Grievance and Appeals Coordinator

Job Summary

A company is looking for a Grievance & Appeals Coordinator.

Key Responsibilities

• Process appeals and grievances, ensuring compliance with regulatory and accreditation guidelines
• Gather information from customers and communicate case dispositions
• Conduct research to evaluate and finalize cases effectively

Required Qualifications

• High school diploma or GED required
• Two (2) years of customer service experience required
• Two (2) years of health insurance experience preferred
• Familiarity with health insurance state and federal regulations preferred
• Bachelor's degree in English, communications, or a related field preferred