Grievance Resolution Specialist

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

Benefits offered by this job

Medical insurance

Dental & vision

401(k) plan

Life insurance

Disability insurance

Paid time off

Job summary

TEKsystems is seeking a Grievance Resolution Specialist in Redding, CA, to support the Grievance & Appeals department. This on-site role requires strong organization, empathy, and ability to manage multiple priorities in a healthcare setting.

You will handle member calls, update cases, manage documents, and assist with hearings and reporting while maintaining confidentiality and quality service.

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

Administration

Organization

Attention to detail

Confidentiality

Phone communication

Data entry

Healthcare exp

Tools

Microsoft Office

Job description

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

• 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.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real‑world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

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.

About TEKsystems And TEKsystems Global Services

Were a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. Were a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-Stack capabilities and speed. Were strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. Were building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

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

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

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)

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.