Grievances & Appeals Specialist at Modivcare

Are you passionate about making a difference in peoples lives Do you enjoy working in a service-oriented industry If so this opportunity may be the right fit for you!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 skillsExcellent 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/hrModivcares 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 candidatesto submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities andencourage 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 insuranceEmployer Paid Basic Life Insurance and AD&DVoluntary Life Insurance (Employee/Spouse/Child)Health Care and Dependent Care Flexible Spending AccountsPre-Tax and Post --Tax Commuter and Parking Benefits401(k) Retirement Savings Plan with Company MatchPaid Time OffPaid Parental LeaveShort-Term and Long-Term DisabilityTuition ReimbursementEmployee Discounts (retail hotel food restaurants car rental and much more!)Modivcare is an Equal Opportunity Employer.EEO is The Law - click here for more informationEqual Opportunity Employer Minorities/Women/Protected Veterans/DisabledWe 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 atRequired Experience:IC Key Skills Sales Experience,Crane,Customer Service,Communication skills,Heavy Equipment Operation,Microsoft Word,Case Management,OSHA,Team Management,Catheterization,Microsoft Outlook Calendar,EHS Employment Type : Full-Time Experience: years Vacancy: 1 Monthly Salary Salary: 16 - 22