Agent Oversight Analyst

🔥 1 minute ago

🌲 North Carolina – Remote

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⏰ Full Time

🟢 Junior

🧐 Analyst

🚫👨‍🎓 No degree required

👻 Ghost score 12%

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Logo of TRANZACT

TRANZACT

1001 - 5000 employees

Founded 1997

TRANZACT is a company for which available information could not be retrieved from the provided source because the web application requires a JavaScript-enabled browser to display content. Based only on the input given (a loading/application message) there is insufficient publicly provided detail to describe the company's activities, products, services, or size with confidence. Further information or an alternative text source is needed to produce an accurate company description and to select applicable industries.

📋 Description

• Review, evaluate, and log incoming complaints and allegations from carriers, CMS/CTM channels, internal referrals, and sales leadership • Classify complaints by type, carrier, and priority • Identify duplicate or related cases and escalate high-risk matters • Analyze caseload and case mix to support assignment decisions • Monitor case aging and service-level adherence, flagging at-risk cases and root causes • Build and analyze reports on complaint volume, trends, case aging, and outcomes • Maintain dashboards and tracking tools; prepare materials for leadership and carrier discussions • Serve as point of contact for carriers, sales leadership, and investigators on case status and documentation • Monitor outstanding CAP and agent-response requirements, flagging non-response patterns and escalating unresolved items • Gather and organize investigation documentation, including lead data, audit findings, enrollment records, and call recordings • Identify information gaps • Support special projects and process improvements, including automation opportunities

🎯 Requirements

• High school diploma or equivalent; 1+ year in compliance, QA, operations, insurance, healthcare, or related field • Demonstrated ability to analyze data, identify trends, and use sound judgment • Strong Excel/Microsoft Office skills; ability to learn new systems quickly • Strong written/verbal communication; able to work independently with confidential information • Preferred: Medicare, healthcare, or insurance compliance experience • Preferred: Experience with Jira, QuickBase, Smartsheet, or similar systems • Preferred: Associate's/Bachelor's degree or relevant certification

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