Grievance Resolution Specialist

TEKsystems; Redding (CA); On-site; USD 41,000 - 44,000; Full time

Benefits offered by this job

Medical, dental & vision

401(k) Retirement Plan

Life Insurance

Health Spending Account (HSA)

PTO/Vacation or Sick Leave

Job summary

TEKsystems in Redding, CA is seeking a Grievance Resolution Specialist to provide administrative and customer service support to the Grievance & Appeals department in a 100% onsite role.

You will answer member calls, update cases, manage records, request medical documentation, support state hearing tracking, and help produce reports with professional, empathetic service while ensuring regulatory compliance.

The position runs Monday–Friday, 8:00 AM to 5:00 PM, with pay between $30–$32 per hour.

Qualifications

• Strong customer service and communication skills.
• Excellent administrative, organizational, and multitasking abilities.
• Strong attention to detail and documentation skills.
• Ability to handle sensitive and confidential information.
• Comfortable speaking with members over the phone and de-escalating difficult situations.
• Proficiency with Microsoft Office and data entry.
• Healthcare, health plan, call center, or administrative experience preferred.

Responsibilities

• Answer incoming calls from members regarding grievances and appeals.
• Provide case updates and route inquiries to the appropriate Case Analyst when needed.
• Enter and maintain grievance and appeal information in internal systems.
• Request medical records and supporting documentation.
• Maintain accurate case files and documentation.
• Process correspondence, including printing, scanning, faxing, and mailing documents.
• Support State Hearing tracking, calendars, and documentation.
• Assist with reports, audits, and other administrative tasks.
• Provide professional and empathetic customer service to members, including those who may be frustrated or upset.
• Ensure compliance with department procedures and regulatory requirements.

Skills

Customer service

Administrative skills

Organizational skills

Multitasking

Attention to detail

Data privacy

Phone communication

De-escalation

Data entry

Healthcare experience

Tools

Microsoft Office

Job description

Grievance Resolution Specialist

Redding, CA (100% Onsite)

$30-$32/hour

Monday-Friday | 8:00 AM - 5:00 PM

Position Overview

We are seeking a Grievance Resolution Specialist to provide administrative and customer service support to the Grievance & Appeals department. This role is ideal for someone who is organized, detail-oriented, enjoys helping people, and can effectively manage multiple priorities in a fast-paced healthcare environment.

Responsibilities

• Answer incoming calls from members regarding grievances and appeals.
• Provide case updates and route inquiries to the appropriate Case Analyst when needed.
• Enter and maintain grievance and appeal information in internal systems.
• Request medical records and supporting documentation.
• Maintain accurate case files and documentation.
• Process correspondence, including printing, scanning, faxing, and mailing documents.
• Support State Hearing tracking, calendars, and documentation.
• Assist with reports, audits, and other administrative tasks.
• Provide professional and empathetic customer service to members, including those who may be frustrated or upset.
• Ensure compliance with department procedures and regulatory requirements.

Qualifications

• Strong customer service and communication skills.
• Excellent administrative, organizational, and multitasking abilities.
• Strong attention to detail and documentation skills.
• Ability to handle sensitive and confidential information.
• Comfortable speaking with members over the phone and de-escalating difficult situations.
• Proficiency with Microsoft Office and data entry.
• Healthcare, health plan, call center, or administrative experience preferred.

Required Assessments

Candidates selected to move forward in the process will be required to complete:

• Workplace Reasoning Assessment (deductive reasoning and problem-solving)
• Writing Assessment (evaluates writing skills, comprehension, and professional communication)

Job Type & Location

This is a Contract position based out of Redding, CA.

Pay and Benefits

The pay range for this position is $30.00 - $32.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully onsite position in Redding,CA.

Application Deadline

This position is anticipated to close on Oct 8, 2026.

Equal Opportunity Statement

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Equal Opportunity Statement Variation

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance

Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI)

We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.