Case Processing Specialist III/Case Analyst II

Job Description

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 empowered to collect and reconcile data from several proprietary data sources and subsequently tasked with the responsibility to follow defined standard operating procedures to remediate cases for both consumers and health insurance issues. 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 any changes regarding casework. Furthermore, it is imperative that a successful Case Analyst II candidate be proactive, exercise good judgment, and demonstrate great initiative, as most of the cases they will be troubleshooting and resolving will be unique in nature and will necessitate extreme attention to detail.

Key Responsibilities:

• Utilize your data analysis experience and skills for research, remediation, case management, and troubleshooting to support American consumers who get their health insurance through the FFM.

• Demonstrate exceptional customer service skills when speaking with consumers via a cloud-based telephony solution to gather additional information needed to properly adjudicate their case as well as inform them of the outcome of their case.

• Be a contributor to workflow investigations, business procedures, and process improvements.

• Performyourduties in a dedicated secure area withinyourresidence.

• Work within a coordinated team but will be individually responsible to appropriately triage, adjudicate, and when necessary, escalate consumer dispute cases requiring advanced subject-matter expertise.

• Work between the hours of 8:00 AM and 8:00 PM Eastern Time MondaythroughFriday.

Required minimum qualifications:

• 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.

Candidates that do not meet the required qualifications will not be considered.

Preferred qualifications:

• 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

Compensation ranges for ASM Research positions vary depending on multiple factors; including but not limited to, 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.

EEO Requirements

It is the policy of ASM that an individual's race, color, religion, sex, disability, age, sexual orientation 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, disability, or age. All decisions on employment are made to abide by the principle of equal employment.

Physical Requirements

The physical requirements described in "Knowledge, Skills and Abilities" above are representative of those which must be met by an employee to successfully perform the primary functions of this job. (For example, "light office duties' or "lifting up to 50 pounds" or "some travel" required.) Reasonable accommodations may be made to enable individuals with qualifying disabilities, who are otherwise qualified, to perform the primary functions.

Disclaimer

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.

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EEO Requirements

It is the policy of ASM that an individual's race, color, religion, sex, disability, age, gender identity, veteran status, sexual orientation 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.