Appeals and Grievances Manager

3 days ago


Canton, Massachusetts, United States Ignyte AI Full time
Overview
Purpose: To lead the appeals and grievances team in delivering exceptional customer service, ensuring compliance with regulatory requirements and promoting a positive work environment.

Responsibilities:
• Manage day-to-day operations of the appeals and grievances department, overseeing staff performance and adherence to company policies.
• Foster a culture of accountability and continuous improvement, driving innovation and process refinement to enhance operational efficiency and customer satisfaction.
• Collaborate with internal departments to align team objectives with company-wide goals, ensuring seamless communication and effective teamwork across functions.
• Develop and implement management controls within the company's systems to monitor performance, productivity, and compliance with industry standards and regulations.
• Provide technical guidance and support to staff, ensuring they deliver best-in-class service and meet/exceed customer expectations through regular coaching, feedback, and performance evaluations.

Requirements:
• Bachelor's degree or equivalent experience in appeals and grievances, with a strong understanding of regulatory requirements and industry standards.
• Proven leadership experience, including mentoring and developing staff to achieve career growth and team success.
• Excellent written, verbal, and presentation skills, with the ability to interact effectively with all levels of personnel and communicate complex ideas simply.
• Strong personal accountability and commitment to fostering accountability within the team, ensuring individual and team performance meet/exceed expectations.

Benefits:
• Competitive salary range: $90,000 - $110,000 per annum, depending on location and experience.
• Comprehensive benefits package, including medical, dental, vision coverage, retirement plans, paid time off, employer-paid life and disability insurance, tuition program, well-being benefits, and more.
• Opportunity for professional growth and development, with access to training programs, mentorship, and career advancement opportunities.
• Collaborative work environment, with a focus on teamwork, open communication, and employee engagement.

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