Complaints & Grievances Coordinator

Job Summary

A company is looking for a Member Complaints & Grievances Intake Coordinator, I.

Key Responsibilities

• Manage case intake and classification in the Complaints and Grievances information system
• Conduct investigations of member complaints and ensure compliance with regulatory guidelines
• Organize tasks and maintain accurate documentation within regulatory deadlines

Required Qualifications

• High school graduate or equivalent required
• Two years of work experience in claims or customer service required; five years in managed care or health insurance preferred
• Proficiency in typing required
• Knowledge of Microsoft Word and Excel
• Ability to adapt to changing requirements and case-handling expectations