• Responsible for taking incoming requests for first, second level and external appeals while ensuring high level of customer service and maximizing productivity. • Work with appeals team for multiple lines of business such as Commercial, Exchange and Medicare, ensuring the proper submission of appeals for review by pharmacist and medical directors. • Maintain quality and productivity standards for all cases reviewed while meeting established turnaround time requirements. • Remain current on all communications and updated processes relayed through multiple communication channels and apply to daily responsibilities. • Follow all internal Standard Operating Procedures and adhere to HIPAA guidelines and policies. • Review all cases received, to verify if case meets qualifications for appeal review. • Performs triple check to ensure quality reviews and handling in accordance with policies and procedures. • Updates case types, sends appeal acknowledgements, and submits case information to independent review organizations. • Communicate effectively with appeal pharmacists regarding internal and external appeals. • Make verbal outreach attempts to obtain necessary information for case review and record accurate information obtained on the call. • Exhibit excellent phone and communication skills while providing complete and accurate information to members and providers. • Performs all other related duties as assigned

• Conducting field investigations using state-of-the-art SUE equipment • Mapping and documenting underground utilities to provide essential data for construction projects • Collaborating with other skilled professionals to ensure accuracy and efficiency in all operations • Participating in ongoing training to enhance your knowledge and skills in SUE practices • Maintaining a positive and proactive attitude while adapting to various work environments

• Conducting field investigations using state-of-the-art SUE equipment • Mapping and documenting underground utilities to provide essential data for construction projects • Collaborating with other skilled professionals to ensure accuracy and efficiency in all operations • Participating in ongoing training to enhance your knowledge and skills in SUE practices • Maintaining a positive and proactive attitude while adapting to various work environments

• Conducting field investigations using state-of-the-art SUE equipment • Mapping and documenting underground utilities to provide essential data for construction projects • Collaborating with other skilled professionals to ensure accuracy and efficiency in all operations • Participating in ongoing training to enhance your knowledge and skills in SUE practices • Maintaining a positive and proactive attitude while adapting to various work environments