Analista de Planejamento Comercial na Comerc Energia, apoiando a definição e execução de estratégias comerciais. Colaborando com áreas internas para otimizar vendas e resultados.
About the role
- Grievance/Appeals Analyst I at Elevance Health reviewing and processing non-complex grievances and appeals. Collaborating in a hybrid environment for a healthcare-focused company.
Responsibilities
- Reviews, analyzes and processes non-complex grievances and appeals
- Utilizes guidelines and review tools to conduct extensive research
- Analyzes and renders determinations on assigned non-complex grievance and appeal issues
- Serves as a liaison between grievances & appeals and medical management, legal, and operational departments
Requirements
- HS diploma or GED
- Minimum of 3 years experience working in grievances and appeals, claims, or customer service
- Demonstrated business writing proficiency
- Understanding of provider networks
- Knowledge of the medical management process
- Familiarity with claims process
- Understanding of the company's internal business processes and technology
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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