You'll also maintain detailed records of appeal activity and outcomes, ensure claims are priced according to finalized terms, communicate statuses and resolutions with clients and providers, and utilize Zendesk, internal claims systems, Microsoft Outlook, and Microsoft Teams to support efficient case management and workflow. With one of America's largest cost, quality and utilization datasets, we create greater transparency, flexibility, and cost containment - empowering members and employers with the information they need to make smarter, more cost-effective decisions.