Grievances & Appeals Specialist

Grievances & Appeals Specialist page is loaded## Grievances & Appeals Specialist locations:
Ridgeland, MStime type:
Full time posted on:
Posted Todayjob requisition :
JR103312

Modivcare is looking for an experienced Grievances & Appeals Specialist to join our team! This position is responsible for establishing superior customer service and to reduce the number of official complaints through positive and effective working relationships with customers, providers, and agencies. This role will work identify root causes of issues and provide real time solutions for members that have a high risk for service failure.
** This role...
*** Handles high-risk member complaints and grievances.
* Collects all necessary supporting information to accurately provide a resolution.
* Works closely with other work streams to provide permanent solutions for high-risk members.
* Records and initiates investigation of complaints, grievances, and general issues via all incoming communication channels.
* Engages stakeholders, government agencies, clients, and/or legal department to hand off issues outside the scope of work and causing transportation roadblocks.
* Monitors the complaint aging report to comply with turnaround requirements on resolution.
* Monitors member trips.
* Participate in other projects or duties as assigned.
** We are interested in speaking with candidates with the following...
*** High School Diploma required.
* Two (2) plus years of experience.
* Or equivalent combination of education and/or experience.
* Excellent customer service and proper phone etiquette skills
* Excellent verbal communications, problem solving, time management and organizational skills.
* Effectively manage a high volume of work.
* Ability to quickly learn modern technology.
* Ability to accurately type 35+ corrected words (WPM).
* Proficient in reading and writing in English.
* Proficient in Microsoft Word, Excel, and Outlook.
* Ability to work independently or with a team as necessary.
* Medical front-office, medical case management, and/or medical social work experience a plus.
* Bi-lingual a plus.

Salary: $16.36 - $22.09/hr Modivcare’s positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role, the number of roles, and the number of applications received.  We encourage our prospective candidates to submit their application(s) expediently so as not to miss out on our opportunities.

We frequently post new opportunities and encourage prospective candidates to check back often for new postings.
** We value our team members and realize the importance of benefits for you and your family.
** Modivcare offers a comprehensive benefits package to include the following:
* Medical, Dental, and Vision insurance
* Employer Paid Basic Life Insurance and AD&D
* Voluntary Life Insurance (Employee/Spouse/Child)
* Health Care and Dependent Care Flexible Spending Accounts
* Pre-Tax and Post --Tax Commuter and Parking Benefits
* 401(k) Retirement Savings Plan with Company Match
* Paid Time Off
* Paid Parental Leave
* Short-Term and Long-Term Disability
* Tuition Reimbursement
* Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)
* Modivcare is an Equal Opportunity Employer.
** We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance, please reach out to us at
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