Oscar Health · 4 days ago
CGA Triage Coordinator
United States
Full-time
Remote
Entry Level
$22/hr - $22/hr
1+ years expOscar is a health insurance company that focuses on serving its members through a technology-driven platform. They are seeking a CGA Triage Coordinator to manage and route member complaints, grievances, and appeals, ensuring timely and accurate processing to meet regulatory deadlines.
Health CareHealth InsuranceInsuranceInsurTech
Responsibilities
Receive, log, and process all incoming complaints, grievances, and appeals through various channels, including mail, fax, email, and internal systems
Monitor and manage case queues, proactively flagging urgent cases and assigning them to the appropriate liaison or team
Identify, investigate, and triage incoming documents within determined SLAs
Collaborate with colleagues, specialists, and Leads to identify trends and roadblocks
Utilize internal tools and resources seamlessly
Escalate updates or incorrect information in the internal knowledge management system for Member and Provider Services
Compliance with all applicable laws and regulations
Other duties as assigned
Qualification
Required
1+ years of customer support/service experience
Excellent organizational and time management skills
Foundational knowledge of escalations or complaints, grievances and appeals processes
Preferred
Experience in a Complaints, Grievances or Appeals department
Experience using CRM and knowledge management tools to resolve issues
Experience using ticket management and reporting tools
Experience managing an assignment caseload
Healthcare and/or SAAS experience
Benefits
Medical, dental, and vision benefits
11 paid holidays
Paid sick time
Paid parental leave
401(k) plan participation
Life and disability insurance
Paid wellness time and reimbursements
Company
Oscar Health
Oscar is a health insurance company that offers individual and family plans, medicare advantages, and small group products.
1001-5000 employees
H1B Sponsorship
Oscar Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (19)
2024 (24)
2023 (22)
2022 (36)
2021 (13)
Funding
Current Stage
Public CompanyTotal Funding
$1.99BKey Investors
Tiger Global ManagementAlphabetFounders Fund
2025-09-16Post Ipo Debt· $355M
2021-03-03IPO
2020-12-17Private Equity· $140M
Leadership Team
Mark Bertolini
Chief Executive Officer
Steven B. Kelmar
Executive Vice President & COS
Recent News
2026-01-16
2026-01-16
2026-01-16
Company data provided by crunchbase