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A leading technology and consulting firm seeks a Case Analyst II to operate in a fully remote capacity, supporting case analysis and data reconciliation for health insurance. Candidates should possess a Bachelor’s Degree or equivalent experience and demonstrate data analysis skills along with strong customer service. Flexibility and attention to detail are critical as analysts will handle unique cases requiring thorough examination. Benefits include training and potential bonuses based on performance.
The Case Analyst II plays a significant role on a fully remote team supporting case analysis and reconciliation of data from the health insurance exchange. As a Case Analyst II, you will collect and reconcile data from several proprietary data sources and follow defined standard operating procedures to remediate cases for both consumers and health insurance issuers. It is essential that each Case Analyst II be able to work independently, maintaining the confidentiality of the information they encounter. A Case Analyst II must be flexible and engaged to meet daily expectations and adapt to changes regarding casework. A successful candidate will be proactive, exercise good judgment, and demonstrate initiative, as most cases will be unique and require extreme attention to detail. Training includes a two-week instructor-led virtual course followed by a one-week job shadow. Analysts completing 30 days of employment and remaining in good standing will receive a bonus. Analysts who stay for the duration of the assignment and remain in good standing will receive a second bonus.
Utilize data analysis experience and skills for research, remediation, case management, and troubleshooting to support American consumers who get their health insurance through the FFE.
Demonstrate exceptional customer service skills when speaking with consumers via a cloud-based telephony solution to gather information needed to adjudicate their case and inform them of the outcome.
Contribute to workflow investigations, business procedures, and process improvements.
Perform your duties in a dedicated secure area within your residence.
Work within a coordinated team but be individually responsible to triage, adjudicate, and, when necessary, escalate consumer dispute cases requiring advanced subject-matter expertise.
Work a continuous eight (8) hour shift between 8:00 AM and 8:00 PM Eastern Time, Monday through Friday.
Bachelor’s Degree or equivalent OR 4 years of relevant experience in lieu of degree.
Experience following defined processes or assignments.
Must be a US Citizen or Authorized to work in the US and a resident of the US for at least 3 years within the last 5 years.
Candidates that do not meet the required qualifications will not be considered.
Proficient in the use of MS Office including Word, Excel, PowerPoint, and Outlook
Experience with complex data analytics and advanced problem solving
Able to work in a fast-paced environment
Able to remain engaged in a remote environment
Good written and oral communication skills
Able to work in a deadline-driven environment
Able to work overtime as required
Leadership may assign additional duties within the scope of the project.
Compensation ranges for ASM Research positions vary depending on multiple factors, including location, skill set, level of education, certifications, client requirements, contract-specific affordability, government clearance and investigation level, and years of experience. The compensation displayed for this role is a general guideline based on these factors and is unique to each role. Monetary compensation is one component of ASM's overall compensation and benefits package for employees.
It is the policy of ASM that an individual's race, color, religion, sex, disability, age, sexual orientation, gender identity, veteran status, or national origin are not and will not be considered in any personnel or management decisions. We affirm our commitment to these fundamental policies. All recruiting, hiring, training, and promoting for all job classifications is done without regard to race, color, religion, sex, veteran status, disability, gender identity, or age. All decisions on employment are made to abide by the principle of equal employment.
The physical requirements described in the Knowledge, Skills and Abilities section are representative of those which must be met by an employee to successfully perform the primary functions of this job. Reasonable accommodations may be made to enable individuals with qualifying disabilities, who are otherwise qualified, to perform the primary functions.
The preceding job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.