Appeals Specialist - (Nashville, TN) - CGS Administrators
Nashville, TN 
Posted 8 days ago
Job Description
Internal Reference Number: R1015708 Summary Performs non-medical reviews and processes redetermination letters.Description
  • Performs non-medical reviews and processes redetermination letters ensuring timeliness and accuracy.
  • Prepares unit reports, analyzes and interprets workload, and processes issues utilizing various software tools.
  • Updates letters and documents within the department when necessary.
  • May gather and prepare documentation for legal inquiries and administrative requests.

Required Education

  • High School Diploma or equivalent.

Required Work Experience

  • Two years job related field.

Required Skills and Abilities

  • Demonstrated proficiency in word processing and spreadsheet software.
  • Excellent organizational, customer service, and written and verbal communication skills.
  • Good judgment skills.
  • Proficiency in spelling, punctuation, and grammar skills.

Required Software and Tools

  • Microsoft Office.

*** Position is office based in Nashville, TN ***

*** Starting pay is $17.00/hr ***

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.

If you need special assistance or an accommodation while seeking employment, please e-mail or call 1-800-288-2227, ext. 43172 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.


Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Education
High School or Equivalent
Required Experience
2+ years
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