Grievance and Appeals Coordinator

Job Summary

A company is looking for a Grievance & Appeals Coordinator I to analyze and resolve claims and authorization appeals.

Key Responsibilities

• Gather, analyze, and report on member and provider complaints, grievances, and appeals
• Prepare response letters for complaints, grievances, and appeals
• Maintain files on individual appeals and grievances and support related programs

Required Qualifications

• High school diploma or equivalent; Associate's degree preferred
• 2+ years of experience in grievance or appeals, claims, or related managed care
• Ability to accommodate an 8am-5pm PST schedule
• Authorization to work in the U.S. without the need for employment-based visa sponsorship