Complaint and Appeals Coordinator

A company is looking for a Coordinator, Complaint & Appeals - Work From Home.

Key Responsibilities

Manage resolution of complaint / appeal scenarios across multiple business units

Ensure timely, customer-focused responses to complaints and appeals

Identify trends and emerging issues, reporting and recommending solutions

Required Qualifications

1 year experience with HMO and Traditional claim platforms

1 year experience in Medicare, benefits, compliance, regulatory analysis, or related fields

High School diploma or equivalent