What are the responsibilities and job description for the Grievance and Appeals Coordinator position at GTECH Corporation?
Process appeals and grievances, analyze, research, and provide comprehensive responses in accordance with established regulatory and accreditation guidelines. Contact customers to gather information and communicate disposition of case. Conduct pertinent research in order to evaluate, respond to, and finalize case. Familiar with standard concepts, practices, and procedures for analyzing, interpreting data and applying contract and regulatory provisions. High School Diploma or GED required. Bachelor's Degree in English, Communications or related field preferred. Two (2) years customer service experience required. Two (2) years health insurance experience and familiarity with health insurance state and federal regulations preferred. Strong project management skills preferred.
Top 3 Required Skills / Experience -
- Experience handling a large load of work in a fast-paced environment and have computer skills!
- Insurance, Medicare / CMS knowledge
- Customer Service Experience
Required Skills / Experience - The rest of the required skills / experience. Include :
Preferred Skills / Experience - Optional but preferred skills / experience. Include :
Education / Certifications - Include :
Category Human Resources
Function HR / Benefits
Req ID JN -122024-121750