The Senior Appeals Analyst reviews inquiries, documents, investigates, and coordinates grievances and appeals. Ensures compliance with organizational and regulatory requirements and coordinates resolution with internal/external parties.
Requirements
- Review inquiries to determine if they meet the definition of an appeal/grievance.
- Request and review all related relevant documentation and assemble case file.
- Coordinate resolution results and relay investigative results with all involved parties.
- Participate in workgroup meetings to address trends in appeals and grievances.
Benefits
- Generous Paid Time Off
- 401k Matching
- Tuition Reimbursement
- Health Insurance
- Paid Holidays
- Life Insurance
- Short-Term Disability Insurance