Grievances and Appeals Coordinator
Job Summary
Coordinating a team of Member Services Representatives, the full-time Grievances and Appeals Coordinator will manage member inquiries, administer policies for verifying membership, and maintain accurate membership records while working remotely on a schedule of four 10-hour shifts from Wednesday to Saturday.
Key responsibilities
- Ensure member inquiries are addressed and refer members to appropriate service providers
- Administer policies for verifying member identity, membership status, and entitlement to services
- Maintain current and accurate membership databases and suggest service offerings based on member feedback
Required qualifications
- 0-3 years of related experience in Grievances and Appeals
- High school diploma or equivalent experience required
- Comprehensive knowledge of grievance and appeals processes
- Advanced Microsoft Office skills (Word, Excel, PowerPoint, Outlook, Teams)
- Experience with IKA, MHK, or QNXT preferred
Complete Job Description
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