Appeal Resolution Senior Specialist

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Appeal Resolution Senior Specialist logs, tracks, and processes appeals and grievances. Sets up and maintains case files for each grievance and collects the information required by organizational policies and applicable regulations. Being an Appeal Resolution Senior Specialist conducts research and coordination needed to evaluate, process, respond to, and refer or close appeals. May require an associate degree or equivalent. Additionally, Appeal Resolution Senior Specialist typically reports to a supervisor. The Appeal Resolution Senior Specialist works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be an Appeal Resolution Senior Specialist typically requires 3-5 years of related experience, or may need 2 years experience with additional specialized training and/or certification.