Complaint Resolution Analyst

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🔥 1 minute ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

💵 $50.1k - $67.1k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Analyst

🚫👨‍🎓 No degree required

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NJM Insurance Group

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1913

Insurance

NJM Insurance Group is a well-established insurance provider offering a range of personal and commercial insurance products. Their services include auto, homeowners, renters, condo, commercial auto, and business insurance, with a focus on exceptional customer satisfaction and claims experience. NJM is recognized for its outstanding auto claims experience by J. D. Power and is committed to serving customers in states like Connecticut, Maryland, New Jersey, Ohio, and Pennsylvania. The company prides itself on being straightforward and customer-focused, without jingles or mascots, offering trusted insurance solutions and multiple discount opportunities for various policies.

📋 Description

• Researches, investigates and coordinates resolution to member and/or provider complaints • Utilizes IMAC database to extract complaint information and tracking log • Ensures complaint resolutions meet State timing requirements to ensure compliance • Gathers data to compile monthly and quarterly statistical reports • Conducts extensive follow-up with internal areas • Writes complaint resolution letters to physicians and members • Reviews the complaint database report weekly and follow-up on outstanding issues • Completes and/or assist with monthly reporting requirements • Performs any other duties as assigned by management

🎯 Requirements

• High School Diploma/GED required • Requires 2 years customer service or health care experience • Requires knowledge of health care delivery systems • Requires knowledge of PC's and related software • Prefers knowledge of State and Federal regulations • Requires strong verbal and written communications skills • Requires strong analytical and logical thinking • Requires use of good grammar, diction and articulation • Requires good computer skills • Requires conflict resolution skills • Requires customer focus with excellent listening skills • Requires focus on quality.

🏖️ Benefits

• Comprehensive health benefits (Medical/Dental/Vision) • Retirement Plans • Generous PTO • Incentive Plans • Wellness Programs • Paid Volunteer Time Off • Tuition Reimbursement