Sr. Analyst, Regulatory Complaints

New
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Oscar HealthHealth insurance
Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas and VirginiaFull-TimeSenior
Salary34.39 - 50.16 USD per hour
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Job Details

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 using Oscar processes.
  • Partner with leadership to share trends related to complaints and propose 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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34.39 - 50.16 USD per hour
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