ApplyBlast uses AI to match you with the right jobs, tailor your resume and cover letter, and apply automatically so you can land your dream job faster.

Features

Auto Apply Resume Optimizer Cover Letter Optimizer Interview Prep

Company

Social Media

Need Help?

team@applyblast.com

Grievance/Appeals Representative I at Elevance Health - ApplyBlast

Grievance/Appeals Representative I

Elevance Health

4 months ago

3.4 on Glassdoor

Florida

Hybrid

Full Time

Junior

0 applicants

View Job Listing

Apply to 100+ jobs

About this role

The Grievance/Appeals Representative I reviews and processes customer grievances and appeals regarding service and benefit coverage to determine company liability. This role involves investigating claims, contacting customers, interpreting policy provisions, and ensuring resolutions are delivered within established regulatory or customer-defined timeframes.

Responsibilities

Investigate and review customer grievances involving service and benefit coverage issues
Interpret policy provisions to determine company liability and entitlement
Generate written correspondence to members, providers, and regulatory agencies
Ensure appropriate resolution of grievances within specified regulatory timeframes
Gather information from customers and document all case interactions