Appeals and Grievances Intake Representative

SummaCare is a Summa Health entity that offers health insurance in northern Ohio. As a regional, provider-owned health plan, SummaCare is based in Akron, Ohio, and provides Medicare Advantage, individual and family and commercial insurance plans. SummaCare has one of the highest rated Medicare Advantage plans in the state of Ohio, with a 4.5 out of 5-Star rating for 2025 by the Centers for Medicare and Medicaid Services (CMS). Known for its excellent customer service and personalized attention to members, SummaCare is committed to building lasting relationships. Employees can expect competitive pay and benefits. The Appeals & Grievances Intake Representative creates and prepares grievance and appeal (G&A) files for investigation. Ensures Member and provider G&A communications are delivered on time, per CMS regulations, via written letter, email, telephone call and fax. Informs Members and Providers that call the Appeals and Grievance Department by relaying timeframes, Plan decisions and other information specific to the Plan's processing of Appeals and Grievance work.