fraud analystfraud analyst

Appeals and Grievances Experience for 1 year and 6mos: Determining and analyzing the root cause of a complaint towards a fair resolution. Communicate with member, providers and/or other departments through both verbal and written communication. Applying all relevant state, guidelines and regulations. Ensuring thorough investigation with documentations. Review, process and understand claim denials and payment error. Fraud Analyst Experience 8 mos : Demonstrate impact by analyzing transactions, i... See more