Appeals Representative Associate

Job Summary

A company is looking for an Appeals Representative Associate to provide expertise in reviewing and resolving appeals and grievances.

Key Responsibilities

• Research and resolve written complaints and complex provider complaints submitted by consumers and physicians/providers
• Communicate with appropriate parties regarding appeals and grievance issues, implications, and decisions
• Analyze and identify trends for appeals and grievances

Required Qualifications

• High School Diploma / GED or equivalent work experience
• Must be 18 years of age or older
• 1+ years of experience analyzing and solving customer problems or related work experience
• Experience with Microsoft Word and Excel
• Ability to work an 8-hour shift during normal business hours, Monday-Friday