Career Center

JOB SUMMARYThe Appeals and Grievance Coordinator is responsible for intake into the Appeals and Grievances Department, including verbal and written complaints, grievances and requests for appeals that involve complex matters submitted by Members and Providers. This position will perform comprehensive research to clarify facts and circumstances in order to accept cases into inventory.ESSENTIAL FUNCTIONS OF THE ROLEIntakes and processes written and fax referred cases from member and provider appeals and complaints for all lines of business, ensuring compliance with applicable policies and procedures and other governing bodies. Communicates with me