Appeals Specialist – CGS Admin

CGS Administrators, LLC

Appeals Specialist performing non-medical reviews and processing redetermination letters at BlueCross BlueShield of South Carolina. Ensuring timeliness and accuracy in reviews and documentation.

Posted 7/14/2026full-timeRemote • North Carolina • 🇺🇸 United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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

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

Highest-signal resume keywords

Word Processing ProficiencySpreadsheet Software ProficiencyOrganizational SkillsCustomer Service SkillsWritten and Verbal Communication Skills

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Soft Skills

Excellent Organizational SkillsGood Judgment Skills

Tools & Technologies

Microsoft Office

Industry Keywords

Non-Medical ReviewsRedetermination LettersUnit ReportsWorkload AnalysisDocumentation Preparation

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 letters 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