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Massachusetts Appeals Analyst

Company: VirtualVocations
Location: Mobile
Posted on: March 4, 2025

Job Description:

A company is looking for an Appeals and Grievance Analyst.



Key Responsibilities

Act as a member advocate by communicating the appeal and grievance process
Manage assigned member appeals and grievances, ensuring compliance with regulatory requirements
Review and interpret product and benefit designs across all lines of business


Qualifications

Associates Degree or equivalent experience in health care, conflict resolution, or a related field
3-5 years of health care or insurance experience
Health care benefit and regulatory knowledge preferred
Knowledge of insurance products, policies, and procedures preferred

Keywords: VirtualVocations, Mobile , Massachusetts Appeals Analyst, Professions , Mobile, Alabama

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