Grievance & Appeals Coordinator at Strategic Staffing Solutions

STRATEGIC STAFFING SOLUTIONS HAS AN OPENING!

Strategic Staffing Solutions is currently looking for a Grievance & Appeals Coordinator for a contract opening with one of our largest clients!

How to Apply: send resume and contact information to Nick Gleason, Sourcing Specialist, at

This is a Contract Opportunity with our company that MUST be worked on a W2 ONLY, NO visa sponsorship or C2C eligibility for this position. The details are below.

Will this position be required to work onsite for any reason at any time? No, this position will be 100% Remote

Engagement Description The Grievance and Appeals (G&A) Coordinator is responsible for processing appeals, grievances, complaints, and inquiries received from members, authorized representatives, and regulatory agencies. The Coordinator is expected to analyze the customer’s concerns, conduct necessary research by leveraging various internal and external resources and contacts in order to make appropriate and accurate case decisions. Appeal Coordinators are expected to coordinate, facilitate, and conduct managerial level conferences with customers and their authorized representatives to gather and relay information. The Coordinator is expected to keep an accurate documentation record that details steps and action taken to resolve the customer’s concerns. The outcome and resolution of all appeals, grievances, complaints, and inquiries is communicated via written correspondence to the customer using clear and simple language and include elements that satisfy corporate, regulatory, and accreditation timeframes, accuracy and response guidelines. The Coordinator is responsible for staying abreast of products, networks, internal policies, procedures and regulations for the accurate resolution of appeals, complaints, grievances, and inquiries.

Top 3 Required Skills/Experience

• Analytical mindset- having the ability to examine a matter, the facts, contextual information and make an informed decision or implement a reasonable, rationale solution.
• Excellent written and verbal communication skills. Must be proficient in proofreading, spelling, grammar, punctuation, and math
• Ability to analyze, interpret, apply reason and logic, conduct research; structure a clear and thorough response
  
  

Required Skills/Experience

• Analytical mindset- having the ability to examine a matter, the facts, contextual information and make an informed decision or implement a reasonable, rationale solution.
• Excellent written and verbal communication skills. Must be proficient in proofreading, spelling, grammar, punctuation, and math
• Ability to analyze, interpret, apply reason and logic, conduct research; structure a clear and thorough response
• Ability to apply policies and procedures to arrive at accurate conclusions
• Ability to work in a fast-paced environment with tight deadlines and high quality standards
• Problem solving aptitude
• Accuracy and strong attention to detail
• Ability to prioritize responsibilities and effectively manage time
• Ability to work effectively with management and part of a team to meet targets
• High regard for protecting confidentiality of member, employee, corporate and performance information.
• Previous customer service or concierge experience
• Strong PC application and system skills- having the ability to navigate multiple computer systems and databases
  
  

Preferred Skills/Experience Background In Writing And/or Research

Education/Certifications Bachelor’s Degree in English, Communication, Health Care Administration, or related field

Job ID: JOB-236797

Publish Date: 30 Jul 2024

Tagged as: Grievance & Appeals Coordinator