Job Summary
A company is looking for a Bilingual Grievances & Appeals Representative to manage client concerns and respond to complaints, grievances, and appeals.
Key Responsibilities:
- Review customer complaints
- Outreach to providers and members
- Resolve conflicts and prevent conflicts
Required Qualifications:
- 1 or more years of experience in a telephonic customer service environment
- Strong data entry skills
- Experience with Microsoft Word, Excel & Outlook
- Fully bilingual in English and Spanish
- Pass a Language Proficiency Assessment in English/Spanish
