Customer Service Grievance Specialist

Detroit Wayne Integrated Health Network

Customer Service Grievance Specialist managing DWIHN's grievance process for compliance with regulations and state mandates. Collaborating with internal and external parties to address and resolve grievances.

Posted 8/2/2026full-timeRemote • Detroit • Missouri • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in grievance process management, compliance monitoring, and customer service within healthcare or social work settings. Proficient in data analysis, report preparation, and training development related to grievance protocols.

Highest-signal resume keywords

Grievance Process ManagementCustomer Service ExperienceData AnalysisReport PreparationConflict Resolution

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Grievance Process DevelopmentCompliance MonitoringData ReportingTraining Module DevelopmentTechnical Assistance on Grievance Protocols

Soft Skills

CollaborationCommunicationProblem-Solving

Certifications & Qualifications

Bachelor’s Degree in Social WorkBachelor’s Degree in PsychologyBachelor’s Degree in Healthcare AdministrationBachelor’s Degree in Health ManagementBachelor’s Degree in Business AdministrationBachelor’s Degree in Conflict Resolution

Industry Keywords

Dispute ResolutionMember RelationsHealthcare ComplianceGrievance TrackingCustomer Service

About the role

Key responsibilities & impact

Assures that DWIHN’s grievance process is carried out in accordance with regulations, mandates, and contracts.
Assists with the development of grievance process and procedures.
Provides applicable Customer Service information, referral, and linkage.
Provides oversight of telephone and walk-in inquiries.
Assists with monitoring the grievance process for compliance.
Collaborates and coordinates with various entities to ensure issues are addressed.
Maintains the reporting mechanism for tracking complaints and grievances.
Assists in the review and analysis of grievance data for reporting trends.
Assists in preparation of reports on grievance activity.
Provides technical assistance on grievance protocols.
Develops grievance training modules.
Maintains educational materials related to grievances.
Attends meetings related to grievance activities.

Requirements

What you’ll need

A Bachelor’s Degree in Social Work, Psychology, Healthcare Administration, Health Management, Business Administration, Conflict Resolution or a related field.
Four (4) years of full-time paid experience in complex cross-functional dispute resolutions or enrollee/member relations.
Four (4) years of full-time paid experience in a member facing Customer Service position.
A valid State of Michigan Driver’s License with a safe and acceptable driving record.

Benefits

Comp & perks

DWIHN requires proof of being fully vaccinated for COVID-19 as a condition of employment.