Temporary C&G Intake Coordinator

Job Summary

Managing case intake processes remotely, the full-time Temporary Member Complaints and Grievances Intake Coordinator will ensure accurate data entry and classification in the C&G information system while responding to member inquiries and maintaining compliance with regulatory standards.

Key responsibilities:

• Conduct case intake for complaints and appeals, entering new cases into the C&G information system
• Classify member complaints based on business lines and regulatory standards, ensuring thorough investigation and response
• Organize and maintain C&G data files, ensuring compliance with deadlines and regulatory requirements

Required qualifications:

• High school graduate or equivalent required
• Two years of work experience in claims or customer service required
• Five years of managed care or health insurance experience preferred
• Proficiency in typing and knowledge of Microsoft Word and Excel
• Critical thinking skills and a solid understanding of managed care principles