Senior Insurance Appeals & Member Resolution Specialist

University Health System; San Antonio; Presencial; CLP 20.000.000 - 40.000.000; Jornada completa

Descripción de la vacante

A healthcare organization in San Antonio, Chile, is seeking a candidate with comprehensive knowledge of insurance products and experience in managed care. The position involves resolving inquiries and complaints from members, ensuring timely resolution, and providing assistance during member walk-ins. A Bachelor's degree in business or health care is required, along with relevant work experience in the health insurance industry.

Formación

• At least one year of experience in the managed care industry is required.
• Minimum of four years’ experience in health insurance or customer service industry can be substituted for education.
• Complaints and appeals resolution or quality improvement management experience is also preferred.

Responsabilidades

• Comprehensive knowledge of all Community First insurance products.
• Specializes in Marketplace inquiries and complaints.
• Ensures all members' inquiries, complaints and appeals are acknowledged and resolved.

Educación

Bachelor’s degree in business, health care or related field

Descripción del empleo

A healthcare organization in San Antonio, Chile, is seeking a candidate with comprehensive knowledge of insurance products and experience in managed care. The position involves resolving inquiries and complaints from members, ensuring timely resolution, and providing assistance during member walk-ins. A Bachelor's degree in business or health care is required, along with relevant work experience in the health insurance industry.