GBD Ops Analyst
Core
Researching, analyzing, documenting, and coordinating the resolution of escalated and complex claims issues for a Health Plan.
Role type
GBD Operations Analyst
Builds
Resolved claims disputes and regulatory complaint responses
Domain
Health insurance claims operations
Deliverable
client delivery
Required skills
Claims research, Claims resolution, Regulatory complaint handling, System troubleshooting, State compliance updates
Preferred skills
GBD FACETS, Claims processing
Technologies
GBD FACETS
Responsibilities
Receiving and responding to state or federal regulatory complaints related to claims; Managing health plan dispute escalations; Quality review of various dispute outcomes; Managing complex system issues; Managing state updates
Seniority
Mid-level individual contributor
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