Complaint Analyst Resume Sample
Kevin Jacobson
32180 Kunde Falls,
Houston,
TX
+1 (555) 265 0685
Work Experience
Senior Complaint Analyst
09/2016
-
PRESENT
Houston, TX
- Claims experience is required
- Experience that includes, Traditional claim platforms, products, and benefits; patient management; product or contract drafting; compliance and regulatory analysis; special investigations; provider relations; customer service or audit experience
- Initiate and coordinate investigations for complaints
- Prepare and deliver accurate reports as requested
- Demonstrated strong writing and communication skills; strong attention to detail and ability to multi-task; ability to learn and stay abreast of regulations pertinent to medical devices; and ability to function well as a member of the team and build relationships between areas of the organization
- Work comfortably with PC-based and network based programs, such as Microsoft Word, Excel, and various databases and ERP systems
- Work in conjunction and effectively communicate with various departments, including Product Support, R&D, Engineering, Sales, Marketing, Medical Affairs, Technical Service, and Customer Care
Complaint Analyst
10/2011
-
03/2016
Dallas, TX
- Conduct daily pre-response complaint analysis for mortgage origination, servicing, and RMDM to identify potential complaint trends and areas of potential fair and responsible banking risk. Work with U.S. Bank Home Mortgage, Customer Advocacy, and regulatory Compliance Specialists to provide guidance on complaint response content and determine if resolution is appropriate
- Meet deadlines related to complaint response timeliness per the U.S. Bank Customer Complaint Policy
- Participate in CAPA activities and act as CAPA task owner as required
- Updating and revising work instructions
- Prepare responses to customers
- Perform product complaint trending on all Coopersugical Products
- Coordinate all recall activities and related field actions for CooperSurgical and its subsidiaries
- Participate in Risk Assessments and Safety Reviews and manage risk by identifying product problem and safety issues through complaint data analysis
Complaint Tracking Analyst
03/2009
-
04/2011
Houston, TX
- Ensure timely complaint trending and reporting as per CooperSurgical Product Surveillance Procedure
- Identify and report any trend related to Coopersurgical products
- Experience that includes both HMO and Traditional claim platforms, products, and benefits; patient management; product or contract drafting; compliance and regulatory analysis; special investigations; provider relations; customer service or audit experience. Experience in research and analysis of claim processing. Experience in reading or researching benefit language in SPDs or COCs
- Analyze/audit coaching request coaching notes (notes document the agent’s required training after corrective action has been assigned following a complaint’s investigation) for quality, and provide feedback for improvement
- Utilizes an approved script to call members who have enrolled via UHC’s public web portal, to determine compliant application processes. Records findings within a case management tool
- Converses or corresponds with customer and other company personnel, such as sales representatives, marketing and/or engineering personnel, customer service, manufacturing personnel, and service and repair personnel, and examines records such as manufacturing records, design control records, distribution records, to obtain facts regarding customer complaints and returns
- Investigates medical device complaints and analyzes returned products for cause(s) of failure and reports on findings
- Related activities include, but are not limited to: Examination of returned product to determine accuracy and root cause of complaint; Consultation with appropriate Engineering personnel, as appropriate; Recommendation and implementation of changes based on failure analysis findings
- Uses sound judgment and independent thinking in decision making to determine whether a complaint is a reportable event under the appropriate regulations, and notifies the appropriate regulatory authorities as required; Convenes Clinical Review Board as appropriate
Education
Oregon State University
2004 - 2008
Bachelor's Degree in Related Field
Professional Skills
- Demonstrate a strong attention to detail with excellent follow up skills
- Strong relationship management skills and ability to collaborate effectively with others involved in complaint reviews
- Strong analytical and problem-solving skills, and the ability to quickly grasp and understand complex business and technical concepts
- Strong decision-making skills – able to make sound business decisions with sometimes limited information
- Demonstrated expert verbal and written communication skills required
- Strong interpersonal and communication skills both written and oral
- Strong written and verbal English and Spanish communication skills
How to write Complaint Analyst Resume
Complaint Analyst role is responsible for analytical, manufacturing, medical, english, reporting, retail, securities, training, database, auditing.
To write great resume for complaint analyst job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Complaint Analyst Resume
The section contact information is important in your complaint analyst resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:
- First and last name
- Telephone number
Work Experience in Your Complaint Analyst Resume
The section work experience is an essential part of your complaint analyst resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous complaint analyst responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular complaint analyst position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Complaint Analyst resume experience can include:
- Effectively manages workload to meet all deadlines and productivity goals
- Experience supporting manufacturing, packaging, and development operations is required
- Experience with systems and tools supporting analysis and reporting
- Strong understanding of financial products and services, specifically those related to mortgage and loss mitigation
- Experience working in Medical Devices field, preferable complaint management and vigilance
- Provide recommendations on how to improve complaint responses based on previous experiences and knowledge
Education on a Complaint Analyst Resume
Make sure to make education a priority on your complaint analyst resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your complaint analyst experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.
Additional details to include:
- School you graduated from
- Major/ minor
- Year of graduation
- Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.
Professional Skills in Complaint Analyst Resume
When listing skills on your complaint analyst resume, remember always to be honest about your level of ability. Include the Skills section after experience.
Present the most important skills in your resume, there's a list of typical complaint analyst skills:
- Strong verbal and written communication skills; active listening/ phone skills
- Detail orientation, organization, prioritization and multi-tasking skills
- Demonstrated experience in handling challenging conversations
- Willingness to learn new skills and work in a fast paced, frequently changing environment
- Work effectively with internal and external business contacts while conveying a proactive and positive attitude
- Investigative & analytical critical thinking skills
List of Typical Experience For a Complaint Analyst Resume
1
Experience For Analyst, Complaint Vigilance Resume
- Lead various projects within the department, and communicate effectively with all levels of management
- Prior experience with technical or scientific writing (publication, a research paper, etc.)
- Strong knowledge of GMP regulations, ICH and ISO guidelines is required
- Experience working in pharmaceutical, medical devices or other related or highly regulated industry is required
- Demonstrated knowledge and expertise in quality processes and regulatory requirements is required
- Creating a trusting, collaborative, and ethical work environment that positively contributes to employee engagement and retention
- Executing Complaint Management process in accordance to established procedures
- Participating in assigned projects towards desired business outcomes
- Promoting a work environment that challenges the status quo, leads and adapts to change, as well as creates significant positive changes in the workplace
2
Experience For Complaint Tracking Analyst Resume
- Checking your own work
- Tracking complaints in the process for closure
- Responding to Health Authority questions
- Processes product quality complaints and adverse events according to internal Standard Operating Procedures
- Processes serious product complaints according to internal Standard Operating Procedures
- Applies statistical methods for analyzing data to evaluate complaint and failure trends
- Keeps management team abreast of significant issues or developments identified during complaint handling activities and actions being taken to improve the situation, including complaint trends
3
Experience For Complaint & Appeal Analyst Resume
- Assists Purchasing with vendor quality issues, as appropriate
- Performs internal quality system audits, including product and/or process, for compliance to domestic and international regulations/standards and document results for management review, as assigned
- Reviews and approves CAPA activities and monitors the success and effectiveness of completed corrective actions to ensure that regulatory requirements are met, as assigned
- Ensures appropriate complaint classifications are assigned in our databases to allow precise trending for data analysis purposes
- Cultivate productive working relationships and proactively foster relationships with regulators to build QBE’s reputation
- Analyze trends to determine root cause of complaints, make recommendations to limit issues from reoccurring and escalate to senior management as appropriate
- 4) Responsible for coordination of all components of complaints including final communication to member for final resolution and closure
- 5) Identifies trends and emerging issues and reports on and gives input on potential solutions
- Provide feedback to case owners and functional areas on case logging as needed
4
Experience For Senior Complaint Analyst Resume
- Provide direction, training, support and implementation of quality initiatives for the department
- Develop and maintain complaint process documentation and provide cross-functional training
- Participate, facilitate, and/or support complaint investigations and resulting CAPA activities
- Develop and streamline complaint technical writing processes to aid in cycle time reduction
- Support technical investigation of customer returned nonconforming material
- Assist complaint intake group through review and verification of initial complaint coding
- Monitor field product performance through evaluation and trending of customer complaints and service calls
- Works independently to investigate and resolve complaints
5
Experience For Fair & Responsible Banking Complaint Analyst Resume
- Identifies and implements applicable corrective and preventative actions to facilitate complaint closure
- Confidently communicates with customer throughout investigation and resolution
- Identifies and alerts management to events with potential high business impact
- Experience that includes Medicare claim platforms, products, and benefits; patient management; product or contract drafting; compliance and regulatory analysis; special investigations; provider relations; customer service or audit experience
- Facilitate resolution process by monitoring response timelines and communicating with complaint handlers to promote streamlined and efficient investigation
- Create and manage training materials for new employees on consumer complaint system and provide support to ensure user-accessibility and understanding of system navigation
- Evaluate and implement needed technical changes by collaborating with Information Technology (IT) department and conducting maintenance procedures to resolve issues and ensure continuous system functionality
- Experience in Behavioral Health; Customer Service within Maricopa, AZ County is REQUIRED
- Strong knowledge of quality regulations and standards (21CFR820, ISO 13485, ISO 14971, and/or IVDD)
6
Experience For Hwa-complaint Analyst Resume
- 2) Identify and research all components within member complaints for all products and services
- 3) Triage incomplete components of complaints to appropriate subject matter expert within another business unit(s) for resolution response content to be included in final resolution response. ( )
- 6) Follow up to assure complaint is handled within established timeframe to meet company and regulatory requirements
- Experience that includes both HMO and Traditional claim platforms, products, and benefits; patient management; compliance and regulatory analysis; special investigations; provider relations; customer service or audit experience. 2-4 years experience as a medical assistant, office assistant
- Conduct review of company on-market regulated medical devices
7
Experience For QMS Complaint Quality Analyst Resume
- Identify, assess and track potential adverse events and/or field actions and escalate to Regulatory in a timely manner
- Support audits and/or inspections as needed
- Support product and process improvements to reduce complaints and cost of poor quality
- Provide support in the execution of field actions
- Provide management with status updates on assigned responsibilities and goals and escalates issues in a timely fashion
- Write and critically review quality documents for internal and external distribution (e.g., investigation reports, SCAR responses, product quality notifications) and provide support and training to colleagues completing similar documents
- Responsible for ensuring all required information for a complaint file is obtained and properly documented to make sound regulatory reporting decisions
- Responsible for the complaints regulatory reporting process (timely submissions, closure, health authority requests etc.)
- Participate and conduct tasks associated with rotational “monitor” activities of QA mailbox
8
Experience For Product Complaint Analyst Resume
- Knowledge of complaint management, product development (design controls, risk analysis, validation) and post-market sustaining / maintenance (change controls, risk management, manufacturing quality, supplier management)
- Evaluates all information from a clinical and technical perspective to ensure appropriate Analysis, Investigation, Root Cause, and Quality Engineering review is documented prior to complaint closure
- Set up complaint meetings and effectively communicate with worldwide complaint groups, as well as other internal departments such as Marketing, R&D, Customer Service and Technical Services
- Understands basic principles, theories, concepts and techniques related to customer complaints
- Escalate critical issues for proper disposition as necessary
- Ensure compliance with the company's Quality System policies and procedures and applicable external requirements and standards, including FDA, ISO 13485, CMDCAS, PMDA and other worldwide regulatory agencies, Johnson & Johnson Environmental, Health & Safety Practices, and other applicable standards as pertains to medical devices
- Support Product Analysis Evaluation if required
9
Experience For Complaint Intake & Case Documentation Manager Management Analyst Resume
- Collaborate with External Manufacturing Sites, Internal Manufacturing Sites, External Manufacturing QA, Business Quality, Medical Safety, R&D and other business partners to ensure the integrity, consistency, compliance, and alignment of the end-to-end complaint vigilance process
- Assist with various projects within the department, and communicate effectively with all levels of management
- Handle issues using deductive reasoning, critical analysis skills and systematic approaches is required
- Assist with developing training presentations for complaint vigilance process and systems and creation and updates of controlled documents
- Process serious product complaints according to internal Standard Operating Procedures
- Analyze data and perform periodic complaint trend analysis
- Perform complaint case review, trend analysis, return sample evaluation, malfunction coding, as applicable, investigation by manufacturing site and escalation, as appropriate
- Process serious product complaints according to internal Standard Operating Procedures, as appropriate
10
Experience For Senior Consumer Complaint Analyst Internal Resume
- Prepare and issue meeting minutes, ensure action items are completed
- Lead and develop training presentations for complaint vigilance process and systems and creation and updates of controlled documents
- Responsible for the complaints regulatory reporting process timely submissions, closure, health authority requests etc
- Ensure all relevant data for complaints are obtained and well documented in accordance with closure timelines
- Complete periodic product complaint trend analysis, Complaint Vigilance reports and presentations per established procedures
- Collaborates with Call Centers, Medical Safety, Marketing, Internal affiliates, External sites, and other business partners to ensure the integrity, consistency, compliance, and alignment of the end-to-end complaint vigilance process
List of Typical Skills For a Complaint Analyst Resume
1
Skills For Analyst, Complaint Vigilance Resume
- PC skills with Word, Excel, Power Point, and Internet capabilities
- Fluent command of verbal and written skills in English
- Effectively manages work & time to produce desired outcomes (time management)
- Handle multiple priorities/ sudden changes in priorities
- Experience in reading or researching benefit language
- Experience in reading or researching benefit language in SPDs or COCs. REQUIRED
- Efficiently manage multiple tasks with competing priorities and successfully meet all deadlines
- Customer Service experience (specifically working with claims, complaints and/or appeals) is REQUIRED
- Desirable demonstrated knowledge and understanding of GMPs, FDA regulations, Quality System Regulations (QSR), ISO 13485 requirements and Japan regulations
2
Skills For Complaint Tracking Analyst Resume
- Generally requires 2-4 years of related work experience
- Strong sense of ownership, urgency and work ethic
- Knowledge of Medical Devices (IVD´s). Excellent systems knowledge (instrument hardware as well as SW) is highly desired
- Proven ability to identify gaps and generate process improvement ideas
- Customer service/call center environment experience is required
- Able to multi-task and adequately deal with sudden changes in priorities
- Experience of GLP would be an advantage
- Working knowledge of insurance regulatory requirements
- Identify opportunities for continuous improvement by troubleshooting system issues, analyzing complaint content and organizing information to produce reports
3
Skills For Complaint & Appeal Analyst Resume
- Communicate by phone (listening & speaking)
- English proficiency in reading and writing
- Ensure complaints and servicing issues are properly coded to meet regulatory reporting requirements
- Advises management on potential recall decisions and assists Regulatory management with coordinating activities and reporting related to product recalls
- Develop and implement awareness and training throughout all business units regarding economic and trade sanctions to ensure compliance
- Current and possible future policies, practices, trends, technology and information affecting the business and organization; knows how the business works
4
Skills For Senior Complaint Analyst Resume
- Computer hardware and software to perform work tasks, conduct training
- Knowledge of the principles, practices and techniques governing management, organization, operations and programmatic services
- Review, action, and document root cause and resolution for customer complaints and servicing issues
- Identify and escalate trends and defects that have a potential legal, regulatory or servicing risks
- Provide coaching and feedback to Team Leaders and Complaints Handlers
- Knowledge and application of computer systems for word processing and complaint management
- Broad knowledge of Global Servicing Network processes
5
Skills For Fair & Responsible Banking Complaint Analyst Resume
- Knowledge of Medical Device Reporting is required
- Broad knowledge of Global Servicing Network processes desired
- Formal education in a technical, engineering or medical field is preferable
- IT-literate (MS Office applications, Internet browsing, e-mail)
- Analyze and synthesize information to form options and recommendations
- Maintain and troubleshoot tools and technologies
- Current knowledge of tools and technologies relevant to the line of work
- Principles and concepts related to the insurance industry
- Prepare weekly and monthly metrics for Quality Management Reviews and Operational Reviews such as trend charts, Pareto Analysis, etc., as required under the guidance of the area manager
6
Skills For Hwa-complaint Analyst Resume
- Coordinate and conduct Complaint Review Boards under the guidance of the area manager
- Coordination of Complaint Investigations for all WITS products
- Become subject matter expert
- Develop and implement improvements and programs
- Manage one's own time
- Utilize high attention to detail
- Understand basic consumer protection, banking regulations and applicable laws to identify and appropriately escalate complaints, defects and trends to business partners within Compliance, Global Servicing Network and the bank
- Ensure compliance with Complaints Management Policy and other legal/regulatory requirements
- Bilingual Spanish ability required
7
Skills For QMS Complaint Quality Analyst Resume
- Cannot be hesitant to speak with customers on the phone
- Highly self-motivated, organized, and professional, including the ability to work independently and partner effectively with others to achieve desired business results
- Or more of relevant experience that includes focus on customer experience
- Willingness to be “on call” periodically
- Intermediate to advanced level knowledge of MS Office applications (Microsoft Word, Excel, Outlook)
- Learn and work in multiple systems simultaneously
8
Skills For Product Complaint Analyst Resume
- Quickly establish credibility and trustworthiness with key stakeholders
- Analytical thinker with the ability to run analysis, assess impacts, identify trends, and draw correlations
- Influence without direct authority across all areas of the organization
- Work productively in both independent and collaborative settings in a virtual work environment
- Proficient in applicable policies and regulations for the process supported Proficient in MS Office
- Strong written and verbal communication skills – specifically with the ability to effectively communicate with individuals in a clear, concise & effective manner
9
Skills For Complaint Intake & Case Documentation Manager Management Analyst Resume
- Experience in medical device or other FDA regulated industry
- Knowledge of applicable quality, FDA (Food & Drug Administration) & ISO (International Organization for Standardization) requirements is required
- Proficient in applicable policies and regulations for the process supported
- Office environment. No travel required
- Understand customer requirements, retrieve relevant information, and provide responses satisfactorily and with immediacy is required
- Fluent English (both spoken and written) is essential,
- Team player with an ability to work across functions and cultures
- Results oriented - Able to work well in a fast-paced environment
- Knowledge of applicable quality, FDA (Food & Drug Administration); Medical Device Directives & ISO (International Organization for Standardization) requirements
10
Skills For Senior Consumer Complaint Analyst Internal Resume
- Experience that includes Traditional claim platforms, products and benefits; special investigations;or audit experience
- Able to work flexible hours as needed to support urgent business needs
- Experience that includes both HMO and Traditional claim platforms, products, and benefits; patient management; product or contract drafting; compliance and regulatory analysis; special investigations; provider relations; customer service; Strong Preference
- Experience that includes both HMO and Traditional claim platforms, products, and benefits; patient management; product or contract drafting; compliance and regulatory analysis; special investigations; provider relations; customer service or audit experience; Required
- Managed care experience or Medicaid knowledge; Required
- Experience that includes claim platforms, products, and benefits; patient management; product or contract drafting; compliance and regulatory analysis; special investigations; provider relations; customer service or audit experience
- Experience that includes both HMO and Traditional claim platforms, products, and benefits; patient management; product or contract drafting; compliance and regulatory analysis; special investigations; provider relations; customer service or audit experience
- Experience that includes both HMO and Traditional claim platforms, products, and benefits experience required
- Experience in researching benefit language in SPDs or COCs
List of Typical Responsibilities For a Complaint Analyst Resume
1
Responsibilities For Analyst, Complaint Vigilance Resume
- Experience in research and analysis of claim processing. REQUIRED
- Related work experience required
- Experience in the creation, update and management of complaint files from complaint identification through closure
- Experience in customer service & handling complaints
- Experience that includes both HMO and Traditional claim platforms, products, and benefits is REQUIRED
- Experience that includes both HMO and Traditional claim platforms, products, and benefits required
- Experience in member service/customer service required
- Processes non-serious product complaints according to internal Standard Operating Procedures
- Ensure compliance with the company’s Quality System policies and procedures and applicable external requirements and standards, including FDA, ISO 13485, CMDCAS, PMDA and other worldwide regulatory agencies and other applicable standards as pertains to medical devices
2
Responsibilities For Complaint Tracking Analyst Resume
- Evaluates and assigns complaints requiring investigation to sites
- Collaborates with internal and external sites to become familiar with product/manufacturing sites
- Monitors Complaint Records in PQMS to ensure standard process is being followed and complaints are closed as required
- Compile product and lot-specific complaint trending data and complaint closure metrics as requested. Supports ADPR, Monthly Signal Analysis and CVRBs
- Product complaint trending and analysis of medical device products
- Prepare product recall trending reports
3
Responsibilities For Complaint & Appeal Analyst Resume
- Serve as expert in statistical methodology for complaint trending
- Communicate with Quality Engineers, Manufacturing, R&D and management
- Prepare reports including status reports
- Prepares and issue meeting minutes, ensures action items are completed
- Develops and delivers training presentations for complaint vigilance process and systems
4
Responsibilities For Senior Complaint Analyst Resume
- Execute Medical Device Vigilance Decisions in accordance to MED DEV 2.12-1 and governing Medical Device Regulations for assigned business units
- Evaluate and triage complaints that arrive from external and internal sources
- Get more information from operations if needed
- Review and investigate assigned technical and clinically-based customer complaints. Document clear and robust investigation results per established procedures and timelines
- Support and coordinate product/process improvements through collaboration with cross-functional teams (Quality, Manufacturing, R&D, Supply Chain, Finance, etc.)
- Ensure compliance with the company's Quality System policies and procedures and applicable external requirements (FDA, ISO 13485, other worldwide regulatory agencies as pertaining to medical devices)
- Able to work with standard cleaning agents and solvents required for the cleaning and decontamination of returned samples
- Able to work with electromechanical systems, lasers, and intricate circuitry
- Performs review of complaint case to verify customer verbatim, lot number, subject coding, trend analysis, assignment of complaint to manufacturing site, review of manufacturing investigation and complaint closure as applicable, and escalate, as needed, in a timely manner
5
Responsibilities For Fair & Responsible Banking Complaint Analyst Resume
- Ensures all relevant data for complaints are obtained
- Collaborates with Call Centers, Medical Safety, Marketing, Internal affiliates, External sites, and other business partners to ensure appropriate complaint handling
- Reviews and summarizes completed complaint investigations
- Completes periodic product complaint trend analysis, Complaint Vigilance reports and presentations per established procedures
- Assists with various projects and activities related to Central Complaint Vigilance process and system implementations and improvements
- Supports internal and external audits and inspections as a Subject Matter Expert as needed
- Performs complaint case review, trend analysis, return sample evaluation, malfunction coding, as applicable, investigation by manufacturing site and escalation, as appropriate
6
Responsibilities For Hwa-complaint Analyst Resume
- Ensures all relevant data for complaints are obtained and well documented in accordance with closure timelines
- Leads in the completion of periodic product complaint trend analysis, and Complaint Vigilance reports and presentations per established procedures
- Leads various projects and activities related to Complaint Vigilance process and system implementations and improvements
- Supports internal and external audits and participates as Subject Matter Expert as needed
- Prepares and presents Complaint Vigilance data to QA Management and cross functional business partners
7
Responsibilities For QMS Complaint Quality Analyst Resume
- Creates and updates-controlled documents
- Submission of Medical Device manufacturer’s incident reports in accordance to timelines outlined in MED DEV 2.12-1 and governing Medical Device Regulations for assigned business units
- Show positive initiative and ability to deal with ambiguity; in team situations, coordinate issues with peers
- Interact positively with customers, patients, internal/external business partners and colleagues
- Achieve accuracy targets for complaint documentations
- Participate in projects and events
8
Responsibilities For Product Complaint Analyst Resume
- Conduct follow-ups with complainant, reporters
- Experience that includes both HMO and Traditional claim platforms, products, and benefits; patient management; product or contract drafting; compliance and regulatory analysis; special investigations; provider relations; customer service or audit experience
- Experience Traditional claim platforms, products, and benefits; patient management; product or contract drafting; compliance and regulatory analysis; special investigations; provider relations; customer service or audit experience
- Experience that includes both HMO and Traditional claim platforms, products, and benefits; patient management; product or contract drafting; compliance and regulatory analysis; special investigations; provider relations; customer service or audit experience. REQUIRED
- Desirable knowledge of computer applications (i.e.: Microsoft Word, Excel, PowerPoint, Access & Project, Windows, Visio, etc.)
- Experience that includes HMO, Traditional claim platforms, products, benefits, provider contracting, compliance, regulatory analysis, special investigations, provider relations, customer service and audit experience; required
- Strongly quality orientated
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