Tweety Bird
Appeals and Grievance Specialists
Talent
Albuquerque, NMMember since July 14, 2026
Customer service
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Customer service
About
Managed the appeals and grievance process by reviewing and resolving customer complaints professionally. Collaborated with internal teams to ensure compliance with health plan regulations and policies. Maintained accurate documentation of appeals and grievance cases to track resolution and identify trends.
Experience
Appeals and Grievance Specialists - Presbyterian Health Plan
(2017-11 - 2025-07)
- Managed the appeals and grievance process by reviewing and resolving customer complaints professionally.
- Collaborated with internal teams to ensure compliance with health plan regulations and policies.
- Maintained accurate documentation of appeals and grievance cases to track resolution and identify trends.
- Provided exceptional customer service by addressing inquiries and concerns related to appeals and grievances.
Education
High School - Albuquerque High (1985-05)
Skills
Appeals and Grievance Specialists