Grievance and Appeals Resolution Specialist

Grievance and Appeals Resolution Specialist Jobs

What does a Grievance and Appeals Resolution Specialist Do?

The Grievance and Appeals Resolution Specialist contacts customers to gather information and communicate disposition of case. Logs, tracks, and processes appeals and grievances. Being a Grievance and Appeals Resolution Specialist builds case files for each grievance and ensures compliance with organizational and regulatory guidelines. Conducts pertinent research in order to evaluate, respond to, and close appeals. In addition, Grievance and Appeals Resolution Specialist requires a bachelor's degree. Typically reports to a supervisor or manager. Being a Grievance and Appeals Resolution Speciali ... st gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. Working as a Grievance and Appeals Resolution Specialist typically requires 2 to 4 years of related experience. More
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