Senior Coordinator Appeals Operations

Job Summary

A company is looking for a Senior Coordinator Complaint Appeals Operations.

Key Responsibilities

• Manage and resolve complex appeal scenarios across multiple business units
• Research and verify accuracy of claims, member eligibility, and benefit denials
• Coordinate internal and cross-departmental efforts to address complaints and appeals

Required Qualifications

• 1 year of experience in reading or researching benefit language in SPDs or COCs
• Demonstrated ability to handle multiple assignments competently and efficiently
• Experience documenting workflows and reengineering efforts
• Strong leadership skills
• High School Diploma