Grievance and Appeals Analyst
MMM Holdings, Inc.
- Processed appeals, grievances, complaints, and inquiries from members and regulatory agencies.
- Investigated customer concerns, utilizing both internal and external resources.
- Reviewed and resolved member complaints in line with Medicare and Medicaid standards.
- Ensured timely completion of appeals, disputes, grievances, and complaint resolutions.
- Maintain precise records of actions taken to address customer issues.
- Responsible for contacting the member through written and verbal communication.
- Ensured compliance with regulatory requirements in all written communications.
