Grievance And Appeals Coordinator

Job Title: Grievances and Appeals Coordinator

Job Description

The Grievances and Appeals Coordinator analyzes and resolves verbal and written claims, authorizations, complaints, grievances, and appeals from members and providers in a regulated healthcare environment. This role ensures timely, accurate, and compliant resolution of cases, supports performance and quality programs, and contributes to continuous improvement in member and provider experience through strong communication, documentation, and analytical skills.

Responsibilities

• Analyze and resolve verbal and written claims, authorization appeals, complaints, grievances, and appeals from members and providers.
• Gather, analyze, and report data related to member and provider complaints, grievances, and appeals to support compliance and quality standards.
• Prepare clear, professional response letters addressing member and provider complaints, grievances, and appeals.
• Complete case reviews and resolutions within required timelines while maintaining high quality standards and attention to detail.
• Contribute to continuous improvement initiatives by identifying trends, issues, and opportunities to enhance grievance and appeals handling.

Essential Skills

• High school diploma or equivalent required; associate degree preferred.
• 2+ years of experience in appeals & grievances, claims, managed care, healthcare administration, or customer service.
• Strong written and verbal communication skills.
• Excellent attention to detail and accuracy.
• Proficiency with digital tools, case management systems, and office software.
• Strong analytical, research, troubleshooting, and problem-solving abilities.
• Ability to manage high workloads and maintain organization in a fast-paced environment.
• Comfortable working remotely and collaborating with cross-functional teams.
• Commitment to quality, compliance, and maintaining high accuracy standards (97%+).

Additional Skills & Qualifications

• Associate’s degree in a related field is preferred.
• Experience working with complex cases or compliance-related tasks in healthcare, insurance, or other regulated environments.

Job Type & Location

This is a Contract to Hire position based out of Los Angeles, CA.

The pay range for this position is $23.00 - $23.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

This is a fully remote position.

This position is anticipated to close on Jul 24, 2026.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.