Pharmacy Technician Representative - Work From Home Health Care Service CorpPharmacy Technician Representative - Work From HomeBaltimore, MDRemote$18.46–$37.84 / hourPay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. Works with internal departments, external vendors, and members to evaluate and resolve pharmacy issues and provide member support for programs and initiatives.
Clinical Pharmacist (Clinical Optimization) - Work From Home Health Care Service CorpClinical Pharmacist (Clinical Optimization) - Work From HomeBaltimore, MDRemote$102,000–$184,300 / yearThis position is responsible for performing activities associated with administration and management of pharmacy programs including but not limited to assisting in the development, implementation and maintenance of a disease state formulary system. Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work.
Work From Home – Online Appointment Setter: Booking Hotels Destination CareersWork From Home – Online Appointment Setter: Booking HotelsBaltimore, MarylandRemote$45,000–$65,000 / yearKey Responsibilities:Communicate with potential clients through online platforms, social media, and messaging toolsSchedule appointments for clients to speak with travel specialists about hotel bookingsGather basic travel information (dates, destination, budget, preferences)Maintain accurate records of leads and follow-up activitiesCollaborate with travel specialists to ensure smooth client hand-offsParticipate in virtual trainings and team meetingsRequirements:Friendly, professional communication skillsComfortable using online platforms and social media for outreachOrganized, self-motivated, and able to manage time effectivelyBasic computer skills and reliable internet connectionInterest in travel and helping clients plan hotel staysPrior experience in customer service, hospitality, or sales is a plus but not requiredWhat We Offer:Flexible remote work environmentFull training and access to travel industry toolsSupportive team culture and ongoing mentorshipIncome-earning possibilities based on performanceAccess to exclusive travel perks and discountsPersonal and professional growth opportunities$45,000 - $65,000 a yearWe may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. Job Title: Work From Home – Online Appointment Setter: Booking HotelsJob Type: Flexible Schedule | Remote WorkAbout Us:We are a professional travel planning company specializing in personalized vacations, hotel bookings, cruises, and group travel.
Work From Home- Hotel Coordinator - Entry Level Destination CareersWork From Home- Hotel Coordinator - Entry LevelBaltimore, MarylandRemote$40,000–$60,000 / year60,000 a yearWe may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. Job Title:Work From Home-Online Hotel Coordinator-Entry LevelAbout Us:We are a travel planning company dedicated to creating unforgettable experiences for every type of traveler.
Mortgage Protection-Life Insurance Agent-Work from Home Allen AgencyMortgage Protection-Life Insurance Agent-Work from HomeWashington, District of ColumbiaRemoteYou’ll have access to an exclusive CRM, a fully digital platform with up-to-date resources, and the ability to be contracted with multiple carriers, offering in-demand products like living benefits and more. This opportunity is perfect for career-driven professionals who want room to grow, sharpen leadership and business skills, and truly own their success.
Customer Service / Benefits Advisor (Work from home) - AO Globe Life AO Globe LifeCustomer Service / Benefits Advisor (Work from home) - AO Globe LifeSpokane:, WashingtonRemoteWe’re one of the fastest-growing teams in our industry, dedicated to helping families and developing future leaders. If you’re looking for a remote role that offers uncapped earning potential, flexible hours, and long-term career growth, this could be the right fit for you.
Remote Customer Service & Client Support Agent – Work From Home The Gainey AgencyRemote Customer Service & Client Support Agent – Work From HomeBaltimore, MDRemoteWe are seeking individuals who are motivated, coachable, and interested in a flexible work-from-home opportunity within the financial services industry. Must be authorized to work in the U.S. Ability to obtain a state life insurance license (training provided; licensing costs may apply) .
Remote Customer Service Representative – Work From Home | Flexible Hours Kennedy-FsRemote Customer Service Representative – Work From Home | Flexible HoursWashington, DCRemoteYou’ll work closely with clients to understand their travel goals, offer guidance, and create experiences they’ll never forget. This role combines your love of travel with your ability to connect, communicate, and provide excellent service.
Shipping Container Sales Work From Home Fully Remote QUALITY CONTAINERS INCShipping Container Sales Work From Home Fully RemoteBaltimore, MDRemoteJoin Quality Container Inc as a National Sales Manager and help customers find the perfect shipping solutions from the comfort of your home! Quality Container Inc has been a leader in the shipping container industry for over a decade, providing top-notch solutions to customers across the nation.
Licensed Insurance Agent – Work From Home Opportunity Burk AgencyLicensed Insurance Agent – Work From Home OpportunityAlexandria, VARemoteThe Burk Agency is hiring motivated, coachable individuals who are ready to learn and take action. Your results will reflect your effort, consistency, and willingness to be coached.
Entry-Level Insurance Representative – Work From Home Summers AgencyEntry-Level Insurance Representative – Work From HomeBaltimore, MDRemoteYou’ll connect with individuals and families who have requested information, understand their needs, and help them secure appropriate coverage. The Summers Agency is seeking motivated individuals who are ready to develop professionally in the insurance industry.
Remote Client Experience Specialist | Work From Home | Training Provided Kennedy-FsRemote Client Experience Specialist | Work From Home | Training ProvidedBaltimore, MDRemoteWe are seeking a Remote Client Experience Specialist to support clients through scheduling, coordination, and service-related communication in a fast-paced remote environment. This role is suited to individuals who are organized, reliable, and comfortable working directly with clients in a structured support capacity.
NewREMOTE - Work from home on your own computer Priority One Staffing ServicesREMOTE - Work from home on your own computerTowson, MDRemoteWork from home - 40 hours weekly. Fast and accurate data entry.
Educational Sales Representative (Work from Home) NerdyEducational Sales Representative (Work from Home)WashingtonRemoteContinuous Learning: Get an all-inclusive learning membership for you and your household—including 1-on-1 tutoring hours, unlimited on-demand classes, and access to our full suite of learning products and services. We recruit the kind of technologists and operators you’d bet on as solo founders - people who turn ambiguous problems into shipping code, iterate faster than markets move, and compound their advantage with every data point.
Work From Home – Client Protection Agent The Gainey AgencyWork From Home – Client Protection AgentBaltimore, MDRemoteThe Gainey Agency is expanding and hiring motivated individuals who want flexibility, mentorship, and a clear path to leadership. • Help clients understand life insurance and financial protection options.
Mortgage Protection Life Insurance Agent - Work from Home GIA Legacy PlanningMortgage Protection Life Insurance Agent - Work from HomeWashington, District of ColumbiaRemoteIf you are passionate about helping others, enjoy building relationships, and seek an opportunity with unlimited earning potential, we want to hear from you! We are looking for motivated and results-driven individuals to join our growing team.
Virtual Reservations Specialist (Work From Home) Aisles & AbroadVirtual Reservations Specialist (Work From Home)Baltimore, MarylandRemote$45,000–$65,000 / yearWe are looking for a detail-focused Virtual Reservations Specialist to assist with handling booking requests and maintaining accurate reservation records. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses.
Regional Leasing Specialist Pratum CompaniesRegional Leasing SpecialistArlington, VARemote$45,000–$55,000 / yearFull timeThe Regional Leasing Specialist will also act as a trainer for onsite team members, both leading by example and guiding others by demonstrating Pratum’s leasing and customer service techniques and the effective use of CRM tools, optimizing traffic flow, building response templates, and generating performance reports to analyze KPIs and share insights with clients and internal teams. Partner with the Community Manager, Regional Property Manager, and Vice President in providing supervision, guidance, and training to onsite leasing staff, supporting them in achieving leasing goals and demonstrating Pratum’s best practices in leasing, property presentation/curb appeal, customer service and follow-up.
Luxury Travel Specialist – Work From Anywhere Kennedy-FsLuxury Travel Specialist – Work From AnywhereBaltimore, MDRemotePerks & BenefitsFully remote position with a flexible schedule, enabling work from Baltimore, the greater Mid-Atlantic region, or elsewhere in the U.S. Access to exclusive travel perks, including discounted cruises, resort stays, and unique experiences. Communicate professionally with clients by email, phone, and video calls; coordinate schedules across time zones, including U.S. Eastern Time when required.
REMOTE Client Representative – Work From Anywhere - Globe Life AIL Lisa RusselREMOTE Client Representative – Work From Anywhere - Globe Life AILBethesda, MarylandRemoteAs AO continues to experience record-setting growth, we are expanding our fully remote team and seeking individuals with strong people skills who enjoy helping others, value flexibility, and want to build a career that supports both professional success and personal well-being. If you’re ready to build a flexible, purpose-driven remote career where your people skills are valued and your work truly makes a difference, we encourage you to apply today.
REMOTE Client Representative – Work From Anywhere Globe Life AIL - Lisa RusselREMOTE Client Representative – Work From AnywhereBethesda, MDRemoteFull timeAs AO continues to experience record-setting growth, we are expanding our fully remote team and seeking individuals with strong people skills who enjoy helping others, value flexibility, and want to build a career that supports both professional success and personal well-being. If you’re ready to build a flexible, purpose-driven remote career where your people skills are valued and your work truly makes a difference, we encourage you to apply today.
NewBurned Out from the 9-5? There's Another Way - Remote Role Global Elite Empire ConsultantsBurned Out from the 9-5? There's Another Way - Remote RolePasadena, MarylandRemoteAll interviews will be conducted via Zoom video conferencing(Global Elite Empire Consultants is a third-party recruiter, not an insurance agency)We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. Take advantage of this opportunity to work from home, enjoy a schedule that suits your lifestyle, and receive mentorship as you advance your career in client service leadership.
Burned Out from the 9-5? There's Another Way - Remote Role AO Garcia AgencyBurned Out from the 9-5? There's Another Way - Remote RoleParkville, MarylandRemoteAll interviews will be conducted via Zoom video conferencing(Global Elite Empire Consultants is a third-party recruiter, not an insurance agency)We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. Incentives include but not limited to:• No cold calling• Qualified lead program• Advancement based on performance• Weekly pay• Mentorship and complete training• Industry leading tools and technology access• Work from home (web conference-based presentations).
Start Your Remote Career – Entry Level | Work-Life Balance + Bonuses | No Experience Needed AO Globe LifeStart Your Remote Career – Entry Level | Work-Life Balance + Bonuses | No Experience NeededWashingtonRemoteWe’re hiring motivated individuals for a fully remote, entry-level role designed for those who want to gain real-world experience, develop in-demand skills, and enjoy a better work-life balance. This role is designed to help you build practical skills, gain confidence, and grow professionally with ongoing support and training.
NewCertified In-Home Personal Trainer Part Time • Annapolis & Columbia Anne Arundel Workforce Development Corporation (AAWDC)Certified In-Home Personal Trainer Part Time • Annapolis & ColumbiaAnnapolis, MDRemote$30–$50 / hourEmbraces using mobile and web apps (like Mindbody & Trainerize) to manage sessions, client notes, and communication . You’ll gain the stability of a brand that delivers clients directly to you — plus the independence of training without walls.
Customer Sales Representative - Home Based Beacon National AgencyCustomer Sales Representative - Home BasedAlexandria, VARemoteFull timeAs a Remote Customer Sales Representative, you will be the cornerstone of our client relationships, guiding them towards optimal financial solutions: Engage & Understand: Initiate meaningful conversations with prospective clients via virtual consultations and phone, adeptly identifying their unique needs and aspirations. Tailored Solution Delivery: Articulate and present customized financial strategies, encompassing comprehensive Life Insurance policies, dynamic Indexed Universal Life (IUL) plans, and secure Annuities, ensuring each client's specific goals are met.
Home based - Customer Experience Specialist Nexora TalentHome based - Customer Experience SpecialistWashington, DCRemoteIn this role, you will assist with coordinating client requests, managing service details, and ensuring a smooth and positive experience from initial inquiry through completion. You will work with clients who are organizing personal plans and scheduled experiences, helping them stay informed, prepared, and confident every step of the way.
Home Inspector (Salary $50-$85k) House BuyersHome Inspector (Salary $50-$85k)College Park, MarylandRemoteWe buy, renovate, and resell a high volume of homes offering a guaranteed, fast, and hassle-free sale to people who want to sell their house without paying a Realtor commission. Our awesome company culture includes: competitive pay great benefits, great people, casual dress, team events, work hard/ play hard environment!
Customer Service Representative Williams-Sonoma, Inc.Customer Service RepresentativeBaltimore, MarylandRemote$15–$15Devices not acceptable:Tablet-based/convertible personal computers (i.e., Microsoft Surface, Surface Book), Chromebooks, Steam Decks and mobile phones (unless needed for two-factor authentication) are not acceptable. Versions of Windows provided via the Windows Insider program are not considered stable versions of Windows, and are therefore not suitable for production use.
SGS-Service Center Representative eTeam Inc.SGS-Service Center RepresentativeBethesda - Remote, MDRemote$17–$18 / hourThe Service Center Representative expedites the claims process and provides detailed claim notes on all calls; as well as resolves issues and directs calls to an appropriate escalation path as needed. Job Description Essential Functions Duties and Responsibilities Acts as primary liaison with callers; follows client specifications in assisting with questions and solving problems related to the claims process and servicing processes.
Fully Remote | Customer Service – Booking Travel Aisles & AbroadFully Remote | Customer Service – Booking TravelBaltimore, MarylandRemote$35,000–$65,000 / yearJob Title: Customer Service – Booking Hotels | Work From HomeJob Type: Flexible Schedule | Remote WorkAbout Us:We are a trusted travel planning company specializing in personalized vacations, hotel accommodations, cruises, and group travel. Position Overview:We are looking for friendly, detail-oriented individuals to join our team as Customer Service Representatives focused on hotel bookings.
SGS-Service Center Representative Apidel TechnologiesSGS-Service Center RepresentativeBethesda, MDRemoteContractorAnalytical and interpretive skills Strong organizational Skills Good interpersonal skills Ability to multitask in a fast-paced environment Ability to support multiple clients across communication channels and utilize multiple systems simultaneously Ability to work in a team environment and/or independently. The Service Center Representative expedites the claims process and provides detailed claim notes on all calls; as well as resolves issues and directs calls to an appropriate escalation path as needed.
Customer Service Specialist - Capitol Heights, MD (20743) - Globe Life AIL Globe Life AILCustomer Service Specialist - Capitol Heights, MD (20743) - Globe Life AILCapitol Heights, MarylandRemoteThe McQuade Agency, a top-performing partner of Globe Life (NYSE: GL), provides supplemental benefits to union members, credit unions, and associations across the U.S. Since 1951, we’ve been committed to protecting working families. Recognized by Forbes as one of the Top 25 Happiest Companies in America and holding an A+ Superior AM Best rating, we offer stability, growth, and an unmatched team culture.
Customer Service Specialist - Capitol Heights, MD (20743) Globe Life AIL - McQuade OrganizationCustomer Service Specialist - Capitol Heights, MD (20743)Capitol Heights, MDRemoteFull timeThe McQuade Agency, a top-performing partner of Globe Life (NYSE: GL), provides supplemental benefits to union members, credit unions, and associations across the U.S. Since 1951, we’ve been committed to protecting working families. Recognized by Forbes as one of the Top 25 Happiest Companies in America and holding an A+ Superior AM Best rating, we offer stability, growth, and an unmatched team culture.
Customer Service Representative - Remote & 19 plus Hourly NoGigiddyCustomer Service Representative - Remote & 19 plus HourlyBaltimore, MDRemote$39,520–$43,129As an essential part of our team, you'll ensure all customer interactions are handled with professionalism and warmth, serving a broad spectrum of clients from your own home. Additional Information: Experience or a degree is not a prerequisite, though you must have a quiet workspace and stable internet connection.
NewLife Insurance Agent - Remote InsuraTecLife Insurance Agent - RemoteColumbia, MDRemoteIf you’re passionate about helping families secure their financial future and want the flexibility of a remote career with uncapped earning potential, we’d love to hear from you. InsuraTec Services Group is seeking motivated individuals to join our growing team as Life Insurance Agents.
NewFinancial Sales Consultant($100k+, Training provided) NexeraFinancial Sales Consultant($100k+, Training provided)Baltimore, MDRemote$4,001–$6,300If you have worked in any of the following, you already have what it takes: Backgrounds that convert fast in this roleReal estate salesMortgage / lendingAuto salesTelecom / wireless salesB2B / SaaS salesTimeshare / vacation salesSolar / home servicesAny commission-based roleWhat you will be doing. Experienced reps typically hit $80,000 to $120,000 in year one — faster ramp than new agents due to existing sales skills.
Call Center Nurse RN, HouseCalls - Bilingual - Remote UnitedHealth Group IncCall Center Nurse RN, HouseCalls - Bilingual - RemoteColumbia, MDRemote$60,200–$107,400 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Requisition number: 2353440 Job category: Nursing Primary location: Columbia, MD Additional locations: Washington, District of Columbia | Columbus, Georgia | New York, New York | Cincinnati, Ohio | Nashville, Tennessee Date posted: 05/20/2026 Overtime status: Exempt Travel: No.
NewSales Manager - Virtual InsuraTecSales Manager - VirtualBethesda, MDRemote$90,000–$150,000 / yearKeywords: Remote Sales Manager, Work From Home, Virtual Team Leader, Sales Leadership, Insurance Sales Manager, Commission Sales, Team Development, Telesales, Licensed or Unlicensed, Remote Jobs, Financial Services, CRM Sales Management. Whether you’re already managing people or just stepping into leadership, we provide everything you need: a 100% scripted sales process, inbound leads, and a 33% close ratio from set appointments.
P&C Insurance Sales Producer with $125k-$200k Total Earning Potential Insure Haven Allstate Insurance AgencyP&C Insurance Sales Producer with $125k-$200k Total Earning PotentialColumbia, MDRemote$90,000–$150,000 / yearCompensation Plan examples based on average monthly production including salary and commissions (not including bonuses, IRA math, benefits, etc): * 45 items a month = ~$95,000 per year. Consistently exceed monthly and quarterly sales goals by maintaining a relentless focus on lead generation and closing new P&C policies.
Remote Customer Service Insurance Agent The Gainey AgencyRemote Customer Service Insurance AgentBaltimore, MDRemoteThe Gainey Agency is expanding and hiring motivated individuals who want flexibility, mentorship, and a clear path to leadership. • Help clients understand life insurance and financial protection options.
NewRemote Sales Consultant – Financial Services NexeraRemote Sales Consultant – Financial ServicesBaltimore, MDRemote$4,001–$6,300In this role, you will help families find the right financial protection coverage for their needs — working entirely by phone and Zoom from your home. Life and Health Insurance License required before start date — or demonstrated willingness to obtain quickly (exam prep resources provided).
Field Service Engineer-Baltimore, MD/ Washington D.C. DanaherField Service Engineer-Baltimore, MD/ Washington D.C.Washington DC, MarylandRemoteTechnical: The Field Service Engineer will be responsible for meeting the daily service repair needs of the customer’s equipment by driving customer satisfaction through Service Excellence: Basic troubleshooting, installation, preventive maintenance and repair needs on designated equipment, as well as ordering and maintaining spare parts inventory. Bachelor’s degree in Biomedical, Mechanical or Electrical Engineering, OR relevant degree in Biology, Chemistry, or other STEM field OR equivalent military training OR Associate's degree with 2+ years’ experience diagnosing, troubleshooting and repairing mechanical, electromechanical, and/or electronic equipment.
Crisis Counselor - Fully Remote in Rockville, MD Protocall Services IncCrisis Counselor - Fully Remote in Rockville, MDRockville, MDRemoteWe serve a wide range of nearly 700 different organizations nationwide, including Community Mental Health Centers, Certified Community Behavioral Health Clinics, Managed Behavioral Healthcare Organizations, University counseling centers, and Employee Assistance Programs following our brief immediate support model. Along with hard-wired broadband or fiber internet with speeds of at least 10 Mbps that is not susceptible to frequent outages; satellite and cellular-based services (including Starlink, Viasat, Verizon 5G Cellular, T-Mobile 5G Cellular, etc.) are not permitted.
Licensed Crisis Counselor - Fully Remote in Baltimore, MD Protocall Services IncLicensed Crisis Counselor - Fully Remote in Baltimore, MDBaltimore, MDRemoteWe serve a wide range of nearly 700 different organizations nationwide, including Community Mental Health Centers, Certified Community Behavioral Health Clinics, Managed Behavioral Healthcare Organizations, University counseling centers, and Employee Assistance Programs following our brief immediate support model. Along with hard-wired broadband or fiber internet with speeds of at least 10 Mbps that is not susceptible to frequent outages; satellite and cellular-based services (including Starlink, Viasat, Verizon 5G Cellular, T-Mobile 5G Cellular, etc.) are not permitted.
Crisis Counselor - Fully Remote in Baltimore, MD Protocall Services IncCrisis Counselor - Fully Remote in Baltimore, MDBaltimore, MDRemoteWe serve a wide range of nearly 700 different organizations nationwide, including Community Mental Health Centers, Certified Community Behavioral Health Clinics, Managed Behavioral Healthcare Organizations, University counseling centers, and Employee Assistance Programs following our brief immediate support model. Along with hard-wired broadband or fiber internet with speeds of at least 10 Mbps that is not susceptible to frequent outages; satellite and cellular-based services (including Starlink, Viasat, Verizon 5G Cellular, T-Mobile 5G Cellular, etc.) are not permitted.
Licensed Crisis Counselor - Fully Remote in Rockville, MD Protocall Services IncLicensed Crisis Counselor - Fully Remote in Rockville, MDRockville, MDRemoteWe serve a wide range of nearly 700 different organizations nationwide, including Community Mental Health Centers, Certified Community Behavioral Health Clinics, Managed Behavioral Healthcare Organizations, University counseling centers, and Employee Assistance Programs following our brief immediate support model. Along with hard-wired broadband or fiber internet with speeds of at least 10 Mbps that is not susceptible to frequent outages; satellite and cellular-based services (including Starlink, Viasat, Verizon 5G Cellular, T-Mobile 5G Cellular, etc.) are not permitted.
Licensed Crisis Counselor - Fully Remote in Upper Marlboro, MD Protocall Services IncLicensed Crisis Counselor - Fully Remote in Upper Marlboro, MDUpper Marlboro, MDRemoteWe serve a wide range of nearly 700 different organizations nationwide, including Community Mental Health Centers, Certified Community Behavioral Health Clinics, Managed Behavioral Healthcare Organizations, University counseling centers, and Employee Assistance Programs following our brief immediate support model. Along with hard-wired broadband or fiber internet with speeds of at least 10 Mbps that is not susceptible to frequent outages; satellite and cellular-based services (including Starlink, Viasat, Verizon 5G Cellular, T-Mobile 5G Cellular, etc.) are not permitted.
Fully Remote - License Master Social Worker (LMSW) in Baltimore, MD Protocall Services IncFully Remote - License Master Social Worker (LMSW) in Baltimore, MDBaltimore, MDRemoteWe serve a wide range of nearly 700 different organizations nationwide, including Community Mental Health Centers, Certified Community Behavioral Health Clinics, Managed Behavioral Healthcare Organizations, University counseling centers, and Employee Assistance Programs following our brief immediate support model. Along with hard-wired broadband or fiber internet with speeds of at least 10 Mbps that is not susceptible to frequent outages; satellite and cellular-based services (including Starlink, Viasat, Verizon 5G Cellular, T-Mobile 5G Cellular, etc.) are not permitted.
Remote Care Management Nurse Cambia Health Solutions IncRemote Care Management NurseWashington, DCRemote$36.80–$49.80 / hourAs a member of the Clinical Services team, our Care Management RN's provide clinical care management (such as case management, disease management, and/or care coordination) to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes. Collaborates with physician advisors, internal and external customers, and other departments to resolve claims, quality of care, member or provider issues, and identifies problems or needed changes, recommending resolutions and participating in quality improvement efforts.