Role Description The Appeals Representative is responsible for reviewing, analyzing, and addressing provider inquiries and appeals via email, fax, telephone, or written correspondence in accordance with regulatory guidelines, client policy and instructions, and industry standards, along with CMS and state guidelines. This role ensures that all appeals are set up accurately and in a timely manner, supporting the appeal process efficiently. - Receiving and analyzing appeal documentation to determine appropriate actions - Accurately setting up and initiating the appeals process timely, ensuring information aligns with provided documents - Ensure compliance with HIPAA, CMS guidelines, and client instructions and policy standards - Utilize applicable tools and resources to complete setup - Additional duties as assigned Qualifications - Knowledge of Medicare, Medicaid, and commercial insurance guidelines - Strong attention to detail, time management, and organizational skills - Excellent written and verbal communication skills - Knowledge of medical terminology and CPT/ICD codes - Proficiency with Microsoft applications Requirements - High school diploma or equivalent - 1+ years of experience in healthcare, insurance, claim processing, or customer service - 1+ years working with customers in a fast-paced, deadline-oriented environment - 1+ years of experience as an Appeals Representative - Strong technical skills with the ability to work across multiple software systems and work remotely with self-management skills Benefits - Medical (HDHP) w/Pharmacy - Dental - Vision - Long Term Disability - Health Savings Account - Flexible Spending Account Options - Life Insurance - Accident Insurance - Critical Illness Insurance - Pre-paid Legal Insurance - Parking and Transit FSA accounts - 401 K - ROTH 401 K - Paid time off Company Description CERIS, a division of CorVel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

Role Description Hallo, wir suchen Dich! Unser nettes Team sucht Unterstützung im Homeoffice. Das Beste daran: Du arbeitest bequem von Zuhause. Heißt: kein Pendeln, keine Fahrtkosten, kein Stress. Dafür volle Freiheit – Du richtest Dir Deinen Arbeitsplatz so ein, wie Du magst. Jogginghose? Kein Problem. Und jetzt kommt’s: Parli italiano con i clienti! - Du nimmst Anrufe von italienischen Kunden entgegen und bearbeitest Bestellungen – also ein ganz entspannter Job mit nettem Kontakt. - Se sei gentile con me, sarò gentile con te – Bist Du nett zu mir, bin ich nett zu Dir. Genau das leben wir auch im Team: freundlich, gelassen, hilfsbereit. Klingt gut? Dann komm zu uns und werde Teil unseres Teams. Wir freuen uns auf Dich! Qualifications - Sehr gute Deutsch- und Italienischkenntnisse - Leichte Computerkenntnisse - Queereinsteiger sind herzlich willkommen und werden selbstverständlich eingearbeitet - Gute Laune und Freude am Umgang mit netten Menschen Benefits - Flexible Arbeitszeiten: 25, 30 oder 40 Stunden die Woche - Fester Stundenlohn in einem arbeitgeberbezogenen System zur Lohnsteigerung - Verschiedene Zuschüsse sowie einen Willkommensbonus von max. 2025€ - Einarbeitung erfolgt auch im Home-Office - Technik wird gestellt - Voraussetzung ist eine stabile Internetleitung sowie ein Arbeitsplatz, der den Datenschutzverordnungen entspricht Company Description - Wir sind da, wo die Bewerber sind: ganz persönlich in Ihrer Nähe - Stets erreichbar mit schnellstmöglicher Antwortzeit - Verbindlich – beratend

Role Description Do you enjoy assisting people, providing excellent service, and helping create positive experiences? We are seeking enthusiastic individuals to join our remote team as Travel Customer Care Specialists. In this role, you will serve as a key point of support for clients as they prepare for upcoming vacations, cruises, and leisure travel experiences. You'll help coordinate important details, answer questions, and ensure clients receive attentive assistance throughout the planning process. No prior travel industry experience is necessary. We provide training, resources, and ongoing support to help you succeed. What You'll Do - Assist clients with travel-related requests and trip coordination - Explore destination, lodging, cruise, and transportation options using approved company resources - Help verify reservation information and travel details before final confirmation - Offer guidance based on client preferences, schedules, and travel goals - Respond to customer inquiries through phone, email, and online communication platforms - Assist with itinerary updates, reservation changes, and travel service requests - Maintain organized records of bookings, client information, and travel documents - Participate in virtual learning sessions and team development activities Qualifications - Strong interpersonal and communication skills - Ability to manage multiple tasks while maintaining attention to detail - Customer-focused mindset with a professional attitude - Comfortable using online platforms, email, and computer-based systems - Reliable internet access - Ability to work independently and stay organized - Must be 18 years of age or older - Must be legally authorized to work in the US, UK, Mexico, Australia, or Spain and other approved countries Benefits - Work remotely from anywhere within approved regions - Flexible scheduling options - Training and onboarding support included - Access to travel-related incentives and supplier promotions - Positive and supportive team culture - Opportunities to develop new skills and advance professionally

Role Description Are you someone who enjoys helping people, solving problems, and creating exceptional customer experiences? We are seeking motivated individuals to join our remote team as Travel Experience Specialists. In this role, you'll assist clients as they plan vacations, cruises, resort stays, and other travel experiences. You'll help coordinate important details, provide outstanding support, and ensure clients feel confident throughout their travel planning journey. Whether you're looking for a flexible remote opportunity, a new career path, or a role where you can work independently while helping others, we provide the training and resources needed to get started. What You'll Be Responsible For - Assist clients with arranging travel experiences based on their interests and preferences - Research destinations, accommodations, transportation options, and vacation packages - Help organize trip details and ensure reservations are properly documented - Provide friendly and professional customer support before, during, and after the booking process - Answer questions and assist with travel-related requests through various communication channels - Support itinerary revisions, scheduling updates, and reservation adjustments when needed - Keep client information, travel records, and booking documentation organized and current - Participate in online training, team collaboration sessions, and ongoing development programs Qualifications - Strong communication and relationship-building skills - Customer-focused mindset with a positive attitude - Ability to stay organized while managing multiple tasks - Comfortable using computers, web-based platforms, and digital communication tools - Reliable internet connection - Self-starter who can work independently and stay motivated - Must be 18 years of age or older - Must be legally authorized to work in the United States, United Kingdom, Mexico, Australia, or Spain Benefits - 100% remote opportunity - Flexible schedule with work-life balance - No prior travel experience required - Comprehensive training and onboarding provided - Access to travel-related discounts and incentive programs - Supportive team environment with ongoing guidance - Opportunities for professional growth and advancement