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Grievance & Appeals Coordinator

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The Opportunity

We're looking for a Grievance & Appeals Coordinator, working in the Insurance industry in Detroit, Michigan, United States.

  • Analyzes and researches cases, applies critical thinking, independent judgment, and business sense to make final determinations on appeals.
  • Provides comprehensive responses within regulatory timeframes.
  • Handles and responds to customer issues involving sensitive or highly visible issues, such as organ transplants, and referrals received from the Office of Financial and Insurance Regulation (OFIR), News Media, Better Business Bureau, etc.
  • Conducts managerial-level conferences (MLCs) with members/providers and their representatives.
  • Handles sensitive cases received from Legislative Offices and be a liaison to Governmental Affairs.
Details

We're offering Competitive Compensation and Benefits. This position may present an opportunity to go permanent.

Our Client

Our client is a fast-growing industry-recognized staffing firm.  Recruiting critical IT, Financial, Engineering, Healthcare, and Data Analytics talent.  With 20+ years’ experience and growth. 

Connections in Automotive, Healthcare, Retail, Financial & Insurance, and Professional & Business Services.  Working to bring top talent together with premier organizations.

Big enough to have great opportunities.  Small enough to care about finding the right one for you. 

It’s about relationships based on mutual interest.  The results are low turnover, long-lasting partnerships and growth.  Want to work for a company invested in your success?

Experience Required for Your Success
  • Excellent verbal and written communication skills
  • Strong letter writing and proofreading skills
  • Strong PC application and system skills-  having the ability to navigate multiple computer systems and databases
  • Extremely analytical and having the ability to examine a matter, the facts, contextual information and make an informed decision or implement and execute a reasonable, rational resolution
What Do You Think?

Does your experience reflect what it takes to be successful in this role? Do the work and challenges get you excited about what's possible? Apply here.

Not exactly? Join Our Talent Community, and we'll let you know of additional opportunities.