Job title: Appeals and Grievances Associates
Pay Rate: $17/hr on W2
Position type: W2
Location: Fully Remote
Duration: Long term contract

JOB RESPONSIBILITIES

• Intake, Triage, process, and review A&G cases based on client’s policies and procedures
• Grievance cases to be worked supporting Commercial, Individual family Plan and Commercial group lines of businesses
• Staffing capacity to manage volumes of cases to support influx and changes and support production capacity and quality standards
• Support all cases in English
• Provide ramp up timelines towards meeting client goals and baseline existing standards
• Learn and manage process training for attrition resources post client training and support
• Perform Quality audits on cases and calibrate with client on quality requirements
• Supplier to manage and supervise all personnel
• Provide daily, weekly, and monthly inventory and productivity dashboard/report
• Make calls to members and provider if required and part of the standard operating process to update on case or obtain information

Thanks & Regards,
Harry
Technical Recruiter
Reqroute, Inc
Recruiting solutions for the digital world
 

Companies across U.S. have engaged ReqRoute, Inc to deliver skilled, dedicated IT professionals. Recruiting is our passion and we support Fortune 1000 companies with their hiring needs. We always seek to deliver competitive and sought-after career opportunities to our potential consultants and employees. We invite you to review the position requirements and apply today if your skills match our needs.  
 
ReqRoute, Inc is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, military status, national origin or any other characteristic protected under federal, state, or applicable local law. (www.reqroute.com)