• Claims Call Center

    Zurich NA (Denver, CO)
    Claims Call Center Representative 116763 Zurich is a leading multi-line insurer that serves its customers in global and local markets. Zurich's customers ... complexity, ensuring a positive customer experience. + Resolve complex claims inquiries and problems, judging when to pass complex...down Preferred Qualifications: + 6 months or more of call center experience + Strong data entry… more
    Zurich NA (09/11/24)
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  • Grievances & Appeals Representative

    Humana (Denver, CO)
    …Only + Previous experience in medical claims processing + Previous inbound call center or related customer service experience + Previous grievance and ... help us put health first** The Grievances & Appeals Representative 2 manages client denials and concerns by conducting...+ Prior experience with Medicare + Experience with the Claims Administration System (CAS) + Ability to manage large… more
    Humana (09/11/24)
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  • Customer Service Representative

    CAI (Denver, CO)
    …including claims and continuity of care. + Work towards meeting and exceeding call center metrics as monitored by DHHS to avoid liquidated penalties. + ... **Worksite Flexibility** Remote **Job Summary** As a Customer Service Representative , you will be our client's first point of...**Job Description** We are looking for a Customer Service Representative to provide first point of contact for our… more
    CAI (08/28/24)
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  • Customer Service Representative

    CVS Health (Denver, CO)
    …**Required Qualifications** + 1-3 years customer service experience within a Call Center atmosphere. **Preferred Qualifications** + Previous Behavioral Health ... Anchored in our brand - with heart at its center - our purpose sends a personal message that...assist the member with a clear path to care, claims understanding and resolution and educates the member with… more
    CVS Health (09/11/24)
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  • Insurance Analyst (Rate/Financial Analyst II):…

    State of Colorado (Denver, CO)
    …+ Demonstrated professional* direct customer service experience by working in a call center and/or member services; + Demonstrated professional* experience ... and face-to-face discussions about insurance product lines, rates, and/or claims ; + Reviewing policy forms, and/or filings to ensure...professional* direct customer service experience by working in a call center and/or member services. 13 DORA… more
    State of Colorado (09/03/24)
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  • TeleOncology Enhanced Scheduler

    Intermountain Health (Denver, CO)
    …8:30 am - 5 pm.** The Enhanced Schedulers may be located in a central call center and have accountability to coordinate and schedule patients for multiple ... customer expectations. This position enhances the patient experience with one telephone call to schedule and register for services. The Enhanced Scheduler reviews… more
    Intermountain Health (09/11/24)
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  • Customer Service Representatives/Healthcare-Remote

    Sutherland Global Services (Denver, CO)
    …or equivalent + 1-2 years of experience working in a high-volume call center environment as a customer service representative + Effective verbal and written ... simple and complex inquiries + In times of high call volumes, phone calls may be received back-to-back with...Deck" approach **Duties & Responsibilities;** + Assist providers with claims and claims investigations + Status Inquiries… more
    Sutherland Global Services (09/12/24)
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  • Medicaid Fraud Investigator (Special Agent III)

    State of Colorado (Denver, CO)
    …be assigned to civil investigations in support of the Colorado False Claims Act. Additionally, the incumbent will provide technical training, advice and assistance ... evenings, weekend, and overnight assignments. This is not an on- call position. Position must have a valid CO driver's...the official appeal form, signed by you or your representative . This form must be delivered to the State… more
    State of Colorado (08/23/24)
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