Loading...
Loading...
Himalayas
About usHimalayas PlusCommunityTech stackEmployee benefitsTerms and conditionsPrivacy policyContact usFor job seekers
Create your profileBrowse remote jobsDiscover remote companiesJob description keyword finderRemote work adviceCareer guidesJob application trackerAI resume builderResume examples and templatesAI cover letter generatorCover letter examplesAI headshot generatorAI interview prepInterview questions and answersAI interview answer generatorAI career coachFree resume builderResume summary generatorResume bullet points generatorResume skills section generator© 2025 Himalayas. All rights reserved. Built with Untitled UI. Logos provided by Logo.dev. Voice powered by Elevenlabs Grants
Join the remote work revolution
Join over 100,000 job seekers who get tailored alerts and access to top recruiters.
@livymorgan
Detail-oriented Insurance Appeals Coordinator with strong customer service skills.
As an experienced Insurance Appeals Coordinator, I have developed a robust skill set in managing and resolving member grievances and appeals, ensuring compliance with CMS regulations. My role at AmeriHealth Caritas has honed my ability to draft comprehensive written responses and adjust insurance claims using various systems, including MCS and CICS. I pride myself on my exceptional communication and research skills, which have been instrumental in delivering high-quality documentation in fast-paced environments.
Prior to my current position, I served as a Customer Service Trainer at LuckyVitamin, where I trained new representatives on best practices and operational tools. My proactive approach to problem-solving and commitment to process improvements contributed to exceeding sales goals and enhancing team efficiency. I am passionate about leveraging my experience in case management and customer service to make a meaningful impact in the healthcare industry.
Sign up now and join over 100,000 remote workers who receive personalized job alerts, curated job matches, and more for free!

Sign up now and join over 100,000 remote workers who receive personalized job alerts, curated job matches, and more for free!

Work history, roles, and key accomplishments
AmeriHealth Caritas Family of Companies
Nov 2019 - Present (6 years)
Managed and resolved member grievances and appeals via phone and written correspondence, adhering to CMS regulations. Researched and analyzed inquiries using internal databases, Medicare guidelines, and organizational procedures, while drafting accurate, timely, and comprehensive written responses to ensure clarity and regulatory compliance.
LuckyVitamin
May 2015 - Aug 2019 (4 years 3 months)
Trained new customer service representatives on best practices, communication techniques, and operational tools. Resolved complex customer issues promptly and effectively to ensure high satisfaction rates, and identified and implemented process improvements to boost team efficiency and service quality.
Degrees, certifications, and relevant coursework
Bachelor of Science, Psychology
Currently pursuing a Bachelor of Science in Psychology. Expected to graduate in 2024.
High School Diploma, General Studies
Completed high school education and received a High School Diploma.
Software and tools used professionally
You can contact livy and 90k+ other talented remote workers on Himalayas.
Message livySarah Pagano
Elite Health Advocate, UnitedHealth Group
Teja Johnson
Transplant Claims Adjuster III, Elevance Health
Tiffany Montoya
Appeals Analyst, Blue Cross Blue Shield Ins
Cierra Sheppard
Bank Sales, USAA
Kadiatou Barry-Sow
Quality Analyst, Grievances & Appeals, Aetna/CVS Health
Shanean Gamble
Appeals and Grievance Coordinator, Optum
Janniessea Stewart
Senior Member Service Representative, Anthem
michael-anthony Spearman
Content Creator, The Big Fashion Guy, LLC
James Mcniff
Grievance and Appeals Rep 3, Humana
lakeshia mccoy
Appeals & Grievance Manager, UnitedHealthcare