Texas Licensed Appeals Analyst
Company: VirtualVocations
Location: Sacramento
Posted on: February 1, 2025
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Job Description:
A company is looking for an Appeals and Grievance Analyst who
will manage and coordinate member appeals and grievances in
compliance with regulations.
Key Responsibilities
Act as a member advocate by communicating the appeal and grievance
process
Manage member appeals and grievance cases from documentation to
resolution
Review and interpret product and benefit designs according to
regulatory requirements
Qualifications
Associates Degree or equivalent experience in health care or
conflict resolution
3-5 years of health care or insurance experience
Preferred knowledge of health care benefits and regulatory
requirements
Experience with insurance products, policies, and procedures is
preferred
Ability to work independently and collaboratively as part of a
team
Keywords: VirtualVocations, Yuba City , Texas Licensed Appeals Analyst, Professions , Sacramento, California
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