Job Details

Appeals Specialist (Veteran Affairs)

  2026-01-26     TMF Health Quality Institute     all cities,AK  
Description:

**Please make sure your application is complete, including your education, employment history, and any other applicable sections. Initial screening is based on the minimum requirements as defined in the job posting, such as education, experience, licenses, and certifications. Your experience shouldalso address the knowledge, skills and abilities needed for the role. Incomplete applications will not be considered.**

*This position is located Remote United States*

* Requires travel to the nearest VA facility twice for background investigation (Per Contract Requirements)*

Position Purpose:

Researches and responds to inquiries from providers, suppliers, beneficiaries, health plans, or others involved in the appeals/dispute process. May conduct phone calls with appellants for the purpose of scheduling phone discussions with the company decision maker.

Essential Responsibilities:

  • Provides customer service and researches and responds to inquiries received by phone, fax, mail, or email timely and accurately.
  • Interprets requests and determines appropriate response or course of action to bring to resolution with minimal assistance.
  • Conducts research using online federal regulations, reviews contract policy and guidelines to complete an accurate and well-supported decision and/or response.
  • Screens receipts to determine the issue addressed in the correspondence and address timely which may involve forwarding cases to the appropriate person or entity timely.
  • Logs receipts and enters into database.
Minimum Qualifications

Education
  • High School Diploma or equivalent
Experience
  • Three (3) years of general office experience
  • College education or technical training in administration, business, or related areas may be substituted for experience on a year per year basis. (Education requirements may be satisfied by full-time education or the prorated part-time equivalent.)
  • One (1) year of Veterans Affairs (VA) experience OR One (1) year of professional business writing experience in the healthcare, customer service or legal industries
  • Experience with Veterans Affairs (VA), preferred
Contract Specific Requirements
  • United States Citizen and have resided in continental U.S. for three (3) of the last five (5) years (Per Contract Requirements)
  • Successfully Complete Federal Background Investigation with the VA (Per Contract Requirements)
  • Travel to the nearest VA facility twice for background investigation (Per Contract Requirements)
Benefits

C2C offers an excellent benefits package, including:
  • Medical, dental, vision, life, accidental death and dismemberment, and short and long-term disability insurance
  • Section 125 plan
  • 401K
  • Competitive salary
  • License/credentials reimbursement
  • Tuition Reimbursement

EOE Vet/Disability

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.


Apply for this Job

Please use the APPLY HERE link below to view additional details and application instructions.

Apply Here

Back to Search