- Fallon Health (Worcester, MA)
- …requirements and member and provider expectations. The FH Appeals and Grievances Triage Administrator serves to administer the FH Appeals and Grievance ... Triage Administrator is responsible for triaging and assigning all incoming appeals and grievances addressed to the Member Appeals & Grievances Department… more
- CVS Health (Oklahoma City, OK)
- …of appeal process. -Identify and research all components within member or provider/practitioner appeals, complaints and grievance for all products and services. ... Responsible for intake, investigation and resolution of appeals, complaints and grievances scenarios for all products, which may contain multiple issues and,… more
- Fallon Health (Worcester, MA)
- …gathering all pertinent and relevant information from the member regarding the grievance/ appeal . * Print, mail, and triage letters at the FH corporate office ... Act as the initial investigator and contact person for member grievances and appeals, which includes, sending...appeals, which includes, sending the appropriate acknowledgement of the grievance/ appeal , educating the member and/or member… more