Grievance Customer Service Representative Job at Randstad USA, San Diego, CA

R2xzeWEwTHVMR3lHeGdhUTRPTTdpck1VbXc9PQ==
  • Randstad USA
  • San Diego, CA

Job Description

A leading healthcare organization is seeking a dedicated and analytical Grievance Customer Service Representative to join our team. This position is 100% remote, with the understanding that you may be required to work onsite at our San Diego, Rio office during system outages or other operational needs. This is a 4-6 month contract with the potential for extension and the opportunity to apply for full-time employee positions.

In this role, you will be responsible for reviewing and resolving non-clinical member grievances. This is a crucial position that requires strong analytical and communication skills to ensure that member concerns are handled professionally and in a timely manner.

Location: Remote (Must reside within a 2-hour commute of the San Diego, Rio office located at 8954 Rio San Diego Dr, San Diego, CA 92108)

Compensation: $24.00/hr

Schedule: Monday - Friday, 8:00 AM - 5:00 PM

Key Skills and Qualifications

Required:

  • 1-2 years of experience in a similar customer service, grievance, or claims-related field.
  • Strong analytical skills with the ability to review and resolve complex issues.
  • Excellent writing and communication skills for documenting grievances and corresponding with members.
  • Proficiency in Microsoft 360 (Excel, Word).

Preferred:

  • Experience with EPIC or Oracle .
  • Familiarity with internal healthcare systems.
  • Experience with financial or billing-related work.

Responsibilities

  • Reviewing and investigating non-clinical member grievances.
  • Documenting all grievance details and communication accurately.
  • Working to resolve member issues efficiently and professionally.
  • Collaborating with other departments as needed to address grievances.

If you are a detail-oriented professional with a passion for problem-solving and excellent customer service, we encourage you to apply!

Job Tags

Full time, Contract work, Work at office, Remote work, Monday to Friday,

Similar Jobs

4th Day Trucking

Class A REGIONAL driver WALMART HOME WEEKLY Job at 4th Day Trucking

 ...Regional Walmart driver position gone 5days out! Western States DELIVERIES !!Can work weekends ! LOTS OF FRIEGHT !! NO TOUCH FRIEGHT! COMPETITIVE PAY on cent per mile...  ...record and no sap drivers ! YOU CAN TAKE THE TRUCK HOME ! Apply today! Pay: $1420 to 1820per week... 

Vistage Worldwide, Inc.

Become a Vistage Executive Coach Job at Vistage Worldwide, Inc.

 ...times. If you are looking for your next endeavor and have a passion for mentoring and guiding others then becoming a Vistage Executive Coach could be a perfect way to do something you love and know that it matters. What is a Vistage Executive Coach? Vistage... 

Fairmont Dallas

Assistant Director of Finance Job at Fairmont Dallas

 ...Assistant Director of Finance Dallas, TX, USA Full-time Job-Category: Finance Job Type: Permanent Job Schedule: Full-Time Company Description Fairmont Dallas, located in the Arts District of downtown Dallas, offers 545 elegant guestrooms and suites... 

StretchLab

Fitness Professional Job at StretchLab

If youre engaging and have a passion for health, fitness, and exercise, we want to meet you! StretchLab is seeking personal trainers, massage and physical therapists, and dance/yoga/Pilates instructors to join our team! This is an amazing opportunity to gain experience... 

Vestas Wind Systems

Wind Turbine Service Site Technician II-Caney River, Kansas Job at Vestas Wind Systems

Vestas Wind Technology, Inc. Technician II Caney River, KS about 1 hour South/East of Wichita, KS WHO WE ARE At Vestas, we...  ..., and potential main component or blade work on wind turbines. During a typical day, you will work at heights and in confined...