Remote Complaint & Appeals Supervisor – $25+/hr

MaziCTools; Los Angeles (CA); Ibrido; USD 34.000 - 50.000; Tempo pieno

Descrizione del lavoro

Aetna is seeking a Supervisor, Complaint & Appeals to manage daily administration and guide teams in handling complaint and appeals processes. You will ensure timely, client-centered responses and adherence to policies.

The role requires strong communication, coaching skills, and the ability to drive process improvements while coordinating with cross-functional units. Travel up to 10% may be required.

Competenze

• Excellent verbal and written communication skills.
• Strong client service abilities.
• Experience documenting processes and reengineering.
• Experience with clinical case/call center environment.
• Ability to coach and lead others.
• Willingness to travel up to 10% post-COVID.

Mansioni

• Oversee everyday administration to ensure timely handling of complaints and appeals.
• Coordinate and develop high-performing teams to deliver client-focused responses.
• Ensure adherence to Aetna policies, procedures, and quality targets.
• Mentor staff and monitor performance against service metrics.
• Identify patterns and recommend process improvements to reduce cycle times.

Conoscenze

Verbal communication

Written communication

Client service

Process documentation

Coaching & leadership

Travel 10%

Formazione

Bachelor Degree

Descrizione del lavoro

Aetna is seeking a Supervisor, Complaint & Appeals to manage daily administration and guide teams in handling complaint and appeals processes. You will ensure timely, client-centered responses and adherence to policies.

The role requires strong communication, coaching skills, and the ability to drive process improvements while coordinating with cross-functional units. Travel up to 10% may be required.