Sr. Analyst, Regulatory Complaints

1 hour, 19 minutes ago
Full-time
Mid Level
Operations
Oscar

Oscar

Oscar is a health insurance company that offers plans for individuals, families, and small businesses. With a focus on humanizing health care through technology, design, and data, Oscar provides easy-to-understand bills, 24/7 access to doctors, and a p...

Insurance
1K-5K
Founded 2012

Description

  • Research and resolve regulatory complaints.
  • Support the identification of escalated issues using Oscar processes.
  • Partner with leadership to share complaint trends and propose solutions to prevent recurrence.
  • Advise teammates on potential solutions to current regulatory complaints.
  • Develop and maintain successful relationships with state insurance regulators.
  • Provide written responses to regulators regarding member and provider complaints.
  • Collaborate with internal business departments to resolve complaints.
  • Ensure compliance with all applicable laws and regulations.
  • Serve as a resource to teammates in complaint resolution.

Requirements

  • 3+ years of experience in health insurance customer service, claims, appeals, or a regulatory team.
  • 2+ years of experience working with regulators.
  • Experience resolving health insurance claims and appeals is preferred.
  • Experience with individual market health insurance plans is preferred.
  • Experience working cross-functionally with internal business partners is preferred.
  • Ability to work remotely from one of the listed eligible states.
  • Final offer amount is determined by relevant skills, education, and experience.

Benefits

  • Base pay of $38.22 - $50.16 per hour in New Jersey and New York, or $34.39 - $45.24 per hour in all other locations.
  • Eligible for employee benefits.
  • Monthly vacation accrual at a rate of 15 days per year.
  • Medical, dental, and vision benefits.
  • 11 paid holidays.
  • Paid sick time.
  • Paid parental leave.
  • 401(k) plan participation.
  • Life and disability insurance.
  • Paid wellness time and reimbursements.

Interested in this position?

Apply directly on the company website

Apply Now

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