Grievance & Appeals Specialist (Contract)

Mindlance; Cerritos (CA); On-site; USD 40,000 - 55,000; Full time

Job summary

A national recruiting company is seeking a Business Grievance/Appeals Representative in Cerritos, California. The ideal candidate will review, analyze, and process claims, conduct investigations into customer grievances, and ensure proper communication with customers. Candidates should have a high school diploma and relevant customer service experience in health insurance. Successful applicants will possess strong written and verbal communication skills, and be capable of handling complex inquiries. This contract position lasts for four months.

Qualifications

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

Responsibilities

• Review, analyze, and process claims in accordance with policies.
• Conduct investigations of customer grievances and appeals.
• Generate written correspondence to customers and regulatory agencies.
• Document interactions and log inquiry/appeal/grievance information.

Skills

Verbal communication

Written communication

Organizational skills

Interpersonal skills

Education

High school diploma or equivalent

Job description

A national recruiting company is seeking a Business Grievance/Appeals Representative in Cerritos, California. The ideal candidate will review, analyze, and process claims, conduct investigations into customer grievances, and ensure proper communication with customers. Candidates should have a high school diploma and relevant customer service experience in health insurance. Successful applicants will possess strong written and verbal communication skills, and be capable of handling complex inquiries. This contract position lasts for four months.