Grievance and Appeal Coordinator

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We're Hiring : Grievance and Appeal Coordinator!

Location : Detroit, MI

Role : Grievance and Appeal Coordinator

Duration : 6 months

The Grievance and Appeals (G&A) Coordinator processes appeals, grievances, complaints, and inquiries received from members, authorized representatives, and regulatory agencies. The Coordinator analyzes customer concerns, conducts research using internal and external resources, and makes accurate case decisions. Managerial-level conferences with customers and authorized representatives are coordinated to gather and relay information. Accurate documentation records detailing actions taken to resolve customer concerns are maintained. Outcomes and resolutions of all appeals, grievances, complaints, and inquiries are communicated via written correspondence that satisfies corporate, regulatory, and accreditation time frames, accuracy, and response guidelines. The Coordinator stays abreast of products, networks, internal policies, procedures, and regulations to resolve appeals, complaints, grievances, and inquiries accurately.

Top 3 Required Skills / Experience

• Excellent written and verbal communication skills. Proficiency in proofreading, spelling, grammar, punctuation, and math.
• Analytical mindset – ability to examine a matter, facts, contextual information, and make an informed decision or implement a reasonable, rational solution.
• Strong PC application and system skills – ability to navigate multiple computer systems and databases.

Education / Certifications

Required Skills / Experience

Preferred Skills / Experience

Ready to make an impact? ?? Apply now and let's grow together!

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