Western Growers Family of Companies

Respond to customer inquiries regarding insurance benefits, claims, and eligibility while meeting departmental KPIs. Research and analyze data to resolve operational challenges and maintain positive customer relations.

Perform in-depth audits of medical and dental benefit plans to ensure compliance with summary plan descriptions and regulatory standards. Identify processing errors, prepare trend reports for management, and provide technical training to claims staff.

The Healthcare Copywriter develops and manages corporate communications and member-facing content to educate individuals about health benefits. This role involves creating culturally relevant, accessible messaging in both English and Spanish to simplify complex insurance concepts.

The Director of PMO will manage a team of professionals to oversee a portfolio of complex technical and operational projects across multiple business lines. They are responsible for establishing project management best practices, driving strategic growth, and ensuring alignment with organizational goals.

The Claims Examiner I is responsible for reviewing and processing medical, dental, and vision claims in accordance with regulatory requirements and department guidelines. They must analyze patient records to identify discrepancies, verify pricing, and resolve issues from providers and internal customers.

The representative will respond to general customer inquiries regarding insurance benefits, contracts, eligibility, and claims via phone, email, and written correspondence while maintaining confidentiality and professionalism. Responsibilities also include researching and analyzing data to resolve standard operational challenges and issues within the Customer Service department.