California Physicians' Service-posted about 1 year ago
Full-time
El Dorado Hills, CA
Insurance Carriers and Related Activities
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The Appeals and Grievances Representative is responsible for managing and resolving member appeals and grievances in a timely manner. This role involves answering inquiries, investigating issues, and providing explanations of health plan benefits to members and providers. Strong communication skills and the ability to work both independently and collaboratively are essential to meet compliance standards.
