Grievance And Appeals Specialist Representative 3 - San Juan, Pr

The ideal candidate approaches their work with integrity and excellence and strives to make customers happy through every interaction. Start Date / Training Date: Start Date and Training Date will begin on Tuesday, 01/07/2019 due to the holiday in Puerto RicoWork EnvironmentProduction driven office environment, highly regulated by Center for Medicare & Medicaid Services compliance guidelinesBenefits and Perks of This OpportunityExtensive training - at least 7 weeksBonus eligibility based on individual and company performancePlenty of growth, promotion and expansion opportunitiesA chance to work in a structured, challenging and engaging environmentOpportunity for flexible shifts and work at home after a defined period of time (depending on performance)Required QualificationsHigh School Diploma1 years of customer service experienceStrong data entry skillsIntermediate experience with Microsoft Word and ExcelMust have excellent organizational skills and ability to work in a fast paced environment with minimal supervisionCommunicate effectively verbally, in writing and within required time framesThe ability and willingness to work any shift between 8:00 a.m. and 6:00 p.m EST Monday through Friday with the flexibility to work weekends and/or mandatory overtime based on business needsMust be passionate about contributing to an organization focused on continuously improving consumer experiencesPreferred QualificationsAssociate's or Bachelor's DegreePrevious experience processing medical claimsPrevious inbound call center experience or related customer service experiencePrior experience with MedicareExperience with the Claims Administration System (CAS)Bilingual in English and Spanish ability to read, write and speak both languages without limitation or assistanceAdditional Information Will work and train at the following location: 383 Ave F D Roosevelt Ave, San Juan, PR 00918-2131 This position offers approximately 7 weeks of training. Please note that training is a critical stage of associate development. Any time off or scheduled obligations during the training period will need to be reviewed as part of the selection process.Overtime is generally voluntary but may be mandatory based on business needs. We strive to provide a minimum of a week advance notice if you need to work OT hours