Health Insurance Appeals Analyst I (Temp)

North Carolina Utilities Commission; Raleigh (NC); Sur place; USD 29 000 - 40 000; Plein temps

Avantages offerts par ce poste

HDHP health insurance (temporary staff

Résumé du poste

The Department of Insurance in Raleigh, NC seeks an Insurance Consumer Analyst I (S) for a temporary assignment in Wake County. The role provides consumer assistance on health insurance questions, denials, and external review processes, with typical hours 8am–5pm, Monday through Friday.

Requires a bachelor’s degree in business or economics and one year of relevant experience, or an equivalent combination. The position offers a $25.00 hourly rate and HDHP health coverage eligibility for temporary

Qualifications

• Bachelor’s degree in business or economics or related program.
• One year of experience in insurance underwriting, claims, or policyholder service.
• Equivalent combination of training and experience.

Responsabilités

• Provide counseling to consumers with questions about their insurer’s utilization review or appeal processes.
• Research and develop consumer medical appeals and file appeals with the insurer on the consumer's behalf.
• Ensure timeframes for medical appeals and external reviews are met, in compliance with statutes.

Connaissances

Consumer counseling

Medical appeals

External review knowledge

Formation

Bachelor's degree in business or economics

1 year experience in insurance underwriting/claims or policyholder service

Description du poste

The Department of Insurance in Raleigh, NC seeks an Insurance Consumer Analyst I (S) for a temporary assignment in Wake County. The role provides consumer assistance on health insurance questions, denials, and external review processes, with typical hours 8am–5pm, Monday through Friday.

Requires a bachelor’s degree in business or economics and one year of relevant experience, or an equivalent combination. The position offers a $25.00 hourly rate and HDHP health coverage eligibility for temporary