- Molina Healthcare (Hartford, CT)
- …(CMS). **Essential Job Duties** * Facilitates comprehensive research and resolution of appeals , disputes, grievances , and/or complaints from Molina members, ... to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals… more
- The Cigna Group (Bloomfield, CT)
- …networks + Complete onsite quality assessments + Respond to provider inquiries, concerns, complaints , appeals and grievances + Provide ongoing product ... procedures to routine instructions that require professional knowledge in specialist areas. Provides standard professional advice and creates initial… more