Accident and Health Insurance Specialist

A company is looking for a Grievance & Appeals Resolutions Specialist III. Key Responsibilities Ensure full resolution of HICS and CTM cases within regulatory timeframes Research and resolve discrepancies associated with membership eligibility Analyze operations and suggest process improvements for HICS and CTM case resolution Required Qualifications Associate Degree in business, finance, or related field preferred Minimum of three (3) years of customer service or claims experience required Prior experience in managed care or healthcare industry preferred Experience in enrollment, billing, finance, or data analysis preferred Current, unrestricted State Insurance License in Accident and Health required