Appeals Specialist – CGS Admin

CGS Administrators, LLC

Appeals Specialist performing non-medical reviews, processing redetermination letters at BlueCross BlueShield of South Carolina. Joining a dynamic team with secure, community roots.

Posted 6/30/2026full-timeNashville • Tennessee • 🇺🇸 United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates proficiency in Microsoft Office, particularly in word processing and spreadsheet software, while ensuring accuracy and timeliness in processing documentation and reports. Strong organizational and communication skills are essential for effective customer service and handling administrative requests.

Highest-signal resume keywords

Microsoft Office ProficiencyWord Processing SkillsSpreadsheet Software SkillsOrganizational SkillsCustomer Service Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Word ProcessingSpreadsheet SoftwareDocumentation PreparationData AnalysisReport Preparation

Soft Skills

Organizational SkillsWritten Communication SkillsVerbal Communication SkillsGood Judgment Skills

Certifications & Qualifications

High School Diploma or Equivalent

Industry Keywords

Non-Medical ReviewsRedetermination LettersWorkload AnalysisLegal InquiriesAdministrative Requests

About the role

Key responsibilities & impact

Performs non-medical reviews and processes redetermination letters ensuring timeliness and accuracy
Prepares unit reports, analyzes and interprets workload, and processes issues utilizing various software tools
Updates letter's and documents within the department when necessary
May gather and prepare documentation for legal inquiries and administrative requests

Requirements

What you’ll need

Required Education: High School Diploma or equivalent
Required Work Experience: 2 years job related field
Required Skills and Abilities: Demonstrated proficiency in word processing and spreadsheet software
Excellent organizational, customer service, and written and verbal communication skills
Good judgment skills
Proficiency in spelling, punctuation, and grammar skills
Required Software and Tools: Microsoft Office

Benefits

Comp & perks

Subsidized health plans, dental and vision coverage
401k retirement savings plan with company match
Life Insurance
Paid Time Off (PTO)
On-site cafeterias and fitness centers in major locations
Education Assistance
Service Recognition
National discounts to movies, theaters, zoos, theme parks and more