Remote Legal Grievances and Appeals Coordinator

KYYBA Inc; Detroit (MI); À distance; USD 50 000 - 70 000; Plein temps

Avantages offerts par ce poste

401k

Life insurance

Voluntary insurance

Optional legal plan

Optional identity theft plan

FSA options

Opportunity for advancement

Résumé du poste

Kyyba Inc is looking for a Remote Legal Grievances and Appeals Coordinator to manage and resolve various customer grievances and appeals effectively. This role demands strong analytical and communication abilities, as you'll need to analyze concerns and develop clear, concise responses.

The ideal candidate should have a background in health care administration or law, alongside strong PC skills. You will enjoy benefits like 401k, life insurance, and opportunities for advancement in a

Qualifications

• Strong analytical and decision-making skills.
• Excellent written and verbal communication skills.
• Ability to research and provide clear responses.
• Experience in a fast-paced work environment.

Responsabilités

• Process appeals, grievances, and complaints.
• Analyze customer concerns and conduct research.
• Document steps and actions to resolve issues.
• Communicate outcomes clearly to customers.

Connaissances

Analytical mindset

Excellent communication

Research skills

Policy application

Time management

Attention to detail

Problem solving

Customer service experience

PC skills

Formation

Juris Doctorate

Health Care Administration

English/writing field of study

Description du poste

Job Title : Remote Legal Grievances and Appeals Coordinator

Founded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances.

At Kyyba, the overall well-being of our employees and their families is important to us. We are proud of our work culture which embodies our core values; incorporating value, passion, excellence, empowerment, and happiness creates a vibrant and productive atmosphere. We empower our employees with the resources, incentives, and flexibility that they need to support a healthy, balanced, and fulfilling career by providing many valuable benefits and a balanced compensation structure combined with career development.

Title: Remote Legal Grievances and Appeals Coordinator

Will this position be required to work onsite for any reason at any time? No

Engagement Description –

The Grievance and Appeals (G&A) Coordinator is responsible for processing appeals, grievances, complaints, and inquiries received from members, authorized representatives, and regulatory agencies. The coordinator is expected to analyze the customer's concerns, conduct necessary research by leveraging various internal and external resources and contacts in order to make appropriate and accurate case decisions. Appeal Coordinators are expected to coordinate, facilitate, and conduct managerial level conferences with customers and their authorized representatives to gather and relay information. The coordinator is expected to keep an accurate documentation record that details steps and action taken to resolve the customer's concerns. The outcome and resolution of all appeals, grievances, complaints, and inquiries is communicated via written correspondence to the customer using clear and simple language and include elements that satisfy corporate, regulatory, and accreditation timeframes, accuracy and response guidelines. The Coordinator is responsible for staying abreast of products, networks, internal policies, procedures and regulations for the accurate resolution of appeals, complaints, grievances, and inquiries.

Top 3 Required Skills/Experience –

• Analytical mindset- having the ability to examine a matter, the facts, contextual information and make an informed decision or implement a reasonable, rationale solution.
• Excellent written and verbal communication skills. Must be proficient in proofreading, spelling, grammar, punctuation, and math.
• Ability to analyze, interpret, apply reason and logic, conduct research; structure a clear and thorough response.

Required Skills/Experience – The rest of the required skills/experience. Include:

• Ability to apply policies and procedures to arrive at accurate conclusions
• Ability to work in a fast-paced environment with tight deadlines and high quality standards
• Problem solving aptitude
• Accuracy and strong attention to detail
• Ability to prioritize responsibilities and effectively manage time
• Ability to work effectively with management and part of a team to meet targets
• High regard for protecting confidentiality of member, employee, corporate and performance information.
• Previous customer service or concierge experience (not specifically in a CSR type role)
• Strong PC application and system skills- having the ability to navigate multiple computer systems and databases

Preferred Skills/Experience – Optional but preferred skills/experience. Include:

• Background in writing and/or research

Education/Certifications – Include:

• English/writing field of study, Health Care Administration or related field, history, Juris Doctorate, etc.

Location: Detroit, MI (Remote)

Page Range Where Required (currently California, Colorado, New York, Washington)

Disclaimer:

Kyyba is an Equal Opportunity Employer.

Kyyba does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. Minorities / Females / Protected Veterans / Individuals with Disabilities are encouraged to apply. All employment is decided on the basis of qualifications, merit, and business need.

It is the policy of Kyyba to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact Kyyba at 248-813-9665.

Rewards:

• 401k
• Term life
• Voluntary life and disability insurance
• Optional Pre-paid legal plan
• Optional Identity theft plan
• Optional Medical and dependent FSA
• Opportunity for advancement
• Long-term assignment with opportunity for hire by client

SELECT AWARDS

• An INC 5000 company for 10 years
• Corp! Michigan Economic Bright Spots
• Crain’s Detroit Business Top Staffing Service Companies in Detroit
• TechServe Alliance Excellence Award- IT and Engineering Staffing & Solutions
• Best of MichBusiness winner in HR Wizards & Partnerships
• Metro Detroit Elite Category: Recruitment, Selection & Orientation for 101 Best &
• 101 Best & Brightest Companies to Work for in Michigan