Complaint and Appeals Coordinator

Job Summary

A company is looking for a Complaint and Appeals Coordinator.

Key Responsibilities

• Manage resolution of complaint/appeal scenarios across multiple business units
• Ensure timely and customer-focused responses to complaints and appeals
• Identify trends and emerging issues, reporting and recommending solutions

Required Qualifications

• 1 year of experience with HMO and Traditional claim platforms, patient management, and compliance analysis
• 1+ years of customer service or audit experience
• 1-3 years of experience in customer service and handling complaints
• High School diploma or equivalent