Grievance & Appeals Specialist — CA Contract

Mindlance; Thousand Oaks (CA); On-site; USD 40,000 - 60,000; Full time

Job summary

A national recruiting company is seeking a Grievance/Appeals Representative in Thousand Oaks, CA. The role involves reviewing claims, investigating customer grievances, and ensuring resolution of appeals. Candidates must possess a high school diploma and have 1 to 3 years of experience in health insurance and customer service. Strong communication and organizational skills are essential. This position is a contract role lasting 5 months.

Qualifications

• 1 - 3 years health insurance business including customer service experience.
• Fully proficient in all areas of claims and customer service.

Responsibilities

• Reviews, analyzes and processes claims.
• Conducts investigation and review of customer grievances and appeals.
• Contacts customers to gather information and communicate disposition.

Skills

Verbal communication

Written communication

Organizational skills

Interpersonal skills

Education

High school diploma or equivalent

Job description

A national recruiting company is seeking a Grievance/Appeals Representative in Thousand Oaks, CA. The role involves reviewing claims, investigating customer grievances, and ensuring resolution of appeals. Candidates must possess a high school diploma and have 1 to 3 years of experience in health insurance and customer service. Strong communication and organizational skills are essential. This position is a contract role lasting 5 months.