Appeals and Grievance Analyst - Canton
Only for registered members Canton, United States
1 month ago
Job summary
The Member Appeals and Grievance Analyst is responsible for the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health.This individual works collaboratively with the member and/or the member's authorized representative to demonstrate superior customer service and benefit interpretation skills in all interactions.
The analyst prepares cases for presentation, discussion,
review
and final disposition at the Member Appeals Committee (MAC)
MEMBER APPEALS RECONSIDERATION COMMITTEE (MARC)
.Responsibilities include development
and coordination of all written documentation
Job description
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