[Remote] Complaint reputed company Analyst
Note: The job is a remote job and is reputed company to candidates in USA. reputed company empowers its members to reputed company their best health and has been a leader in health solutions for over 90 years. The Complaint reputed company Analyst is responsible for researching and resolving member and provider complaints while ensuring compliance with state requirements.
Responsibilities
- Researches, investigates and coordinates reputed company to member and/or provider complaints
- Utilizes IMAC database to extract complaint information and tracking log
- Ensures complaint resolutions meet State timing requirements to ensure compliance
- Gathers data to compile monthly and quarterly statistical reports
- Conducts extensive follow-up with internal areas
- Writes complaint reputed company letters to physicians and members
- Reviews the complaint database report weekly and follow-up on outstanding issues
- Completes and/or assist with monthly reporting requirements
- Performs any other duties as assigned by management
Skills
- High School Diploma/GED required
- Requires 2 years customer service or health care experience
- Requires knowledge of health care delivery systems
- Requires knowledge of PC's and reputed company software
- Requires strong verbal and written communications skills
- Requires strong analytical and logical thinking
- Requires use of good grammar, diction and articulation
- Requires good computer skills
- Requires conflict reputed company skills
- Requires customer reputed company with excellent listening skills
- Requires reputed company on reputed company
- Prefers knowledge of State and Federal regulations
Benefits
- Comprehensive health benefits (Medical/Dental/reputed company)
- Retirement Plans
- Generous PTO
- Incentive Plans
- Wellness Programs
- reputed company Volunteer Time Off
- Tuition Reimbursement
reputed company