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Remote Grievance Analyst Jobs in Indiana (NOW HIRING)

ppgnhaik

HR Business Partner_Human Resources

Indianapolis, IN · On-site +1

$78K - $145K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... and analyze information, interview involved parties, and document findings. • Provide ... • Assist with grievance processes, corrective actions, and investigations involving union ...

BSI Prof Serv EHS West

Remote, UK or Europe About the role: We are looking for an Employee Relations Specialist to join ... Monitor and analyse employee relations trends and case data to identify opportunities for ...

BSI Group

Remote, UK or Europe About the role: We are looking for an Employee Relations Specialist to join ... Monitor and analyse employee relations trends and case data to identify opportunities for ...

All JobsGrievance Analyst JobsRemote Grievance Analyst JobsRemote Grievance Analyst Jobs in Indiana

Remote Grievance Analyst information

How does a remote grievance analyst typically collaborate with other departments to resolve member issues?

As a Remote Grievance Analyst, you’ll regularly coordinate with departments such as claims, customer service, and medical management to thoroughly investigate and resolve member grievances. Effective communication through virtual meetings, emails, and shared documentation is key to gathering the necessary information and ensuring all perspectives are considered. This collaborative approach helps to address member concerns efficiently and ensures compliance with regulatory requirements. Being proactive and detail-oriented will help you build strong working relationships and contribute to positive outcomes for both members and the organization.

What are the key skills and qualifications needed to thrive as a remote grievance analyst?

To thrive as a Remote Grievance Analyst, you need expertise in claims processing, regulatory compliance, and case management, typically supported by a bachelor's degree in a relevant field or equivalent experience. Familiarity with case management systems, health plan software, and knowledge of Medicaid/Medicare regulations is commonly required. Attention to detail, analytical thinking, and effective written communication are critical soft skills for investigating and resolving member or provider complaints. These skills are essential to ensure fair, timely resolutions, maintain compliance, and uphold member satisfaction in a remote work environment.

What is the difference between Remote Grievance Analyst vs Remote Customer Service Representative?

AspectRemote Grievance AnalystRemote Customer Service Representative
Required CredentialsTypically requires a bachelor's degree in HR, social sciences, or related fields; certifications in conflict resolution are a plusHigh school diploma or equivalent; customer service or communication certifications beneficial
Work EnvironmentPrimarily analytical, reviewing complaints, and resolving disputes within HR or legal frameworksDirect interaction with customers via phone, email, or chat to address inquiries and resolve issues
Employer & Industry UsageUsed mainly in HR, legal, or corporate compliance departmentsCommon across retail, tech, healthcare, and service industries

The main difference is that Remote Grievance Analysts focus on reviewing and resolving employee or customer complaints within HR or legal contexts, requiring analytical skills and specific certifications. In contrast, Remote Customer Service Representatives primarily handle direct customer interactions to solve issues, emphasizing communication skills. Both roles are remote but serve different functions within organizations.

What is a remote grievance analyst?

A Remote Grievance Analyst is a professional who reviews, investigates, and resolves complaints or grievances, often related to healthcare, insurance, or employee relations, while working from a remote location. They analyze cases, ensure compliance with relevant regulations and company policies, and communicate findings and outcomes to involved parties. This role typically requires strong analytical, communication, and problem-solving skills, as well as the ability to work independently. Remote Grievance Analysts play a key role in ensuring fairness and accountability in organizational processes.

What are popular job titles related to Remote Grievance Analyst jobs in Indiana?

For Remote Grievance Analyst jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Remote Grievance Analyst jobs in Indiana look for?

The top searched job categories for Remote Grievance Analyst jobs in Indiana are:

What cities in Indiana are hiring for Remote Grievance Analyst jobs?

Cities in Indiana with the most Remote Grievance Analyst job openings:

Remote Grievance Analyst jobs near you

Medicare Advantage Member Services Representative

SIHO Insurance Services

Columbus, IN • On-site, Remote

Full-time

Posted 11 days ago

Job description

Job Title: Medicare Advantage Member Services Representative 
Reports To: Manager, MytruAdvantage Customer Service

Our Vision
SIHO Insurance Services will be the premier healthcare delivery system administration company, known and respected for its Insurance high quality people, innovative products and outstanding services.

Location Requirement: This position is based in Columbus, IN and is not eligible for remote work or relocation. Candidates must reside in or be willing to commute to Columbus.

MTA Member Services

SIHO’s Member Services Representatives assist in creating an excellent experience for SIHO’s members and their providers. The primary responsibility of this position is to respond to member’s and providers inquiries. This position mainly responds to telephonic inquiries but may also be responsible for responding to written inquiries and assisting walk-in members. This is a non-exempt position.

Brief Description of Duties:

  • Assist members with navigating their healthcare needs by explaining benefits, solving claim concerns, finding a doctor nearby or being their healthcare advocate

  • Comply with regulatory requirements while addressing customer needs which may include complex benefit questions.

  • Record details of inquiries, comments, complaints, and transactions.

  • Escalate unresolved and pending customer grievances.

  • Support teammates as business needs require to ensure the organization is meeting the needs of our members and providers

  • Strive for first call resolution while demonstrating SIHO’s dedication to proactively work to resolve members questions and concerns.

  • Work with partners in other departments, or to Doctors’ offices to help resolve a customer concern.

  • Support your teammates as business needs require to ensure we are meeting the needs of our customers.

  • Performs other relevant duties deemed necessary to achieve department and company-wide goals.

Traits we are looking for:

  • Trustworthy Empathic Proactive

  • Compassionate Good Listener Problem Solver

  • Communicator Patient Personable & Collaborative

Schedule & Work Environment:

  • Full-time position with hybrid work arrangement (3 days in office, 2 days remote)

  • Annual schedule divided into two seasons:

Peak Season (October 1 - March 31)

  • Team coverage required 7 days/week, 8am-9pm

  • Available shifts: 8am-5pm, 9am-6pm, 12pm-9pm (remote), and 10am-7pm as needed

  • Weekend requirement: Minimum 2 weekends per month (remote shifts 12pm-9pm or 10am-7pm)

  • Schedules provided one month in advance with consideration for employee preferences

Off-Peak Season (April 1 - September 30)

  • Monday-Friday coverage between 8am-9pm

  • Available shifts: 8am-5pm, 9am-6pm, or 12pm-9pm (remote)

  • Must work one late shift per week (either 9am-6pm or 12pm-9pm)

Minimum Skills Requirement:

  • Possess a passion for customer service

  • Excellent communications (oral and written) and strong listening skills

  • General knowledge and understanding of health insurance

  • Knowledge of Medicare Advantage is preferred, but not required

  • This job calls for strong emotional intelligence to proactively provide solutions, ensuring the member's health and safety

  • Ability to maintain attendance to support required quality and quantity of work

  • Professional appearance and presence

  • Commitment to support and maintain confidentiality in conformance to HIPAA guidelines

Required Education:

  • High School Diploma and 2 years of Customer service experience

  • Working experience of Microsoft Office or other comparable software

Note: This position supports Medicare Advantage/MyTruAdvantage products, requiring weekend availability during peak season to ensure continuous member support.

*All positions are subject to change based on the needs of the business

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.