Complaint Reviewer Jobs

Responsibilities:

• Complete training as per federal client and organizational requirements.
• Perform other duties and projects as assigned.
• Consistently meet attendance standards established by the company.
• Report problems to Program Manager with regard to unique record or process issues.
• Consistently meet or exceed productivity and accuracy standards established by the client and/or the company.
• Perform reviews of complaints and correctly determine and enter complaint review results per the federal client’s Standard Operating Procedures and internal procedures.
• Accurately enter review results using a RELI provided computer, keyboard and/or mouse.
• Support and closely follow the program’s quality process and initiatives.
• Interact appropriately with peers, co-workers, other Contractors, and the customer, when necessary. Contribute to building a positive team spirit.
• Review and incorporate feedback from Lead QA Coordinator, Program Manager, and client to improve accuracy and quality of work.
• Maintain security and confidentiality of Protected Health Information (PHI) and Personally Identifiable Information (PII).
• Follow all established processes and procedures.
• Perform secondary and/or tertiary complaint reviews to ensure accuracy of submitted information.

Requirements:

• Must be proficient in Microsoft Office Suite.
• Ability to maintain a high level of confidentiality and integrity.
• Establishes and maintains effective professional relationships with internal and external stakeholders.
• Capable of consistency, speed, and accuracy of task.
• Ability to read, analyze, and interpret documentation.
• Must have basic computer proficiency (use of MS Teams, Outlook/Email, etc....)
• Ability to work independently and maintain an elevated level of concentration.
• Flexibility and ability to plan, prioritize, and execute multiple tasks in a fast-paced environment
• Ability to work well in a team environment, to collaborate with others, and interface with team members internal and external to the organization.
• Must be able to adapt to organizational change.
• Ability to communicate clearly and professionally with all levels of the organization, both written and verbal.
• Self-motivated, well-organized, and detail oriented.