

    AmeriHealth Caritas (Newark, DE)
    …more about us at www.amerihealthcaritas.com. **Responsibilities:** Reporting to the Supervisor, Appeals and Grievances , this position is responsible for the ... complaints/issues to management + Monitors to ensure that all problems with appeals / grievances presented by plan members/participants are resolved in accordance… more
    AmeriHealth Caritas (09/03/25)
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  • Senior Labor Relations Representative

    MTA (New York, NY)
    …and participate in monthly conferences with union representatives to discuss contract grievances and employee discipline appeals ; perform analytical review of ... Senior Labor Relations Representative Job ID: 12716 Business Unit: MTA Headquarters...Aug 15, 2025 Description JOB TITLE: Senior Labor Relations Representative DEPT/DIV: Labor Relations WORK LOCATION: 420 Lexington Ave… more
    MTA (08/16/25)
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  • BILINGUAL (English/Spanish) Customer Service/Call…

    CTG (Boca Raton, FL)
    **CTG is seeking to fill a Bilingual (English/Spanish) Customer Service/Call Center Representative opening for our client in Boca Raton, FL.** **Location:** Boca ... to inquiries or provide updates on investigations. + Escalate unresolved customer grievances to appropriate team members or departments. + Process payments and set… more
    CTG (10/03/25)
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  • Member Intake Admin - Hybrid $22/hr

    Fallon Health (Worcester, MA)
    …of Coverage, departmental policies and procedures, and regulatory standards. The Member Appeals & Grievances Intake Administrator is responsible for triaging and ... assigning all incoming appeals and grievances...acknowledgement of the grievance/appeal, educating the member and/or member representative about the grievance/appeal, gathering all pertinent and relevant… more
    Fallon Health (08/13/25)
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  • Member Service Representative

    Commonwealth Care Alliance (Boston, MA)
    …lines or medical setting preferred * Prior experience with service authorizations, grievances and appeals , scheduling medical appointments preferred * Ability to ... members and all those involved in CCA members' care. The Member Service Representative (MSR) is responsible to provide a best-in-class service experience to all… more
    Commonwealth Care Alliance (09/27/25)
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  • CDOC Housekeeping Lieutenant Csts II (Sterling)

    State of Colorado (Sterling, CO)
    …plans, and conducts performance evaluations; resolves informal staff and/or inmate grievances . Assigns tasks, monitors and inspects work progress and ensures ... pay, creates schedule and assigns tasks and resolves informal grievances according to agency policy; reduces inmate idleness and...the official appeal form, signed by you or your representative . This form must be delivered to the State… more
    State of Colorado (09/30/25)
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  • Correctional Youth Security Supervisor III - Mount…

    State of Colorado (Denver, CO)
    …professional development training (as available). Resolves informal staff grievances . Provide formal/informal performance feedback. Initiate progressive discipline, ... interventions for all youth. Responds to and resolves youth grievances . Act as first public contact with agency when...the official appeal form, signed by you or your representative . This form must be delivered to the State… more
    State of Colorado (10/01/25)
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  • District Human Resources Manager

    Navy Exchange Services (NEX) (Jacksonville, FL)
    …discipline. Provides guidance and assistance to management on disciplinary actions, grievances , and appeals . Ensures appropriateness of charges and penalties. ... effectiveness across the entire workforce. Supervises subordinate exempt Human Resources Representative . Duties and Responsibilities - - As District Human Resources… more
    Navy Exchange Services (NEX) (09/26/25)
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