The Supervisor of the Customer Solution Center Appeals and Grievances is responsible for directly supervising and supporting the team that handles the intake, research, resolution, tracking, trending, and reporting within the Appeals and Grievances department. This role involves leading and directing the teams work by monitoring the research, negotiation, and resolution of all types of appeals and grievances, ensuring thorough investigations are completed according to company policies and procedures. The supervisor provides support and takes ownership of cases identified as escalated, complex, and/or multi-issue appeals and grievances as needed. Collaboration with internal departments is essential to ensure timely resolution. Additionally, this position is responsible for analyzing and trending all appeals and grievances, developing and maintaining the appeal and grievance policies and procedures, workflows, member correspondence, and training as needed or on an annual basis. The supervisor oversees all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct reports.

Salary Range is $77,000 to $123,000

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.

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