Complaint and Appeals Coordinator

A company is looking for a Complaint and Appeals Coordinator - Fully Remote. Key Responsibilities Manage and resolve complaint and appeal scenarios across multiple business units Ensure timely and customer-focused responses to complaints and appeals Identify trends and emerging issues, reporting and recommending solutions Required Qualifications 1 year of experience with HMO and Traditional claim platforms, patient management, and customer service High School diploma or equivalent Experience in compliance and regulatory analysis Experience in special investigations or provider relations is preferred Medicare and claims experience are advantageous

Jun 7, 2025 - 11:40

A company is looking for a Complaint and Appeals Coordinator - Fully Remote. Key Responsibilities Manage and resolve complaint and appeal scenarios across multiple business units Ensure timely and customer-focused responses to complaints and appeals Identify trends and emerging issues, reporting and recommending solutions Required Qualifications 1 year of experience with HMO and Traditional claim platforms, patient management, and customer service High School diploma or equivalent Experience in compliance and regulatory analysis Experience in special investigations or provider relations is preferred Medicare and claims experience are advantageous