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Complaints & Grievances Admin Coordinator

Company: DentaQuest
Location: Redmond
Posted on: January 12, 2022

Job Description:

The Complaints & Grievances Coordinator is responsible for the investigation and resolution of complaints, grievances and member appeals based upon specific regulatory requirements. In addition, responsible for the assembly and preparation of Maximus packets, State Fair Hearing packets as well as coordination and participation in State Fair Hearings. Responsible for daily interaction with assigned market/client contacts, as well as various internal departments. This position is also responsible to ensure that all mandated turnaround times are met as well as required processes and workflows are adhered to.Attention to detail, accuracy and organization skills are essential.Understanding of general insurance principles.Ability to efficiently operate computer.Strong interpersonal, written and verbal communication skills.Self-motivation demonstrated by taking initiative to learn more and assume new challenges.Cooperative, professional and effective interaction skills with co-workers, business partners and visitors.Ability to work in excess of 40 hours in one week.Ability to use Microsoft Office. (Word, Excel and Outlook)Able to follow verbal and written instructions.Ability to read and comprehend at a high school level.Ability to sit for more than 90% of an 8 hour day.Ability to use basic office equipment.Ability to communicate via telephone or computer technology, via written and verbal channels.Other duties as needed or required.Required to attend additional training as requested/deemed necessary.Preferred:Associates degree442 Southwest Umatilla Avenue, Redmond, Oregon 97756

Keywords: DentaQuest, Bend , Complaints & Grievances Admin Coordinator, Administration, Clerical , Redmond, Oregon

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