Senior Analyst, Regulatory Complaints
New
Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas and Virginia.Full-TimeSenior
Salary34.39 - 50.16 USD per hour
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Job Details
- Experience
- 3+ years of experience in health insurance customer service, claims, appeals, or Regulatory team; 2+ years of experience working with regulators
- Required Skills
- Customer service
Requirements
- 3+ years of experience in health insurance customer service, claims, appeals, or Regulatory team.
- 2+ years of experience working with regulators.
- Experience resolving health insurance claims and appeals (preferred).
- Experience with the individual market health insurance plans (preferred).
- Experience working cross-functionally with internal business partners (preferred).
Responsibilities
- Research and resolve regulatory complaints.
- Support identification of escalated issues by using Oscar processes.
- Partner with leadership to share trends related to complaints received while proposing solutions to prevent recurrence.
- Advise teammates on potential solutions to current regulatory complaints.
- Develop successful relationships with state insurance regulators.
- Ensure compliance with all applicable laws and regulations.
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