Complaints Coordinator

Job title : Complaints Coordinator Job location :

New York, NY 10004 Shift : Hybrid 9-5 Date Range:

03/30/2026 - 05/23/2026, Possible Extension Pay : $19- $21/hr without benefits

Education: High School Diploma/ GED

Skills: Assist

Complaints Team leader

with

MACESS documentation inquiries/complaints . Assist specialists with

escalated issues

(transportation requests, specialty appointments). Support management with

special projects

(PCP monthly projects, MIS assignments, PCP error reports). Record and respond to customer contacts

and update the

tracking system

with follow-up and closure. Provide

member orientations

(on-site and telephone). Process and resolve complaints

and update information in the system. Assist with

PCP selection/assignment

and

member demographic updates . Provide

benefit/service information

to members, prospective members, and providers. Perform

retention efforts , handle

Medicare overflow calls , and support

outreach projects . Handle

roster, disenrollment, provider, and claim billing inquiries . Schedule marketing appointments

for prospective enrollees. Skills:

Customer Focus, Functional/Technical Skills, Written/Oral Communication, Integrity and Trust . 1 year experience in Managed Care/call center

handling high-volume calls.

Duties: Provide

customer service to members, providers, and prospective members . Document all customer contacts

into the tracking system. Process complaints

and assist supervisory staff with

complaints review . Handle escalated issues

and assist the management team with

specialty projects . Provide

administrative support to the Fair Hearings and Complaints Team . Data entry and intake of complaint and fair hearing cases

into designated tools. Retrieve documents from various systems

to demonstrate compliance with state directives. Collaborate with business partners

to gather documentation for responses to state agencies related to complaints and fair hearing requests. Perform

other administrative duties as assigned .

Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts.