As an integral part of the Grievance and Appeals (G&A) Department, the Fair Hearing Specialist lends their support in processing member-related appeals across CPHL’s various lines of business. Process includes gathering, documenting, tracking, and pursuing resolution of appeals and fair hearings in accordance with regulatory and organizational guidelines.
Ability to communicate effectively and professionally, both verbally and in writing. Summarize information clearly, thoroughly, and quickly in writing. Use sound judgment, identify next steps to be taken and develop appropriate solutions. Collaborate with multiple parties to solve problems; solve problems independently. Demonstrate PC skills and experience with the range of Microsoft Office products.
EDUCATION AND EXPERIENCE:
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The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The above statements are intended to describe the general nature and level of work performed by individuals assigned to the job classification. They should not be construed as an exhaustive list of all responsibilities, duties and skills required.