Horizon Blue Cross Blue Shield of New Jersey
Complaint Res Analyst
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Job Description
- Req#: 2019-10771
Employer Industry: Health Insurance
Why consider this job opportunity:
- Salary up to $67,095
- Comprehensive health benefits including Medical, Dental, and Vision
- Generous Paid Time Off (PTO) and paid volunteer time off
- Opportunities for career advancement and growth within the organization
- Incentive plans and tuition reimbursement available
- Supportive and inclusive work environment
What to Expect (Job Responsibilities):
- Research, investigate, and coordinate resolutions to member and/or provider complaints
- Utilize IMAC database to extract complaint information and maintain tracking logs
- Ensure complaint resolutions meet state timing requirements for compliance
- Compile monthly and quarterly statistical reports based on gathered data
- Write complaint resolution letters to physicians and members
What is Required (Qualifications):
- High School Diploma or GED required
- Minimum of 2 years of customer service or healthcare experience
- Knowledge of healthcare delivery systems
- Proficiency in using PCs and related software
- Strong verbal and written communication skills
How to Stand Out (Preferred Qualifications):
- Familiarity with state and federal regulations related to healthcare
- Strong analytical and logical thinking skills
- Excellent conflict resolution and customer service skills
- Focus on quality and attention to detail
#HealthInsurance #CustomerService #CareerOpportunity #CompetitivePay #BenefitsPackage
"We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."About the company
Horizon BCBSNJ offers affordable New Jersey healthcare and health insurance for individuals, families and employers. Find cheap NJ health insurance quotes online from Horizon BCBSNJ website, an independent licensee of the BCBS Association.
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