Job Description
Role:Remote Appeals and Grievance
Duration: 11+ Months
Location: Remote
Rate: $17/hr on w2
Job Description
Hiring process: Phone Interview
Onboarding process: Paperwork + BGC
• Must have high speed internet
(a) Scope of work
Intake, Triage, process, and review A&G cases based on client's policies and procedures
Grievance cases to be worked supporting Commercial, Individual family Plan and Commercial group lines of businesses
Staffing capacity to manage volumes of cases to support influx and changes and support production capacity and quality standards
Support all cases in English
Provide ramp up timelines towards meeting client goals and baseline existing standards
Learn and manage process training for attrition resources post client training and support
Perform Quality audits on cases and calibrate with client on quality requirements
Supplier to manage and supervise all personnel
Provide daily, weekly, and monthly inventory and productivity dashboard/report
Make calls to members and provider if required and part of the standard operating process to update on case or obtain information
Regards,
Rahul Yadav
(408) 560-3+56
rahul@reqroute.com
http://reqroute.catsone.com/careers/index.php(Click to see MOST Current Openings)
DISCLAIMER:The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any computer or if you want to be REMOVED please reply with REMOVE in the Subject line of this email
ReqRoute, Inc is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, military status, national origin or any other characteristic protected under federal, state, or applicable local law (www.reqroute.com). We are committed to providing exceptional experience. To give feedbackplease email us atsupport@reqroute.com.
Duration: 11+ Months
Location: Remote
Rate: $17/hr on w2
Job Description
Hiring process: Phone Interview
Onboarding process: Paperwork + BGC
• Must have high speed internet
(a) Scope of work
Intake, Triage, process, and review A&G cases based on client's policies and procedures
Grievance cases to be worked supporting Commercial, Individual family Plan and Commercial group lines of businesses
Staffing capacity to manage volumes of cases to support influx and changes and support production capacity and quality standards
Support all cases in English
Provide ramp up timelines towards meeting client goals and baseline existing standards
Learn and manage process training for attrition resources post client training and support
Perform Quality audits on cases and calibrate with client on quality requirements
Supplier to manage and supervise all personnel
Provide daily, weekly, and monthly inventory and productivity dashboard/report
Make calls to members and provider if required and part of the standard operating process to update on case or obtain information
Regards,
Rahul Yadav
(408) 560-3+56
rahul@reqroute.com
http://reqroute.catsone.com/careers/index.php(Click to see MOST Current Openings)
DISCLAIMER:The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any computer or if you want to be REMOVED please reply with REMOVE in the Subject line of this email
ReqRoute, Inc is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, military status, national origin or any other characteristic protected under federal, state, or applicable local law (www.reqroute.com). We are committed to providing exceptional experience. To give feedbackplease email us atsupport@reqroute.com.
💡 Quick Summary
Seeking a career-building opportunity? The Remote Appeals and Grievance position is now open for candidates interested in the Work from home Jobs sector. This role in San Diego offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Work from home Jobs is a plus.
