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Massachusetts Appeals Analyst
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
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