Team Lead, Appeals and Grievances, Non Clinical Specialist

The Team Lead, Appeals and Grievances, Non Clinical Specialist is responsible for overseeing the execution and performance of a team who investigates and resolves member complaints, grievances and/or appeals.

Requirements

• High School Diploma or GED from an accredited institution
• Experience in healthcare operations, managed care, health insurance, grievances, complaints, appeals, claims, member services, provider services, care management, or a related regulated operational environment
• Work experience demonstrating written and verbal communication that is clear, concise, grammatically correct, and professional
• Work experience requiring critical thinking, problem-solving, and deductive reasoning skills
• Work experience requiring self-reliance, attention to detail, meeting deadlines, and managing multiple priorities simultaneously
• Work experience using Microsoft Office applications including Word, Excel, Outlook, Teams, and PowerPoint

Benefits

• Medical, dental and vision coverage
• Incentive and recognition programs
• Life insurance
• 401k contributions