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Coordinator Complaint Appeals

Employer: CVS Health

This is a remote work from home role, anywhere in the US.

Responsible for managing to resolution complaint/appeal scenarios for all products, which may contain multiple issues and, may require coordination of responses from multiple business units. Ensure timely, customer focused response to complaints/appeals. Identify trends and emerging issues and report and recommend solutions. This position can be anywhere in the United States.

Required Qualifications

  • 6 months + of professional job experience

Preferred Qualifications

  • Medicare experience
  • Claims experience
  • Experience in reading or researching benefit language in Summary Plan Description (SPDs) or Certificate of Coverage (COCs)
  • Experience in research and analysis of claim processing a plus

Education

  • Minimal requirement High school/GED

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