Sr. Analyst, Regulatory Complaints
Skills
AppealsBusinessCustomer ServiceHealth InsuranceInsuranceInsurance ClaimsLeadership
What the job involves
The main requirements, responsibilities and hiring steps.
Requirements
- 3+ years in health insurance customer service claims appeals or regulatory work
- 2+ years working with regulators
- Experience with compliance laws and regulations
- Ability to research and resolve complex complaints
- Strong written communication for regulatory responses
- Ability to collaborate cross-functionally with internal teams
Nice to have
- Analytical
- Detail-oriented
- Collaborative
- Relationship builder
- Proactive
Day to day
- Investigate and resolve regulatory complaints from members, providers, and state DOIs with care and precision.
- Research complaint details thoroughly, identify recurring issues and trends, and prepare clear written responses for regulators.
- Partner closely with internal teams and leadership to recommend solutions that prevent repeat complaints and strengthen compliance.
Hiring process
- Apply online
- Interview process with Oscar recruiting team
- Additional interviews with hiring team