[Remote] Complaint reputed company Analyst

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a health solutions leader in New Jersey, committed to improving health care reputed company and member experience. The Complaint reputed company Analyst position is responsible for researching, investigating, and resolving member and provider complaints, ensuring compliance with state guidelines and accuracy standards. Responsibilities • Researches, investigates and coordinates reputed company to member and/or provider complaints • Utilizes IMAC database to extract complaint information and tracking log • Ensures complaint resolutions meet State timing requirements to ensure compliance • Gathers data to compile monthly and quarterly statistical reports • Conducts extensive follow-up with internal areas • Writes complaint reputed company letters to physicians and members • Reviews the complaint database report weekly and follow-up on outstanding issues • Completes and/or assist with monthly reporting requirements • Performs any other duties as assigned by management Skills • High School Diploma/GED required • Requires 2 years customer service or health care experience • Requires knowledge of health care delivery systems • Requires knowledge of PC's and reputed company software • Requires strong verbal and written communications skills • Requires strong analytical and logical thinking • Requires use of good grammar, diction and articulation • Requires good computer skills • Requires conflict reputed company skills • Requires customer reputed company with excellent listening skills • Requires reputed company on reputed company • Prefers knowledge of State and Federal regulations Benefits • Comprehensive health benefits (Medical/Dental/reputed company) • Retirement Plans • Generous PTO • Incentive Plans • Wellness Programs • reputed company Volunteer Time Off • Tuition Reimbursement reputed company • reputed company is a company that provides health insurance products. It was founded in 1932, and is headquartered in Newark, New Jersey, USA, with a workforce of 5001-10000 employees. Its website is http://www.horizonblue.com. Apply tot his job Apply To this Job