Complaint and Appeals Coordinator

A company is looking for a Coordinator, Complaint & Appeals.

Key Responsibilities

Manage resolution of complaints and appeals across multiple business units

Ensure compliance with regulatory requirements and conduct internal audits

Draft and send appeal decision letters to relevant parties

Required Qualifications

1 year of experience with HMO and Traditional claim platforms

Experience in patient management, compliance, and regulatory analysis

Experience in provider relations or customer service

High School diploma or equivalent