Case Processing Specialist I

ASM Research • Remote,

8h • Remote

About The Position

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 be part of a team responsible for collecting and reconciling data from several proprietary data sources, and for following defined standard operating procedures to remediate cases for both consumers and health insurance issuers. Each Case Analyst II must be able to work independently and maintain the confidentiality of the information they encounter. A Case Analyst II must be flexible and engaged to meet daily expectations and adapt to changes in casework. It is imperative that a successful candidate be proactive, exercise good judgment, and demonstrate strong initiative, as most cases will be unique in nature and require close attention to detail. Training consists of a two-week, instructor-led virtual training course followed by a one-week job shadow. Analysts who complete 30 days of employment in good standing will receive a bonus. Analysts who remain through the duration of the assignment in good standing will receive a second bonus.

Requirements

• Associates Degree OR High School Diploma/GED and 2 years of relevant experience.
• Must be a US Citizen.

Nice To Haves

• Experience following defined processes or assignments.
• Proficient in the use of MS Office including Word, Excel, PowerPoint, and Outlook.
• Experience with complex data analytics and advanced problem solving.
• Ability to work in a fast-paced, deadline-driven environment.
• Ability to remain engaged in a remote work environment.
• Strong written and oral communication skills.
• Ability to work overtime as required.

Responsibilities

• Utilize data analysis experience and skills for research, remediation, case management, and troubleshooting to support American consumers who obtain health insurance through the Federally Facilitated Marketplace (FFM).
• Demonstrate exceptional customer service skills when speaking with consumers via a cloud-based telephony solution to gather additional information needed to adjudicate their case and to inform them of the outcome.
• Contribute to workflow investigations, business procedures, and process improvements.
• Perform duties in a dedicated, secure area within your residence.
• Work within a coordinated team while being individually responsible for appropriately triaging, adjudicating, and, when necessary, escalating consumer dispute cases that require advanced subject-matter expertise.
• Work an assigned shift within the hours of 8:00 AM–8:00 PM Eastern Time, Monday through Friday.
• Leadership may assign additional duties within the scope of the project.

Benefits

• Analysts who complete 30 days of employment in good standing will receive a bonus.
• Analysts who remain through the duration of the assignment in good standing will receive a second bonus.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree