- Generac Power Systems (Waukesha, WI)
- …energy technology solutions company, we continue to push new boundaries. **Job Summary:** The ** Appeals and Grievances Specialist ** is a critical team player ... under general supervision with some guidance from leadership and higher-level Appeals and Grievances Specialists. **Job Responsibilities:** Case Resolution +… more
- Molina Healthcare (Milwaukee, WI)
- …+ Responsible for the comprehensive research and resolution of the appeals , dispute, grievances , and/or complaints from Molina members, providers ... that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance outcomes. +… more
- Elevance Health (Waukesha, WI)
- …& Appeals Coordinator** is responsible for investigating and reviewing customer grievances and appeals regarding provision of service and benefit coverage ... issues. Triages clinical and non-clinical inquiries, grievances and appeals , prepares case files for...+ Summarizes and presents essential information for the clinical specialist or medical/dental director and legal counsel. + Responds… more