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... Representative 3 manages client denials and concerns by conducting a comprehensive ... or further request is warranted and then delivers final determination based ... determination based on trained skillsets..
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... associate experience by architecting experiences and building capabilities that will positively ... on problems of diverse scope and complexity ranging from moderate to ... company focused on the health..
... works within thorough, prescribed guidelines and procedures; uses independent judgment requiring ... basic problems; collaborates with management and top professionals/specialists in selection of ... in selection of methods, techniques,..
... is seeking a Call Center and Claims Representative to meet the ... needs of members, potential enrollees and providers by providing a resource ... related to benefits, eligibility, claims,..
... Appeals Representative 4 assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative ... duties that require independent initiative and judgment. Responsibilities The Grievances..
... & Appeals manages client denials and concerns by conducting a comprehensive ... or further request is warranted and then delivers final determination based ... determination based on trained skillsets..
... Call Center/evendor channel is responsible and accountable for building, leading and having oversight of the go ... that business objectives, sales, retention and quality metrics are met. The .....
... for Medicaid or Extra Help and have no prescription drug coverage. ... Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works ... Representative..