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.

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

Preferred Skills/Experience

Background in writing and/or research

Education/Certifications

Bachelor’s Degree in English, Communication, Health Care Administration, or related field

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