Grievances and Appeals Coordinator

Job Summary

Coordinating a team of Member Services Representatives, the full-time Grievances and Appeals Coordinator will ensure member inquiries are addressed, maintain accurate membership databases, and administer policies related to member services in a remote work environment with a schedule of four 10-hour shifts each week, Wednesday through 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 new 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
• Basic technical skills and advanced proficiency in Microsoft Office Suite
• Ability to handle complex issues with minimal supervision