Prepares, analyzes and evaluates written correspondence such as complaints, grievances, document demands, alleged ERISA violations and researches to resolve problems and close outstanding issues at the state or enterprise level.
Conducts research and analysis, recommends appropriate course of action and next steps.
Performs fact checking, gathers documents, researches and responds to records requests, and various inquiries from internal and external sources, coordinates investigative and discovery activities specific to Grievance and Appeal functions.
Assists with compliance issues as needed.
Participates on projects and may participate in strategizing with business and staff.
Enters information as required into appropriate databases or other document management systems.
May serve as a resource to other support staff.
Respond promptly and effectively to inquiries from the CEO and her executive leadership team, ensuring clear communication with social media and public relations.
Analyze and evaluate inquiries, complaints, and reports to recommend appropriate actions, ensuring high-quality resolutions.
Manage and engage with social media communications, ensuring timely and appropriate responses that align with company standards.
Prepare and organize comprehensive case research, documentation, and notes for management review and strategic planning.
Conduct thorough research to recommend feasible solutions and next steps for complex issues, aiding in strategic decision-making.
Assist with fact-checking and documentation for investigative and discovery processes, supporting both internal and external legal counsel.
Facilitate premium service delivery for escalated customer complaints, maintaining end-to-end ownership of each escalation.
Communicate empathetically and professionally with stakeholders, including executive-level associates, to ensure understanding and effective issue resolution.
Employ active listening skills to accurately comprehend and dissect complex issues, coordinating necessary escalations.
Conduct refresher training sessions on common queries and update internal resources to reflect current protocols and standards.
Act as a bridge between business units and customers to determine optimal resolution paths, enhancing stakeholder satisfaction.
Provide regular updates on escalation progress to all relevant parties, keeping stakeholders informed.
Requirements
Requires a HS diploma or equivalent and a minimum of 5 years of related experience; or any combination of education and experience which would provide an equivalent background.
BA/BS in a related field is preferred.
Passion for delivering exceptional customer service and support.
Confident and resourceful problem-solver with the ability to propose and implement solutions.
Benefits
merit increases
paid holidays
Paid Time Off
incentive bonus programs (unless covered by a collective bargaining agreement)
Program Control Analyst managing financial tracking and reporting for government contracts. Collaborating with teams to support decision - making and ensuring compliance with financial requirements.
Student providing IT support for Deutsche Börse’s trading and clearing platforms. Involves ticket creation, administrative support and telephony assistance in a hybrid role.
Analista de Tesorería y Cobranzas en MAPFRE responsable de pagos internos y externos. Gestión de saldos, elaboración de flujo de caja, y eficiencia en cobranzas.
Administrative Analyst supporting business organization and data analysis for global projects. Collaborating with communication activities and improving organizational processes.
IT Support Analyst focusing on VMware and Azure Virtual Desktop management at Stefanini. Collaborating globally to enhance business solutions while prioritizing innovation and technology.
Financial Analyst managing cash flow projections and financial operations for Dafiti's treasury department. Collaborating on strategic projects and leading financial evaluations.
Foreign Trade Analyst responsible for customs compliance and data management within the region. Collaborating with engineering teams to identify process improvements and ensure adherence to regulations.
Foreign Trade Analyst ensuring compliance with customs laws and export controls in daily operations. Collaborating with teams to enhance data utilization and reporting processes.
Enterprise Application Analyst providing support for shared applications across the business. Involves inventory, configuration, governance, and documentation of applications.
Board Certified Behavior Analyst providing ABA therapy at Golden Steps ABA. Developing programming and supervising staff while collaborating with treatment teams.