Grievance &Appeals Coordinator

Job Title: Grievance &Appeals Coordinator   About Kyyba: Founded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances. At Kyyba, the overall well-being of our employees and their families is important to us. We are proud of our work culture which embodies our core values; incorporating value, passion, excellence, empowerment, and happiness, creates a vibrant and productive atmosphere. We empower our employees with the resources, incentives, and flexibility that they need to support a healthy, balanced, and fulfilling career by providing many valuable benefits and a balanced compensation structure combined with career development.    Job Description   Dept: Office of The General Cousel   Will this position be required to work onsite for any reason at any time? No   Engagement Description –   The Grievance and Appeals (G&A) Coordinator is responsible for processing appeals, grievances, complaints, and inquiries received from members, authorized representatives, and regulatory agencies. The coordinator is expected to analyze the customer's concerns, conduct necessary research by leveraging various internal and external resources and contacts in order to make appropriate and accurate case decisions. Appeal Coordinators are expected to coordinate, facilitate, and conduct managerial level conferences with customers and their authorized representatives to gather and relay information. The coordinator is expected to keep an accurate documentation record that details steps and action taken to resolve the customer's concerns. The outcome and resolution of all appeals, grievances, complaints, and inquiries is communicated via written correspondence to the customer using clear and simple language and include elements that satisfy corporate, regulatory, and accreditation timeframes, accuracy and response guidelines. The Coordinator is responsible for staying abreast of products, networks, internal policies, procedures and regulations for the accurate resolution of appeals, complaints, grievances, and inquiries.   Top 3 Required Skills/Experience – Analytical mindset- having the ability to examine a matter, the facts, contextual information and make an informed decision or implement a reasonable, rationale solution. Excellent written and verbal communication skills. Must be proficient in proofreading, spelling, grammar, punctuation, and math. Ability to analyze, interpret, apply reason and logic, conduct research; structure a clear and thorough response.  Required Skills/Experience – The rest of the required skills/experience. Include: Ability to apply policies and procedures to arrive at accurate conclusions Ability to work in a fast-paced environment with tight deadlines and high quality standards Problem solving aptitude Accuracy and strong attention to detail Ability to prioritize responsibilities and effectively manage time Ability to work effectively with management and part of a team to meet targets High regard for protecting confidentiality of member, employee, corporate and performance information. Previous customer service or concierge experience (not specifically in a CSR type role) Strong PC application and system skills- having the ability to navigate multiple computer systems and databases  Preferred Skills/Experience – Optional but preferred skills/experience. Include: Background in writing and/or research Education/Certifications – Include: English/writing field of study, Health Care Administration or related field, history, Juris Doctorate, etc.   Location: (Detroit, MI)   Disclaimer:  Kyyba is an Equal Opportunity Employer. Kyyba does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, ag e, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. Minorities / Females / Protected Veterans / Individuals with Disabilities are encouraged to apply. All employment is decided on the basis of qualifications, merit, and business need.” It is the policy of Kyyba to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact Kyyba at 248-813-9665 Rewards: Medical, dental, vision 401k  Term life Voluntary life and disability insurance Optional Pre-paid legal plan Optional Identity theft plan Optional Medical and dependent FSA Work-visa sponsorship Opportunity for advancement Long-term assignment with opportunity for hire by client    SELECT AWARDS An INC 5000 company for 10 years Corp! Michigan Economic Bright Spots  Crain’s Detroit Business Top Staffing Service Companies in Detroit TechServe Alliance Excellence Award- IT and Engineering Staffing & Solutions Best of MichBusiness winner in HR Wizards & Partnerships Metro Detroit Elite Category: Recruitment, Selection & Orientation for 101 Best & Brightest 101 Best & Brightest Companies to Work for in Michigan    

Created: 2026-04-02