Regulatory Complaint Coordinator, Intermediate

Your Role

The Appeals and Grievance Department Regulatory team is responsible for responding to inquiries received directly from our state regulatory agencies. The Regulatory Complaint Coordinator, Intermediate, will report to the Regulatory Complaint Supervisor. In this role you will be responsible for effectively managing your time daily to ensure you are meeting and/or exceeding compliance, quality, and production metrics.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Knowledge and Experience

• High School Diploma or GED or 1 year of additional relevant experience in lieu of a diploma
• Requires at least 3 years in health insurance operations such as I&B, Claims, Customer Services, and/or Regulatory Affairs, at least 1 year of which is Appeals/grievance direct experience
• Knowledge of healthcare plans and benefits
• Knowledge and understanding of claims preferred
• Ability to communicate effectively through written and verbal communication

Hybrid Virtual Work

This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.