Grievances and Appeals Coordinator

🔥 9 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $20 - $29 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

SCAN

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1977

🏥 Healthcare

⚕️ Healthcare Insurance

👥 B2C

Healthcare • Healthcare Insurance • B2C

SCAN is a mission-driven healthcare organization focused on reinventing aging by delivering evidence-based, patient-centered care and coverage for older adults. It operates an integrated portfolio including health insurance plans with innovative benefits, in-home and virtual primary care, support programs for caregivers and homebound older adults, and specialized services for vulnerable populations. SCAN also invests in and partners with companies that advance care models and resources to help older adults remain healthy and independent at home.

📋 Description

• Coordinate the work of a team of Member Services Representatives providing customer services to members and associated individuals and groups • Ensure member inquiries are addressed and members are referred to appropriate service providers • Administer policies and procedures for verifying member identity, membership status, and entitlement to services • Maintain current and accurate membership databases and records • Suggest new service offerings or revisions to existing programs based on member feedback or coverage gaps • May participate in member retention or renewal efforts • Support SCAN’s Vision and Goals • Perform other duties as assigned

🎯 Requirements

• 0-3 years of related experience in Grievances and Appeals • High school diploma or equivalent experience required • Comprehensive knowledge of grievance and appeals • Customer service skills • Ability to perform work under minimal supervision • Ability to handle complex issues and problems, referring only the most complex issues to higher-level staff • Leadership, coaching, and/or mentoring experience for a subordinate group; may act as a lead or first-level supervisor • Basic technical skills for the functional area • Basic problem-solving skills • Good communication and interpersonal skills • Advanced Microsoft Office skills (Word, Excel, PowerPoint, Outlook, Teams) • IKA, MHK, or QNXT experience preferred • Background check required

🏖️ Benefits

• An annual employee bonus program • Robust Wellness Program • Generous paid-time-off (PTO) • Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday • Excellent 401(k) Retirement Saving Plan with employer match and contribution • Robust employee recognition program • Tuition reimbursement • An opportunity to become part of a team that makes a difference to our members and our community every day! • Inclusive benefits