Location: Detroit, Michigan
Posted On: 6/7/2017
Job Code: 3456_Att_DT
Job Description
Candidates should have the following skills and attributes:
- be computer savvy, having the ability to navigate multiple computer systems and databases.
- ability to retain and recall large amounts of information.
- be analytical, having the ability to examine a matter, the facts, contextual information and make an informed decision or implement and execute a reasonable, rational resolution.
- have the ability to work with a sense of urgency
- have strong letter writing and proofreading skills
- have high attention to detail
- have high regard for quality work, accuracy, and confidentiality
- have previous customer service experience
- have the ability to use and apply previous experiences and knowledge when encountering new or unfamiliar situations
- professional in conduct and appearance
- ability to work independently or with minimal oversight

• Analyze and research cases, applying critical thinking, independent judgment, and business sense to make final determinations on appeals and provide comprehensive responses within regulatory timeframes. Responsible for handling & responding to customer issues involving sensitive or highly visible issues, such as organ transplants, and referrals received from the Office of Financial and Insurance Regulation (OFIR), News Media, Better Business Bureau, etc. Conduct managerial-level conferences (MLCs) with members/providers and their representatives for client underwritten products, client Life, and MESSA.
• Troubleshoot and recommend/implement solutions evolving from appeal/MLC cases. Handle sensitive cases received from Legislative Offices and be a liaison to Governmental Affairs. Monitor the President's and Grievance hot-lines and respond to those complaints.
• Support Regulatory Affairs by providing information/answering case questions that will assist that area in defending client's position at hearings and external reviews conducted by the Insurance Commissioner. Attend Administrative Law Judge hearings, testifying as an expert witness. Assist the Office of the General Counsel in litigation cases and by testifying in court.

Education Level:
Bachelor Degree.
Category:Non-IT  code:new
Job Requirements

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Contact Details
Nidhi Gupta
E-mail Address