Appeals Specialist

CGS Admin, LLC

Nashville TN

HR, Office & Administrative Support


Position Description / Responsibilities

Performs non-medical reviews and processes re-determination letters.

·        50% - Performs non-medical reviews and processes re-determination letters ensuring timeliness and accuracy.

·        30% - Prepares unit reports, analyzes and interprets workload, and processes issues utilizing various software tools.

·        10% - Updates letters and documents within the department when necessary.

·        10% May gather and prepare documentation for legal inquiries and administrative requests.



Position Requirements

Required Education:

·        High School Diploma or equivalent

Required Work Experience:

·        Two years job related field claims experience.

Required Skills and Abilities:

·        Demonstrated proficiency in word processing and spreadsheet software.

·        Excellent organizational, customer service, and written and verbal communication skills.

·        Good judgment skills. Proficiency in spelling, punctuation, and grammar skills


Application Instructions

please apply through company website: https://ourhrconnect.wd5.mywor...

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