Disability Claims Appeal & Complaints Analyst

AnalystAnalystFull TimeRemoteTeam 5,001-10,000H1B SponsorCompany SiteLinkedIn

Location

New York + 1 moreAll locations: New York, North Carolina

Posted

18 days ago

Salary

$50K - $65K / year

High School1 yr expEnglish

Job Description

• Analyst will handle appeals submitted on Disability (STD, LTD, Leave) products. • Review adverse claim life decisions within STD, LTD, State Leave product line. • Review claim files in depth and detail to determine if previous claim decision (adverse claim decision) was appropriate or if prior decision should be reversed. • Provide high level feedback on claim handling. • Handle appeals in line with job aids in place. • Responsible for reviewing regulatory & presidential complaints and providing responses to appropriate agency.

Job Requirements

  • Prior claim handling experience in fully and self-insured STD, LTD and State Leave lines of business.
  • Prior Appeal handling experience in fully/self insured STD, LTD, State Leave lines of business including decision letter writing.
  • Prior Complaint handling experience (regulatory, Sr. Officer, Presidential).
  • Contract review and interpretation.
  • Letter writing skills.
  • FINEOS experience is preferred
  • Microsoft office products Excel experience/knowledge PowerPoint experience

Benefits

  • medical
  • dental
  • vision
  • 401(k) plan
  • paid time off

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