Hawaii Licensed Appeals Representative

A company is looking for a Senior Appeals Representative to manage appeals and grievances in a remote setting. Key Responsibilities Research and resolve written complaints from consumers and providers Ensure proper categorization of complaints and gather necessary documentation Render decisions on non-clinical complaints and communicate outcomes within required timeframes Required Qualifications High School Diploma / GED or equivalent work experience Must be 18 years of age or older 2+ years of experience in analyzing appeals and grievances or in a healthcare setting Proficiency with computer and Windows PC applications Ability to work full time with flexibility for shift schedules and occasional overtime

Apr 30, 2025 - 01:43

A company is looking for a Senior Appeals Representative to manage appeals and grievances in a remote setting. Key Responsibilities Research and resolve written complaints from consumers and providers Ensure proper categorization of complaints and gather necessary documentation Render decisions on non-clinical complaints and communicate outcomes within required timeframes Required Qualifications High School Diploma / GED or equivalent work experience Must be 18 years of age or older 2+ years of experience in analyzing appeals and grievances or in a healthcare setting Proficiency with computer and Windows PC applications Ability to work full time with flexibility for shift schedules and occasional overtime