Strategic Staffing Solutions · 12 hours ago
Grievance & Appeals Coordinator
United States
Contract
Remote
New Grad, Entry Level
$32/hr - $35/hrStrategic Staffing Solutions is seeking a Grievance & Appeals Coordinator for a contract opportunity with one of their largest clients. The role involves processing appeals, grievances, complaints, and inquiries, analyzing customer concerns, and communicating resolutions effectively while maintaining accurate documentation.
Enterprise SoftwareConsultingHuman ResourcesInformation TechnologyCRMSmall and Medium BusinessesStaffing Agency
Responsibilities
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
Appeal Coordinators are expected to coordinate, facilitate, and conduct managerial level conferences with customers and their authorized representatives to gather and relay information
The coordinator is expected to keep an accurate documentation record that details steps and action taken to resolve the customer’s concerns
The outcome and resolution of all appeals, grievances, complaints, and inquiries is communicated via written correspondence to the customer using clear and simple language and include elements that satisfy corporate, regulatory, and accreditation timeframes, accuracy and response guidelines
Qualification
Required
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 mat
Ability to analyze, interpret, apply reason and logic, conduct research, structure a clear and thorough response
Ability to apply policies and procedures to arrive at accurate conclusions
Ability to work in a fast-paced environment with tight deadlines and high-quality standards
Problem solving aptitude
Accuracy and strong attention to detail
Ability to prioritize responsibilities and effectively manage time
Ability to work effectively with management and part of a team to meet targets
High regard for protecting confidentiality of member, employee, corporate and performance information
Previous customer service or concierge experience (not specifically in a CSR type role)
Strong PC application and system skills- having the ability to navigate multiple computer systems and databases
Bachelors degree is required
English/writing field of study, Health Care Administration or related field, history, library studies, Juris Doctorate, etc
Preferred
Background in writing and/or research
Company
Strategic Staffing Solutions
Strategic Staffing Solutions is a recruiting company which helps companies find suitable employees in various industries.
Founded in 1990
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Cindy Pasky
Founder and CEO
Recent News
DBusiness Magazine
2025-05-01
Crain's Detroit Business
2025-02-03
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