A Complaint Analyst receives complaints from the general public, state bar members, and representatives of the outside agencies concerning the attorney discipline process, and matters concerning the conduct of attorneys. While the duties vary based on the type of the company, the following are certain core duties are listed on the Complaint Analyst Resume – investigating and analyzing complaints subject to direct supervision; conducting file reviews, analysis, and investigations; meeting with and interviewing walk-ins and receiving inquiries concerning possible complaint; assisting in maintaining the computer system concerning inquiries, and assisting in the preparation of statistical and other reports as required.
Those seeking this job role must be able to depict on the resume the following skills and abilities – knowledge of customer service and telephone interviewing techniques; basic techniques of electronic and hard copy record and file organization skills; digital dexterity to assemble, retrieve and replace files; and proficiency with principles of electronic information and database record-keeping systems. A degree in a related field is commonplace among job applicants.
Objective : Leading cross-functionally to ensure adequate temporary permanent countermeasures are put in place in a timely manner, and sustained, to address the appropriate customer complaints.
Provided Quality System complaint review that included determining if Medical Device and Vigilance reporting were required, ensuring the service action was appropriate for the complaint response, and determining if additional Corrective or Preventive Actions were required.
Provided support with data preparation for monthly and annual management reviews.
Provided support to factory service technicians for troubleshooting of customer returned product.
Manufactured Support.
Provided support to manufacturing Medical and/or Industrial departments as departments required.
Supported and performed inventory transactions for Material and Service Departments.
Processed and maintained NCR reports and MRB material.
Experience
2-5 Years
Level
Executive
Education
Bachelor
Complaint Analyst Resume
Objective : Responsible for Assessing complaint information provided and conduct an additional investigation as needed and escalate as appropriate, and also Seeking information and input, and challenge cross-functional teams as appropriate.
Responsible for the QC test execution and reporting associated with the MHA business operations.
Utilized various sources of information (i.e. investor guidelines, bank policies, department procedures, process flows, etc.) to develop comprehensive test plans to evaluate the effectiveness of operational controls designed to meet servicing standards, rules, and requirements.
Developed and delivered test scripts, assisted in developing test plans, communicating results, and providing impactful review summaries that provide business management with a clear, concise view of risk-based opportunities.
Completed MHA Handbook gap assessments, and develop and implement action plans.
Worked with business partners and process owners to assess the performance of key controls that are essential to managing operational risks and compliance with laws and regulations.
Coordinated and facilitated monthly meetings with business partners, process owners, and executives.
Executed, organized, and prioritized testing in a timely manner ensuring monthly/quarterly deliverables are achieved while maintaining target accuracy ratio.
Experience
2-5 Years
Level
Executive
Education
Master In Taxation
Complaint Analyst Resume
Headline : Responsible for Evaluating product complaints for Medical Device Reporting (MDR). Work with the Regulatory group to prepare and submit MDR reports to Regulatory agencies, Identifying problems, and lead projects to improve processes, procedures, and/or practices; providing solutions including devising new approaches to Complaint handling.
Skills : MS office, Researching Skills, Analyst.
Description :
Researched and resolved complaints of potential fraud such as contacting the beneficiary and requesting and reviewing medical records pertaining to the services in question.
Organized complaint file accurately and thoroughly documenting all steps required by the work instructions.
Performed research, draw conclusions and compose related correspondence associated with complaints of potential fraud.
Made recommendations for appropriate action including referral to investigations for further review.
Performed preliminary research for TO1 Investigations, conduct/translate beneficiary interviews, and site verifications.
Recorded and resolved all provider and member complaints and inquires initiated by local, state and federal regulatory agencies as well as governmental contracted entities into a company workflow management system.
Identified the root causes of complaints and works with the applicable operational departments to implement an appropriate resolution such as Finance, Enrollment, Claims, Provider Relations & Contracting, Member Services, Medical Management, and Product Management.
Experience
5-7 Years
Level
Junior
Education
Associates Of Arts
Complaint Analyst Resume
Headline : Hardworking, organized, Complaint Analyst professional with a proven background delivering sensible business technology solutions on time and under budget while working as a team.
Worked independently to investigate complaints in compliance with company procedures using designated databases.
Author reported based on findings obtained from complaints investigations.
Responsible for screening all complaints, both domestic and international, to identify events requiring submission to the FDA and/or other international regulatory agencies.
Facilitated cross-functional teams to investigate potentially reportable events or those with potentially high business impact.
Managed timelines for complaints investigation to ensure that reporting is performed on time and complaints are addressed in a timely manner.
Ensured appropriate failure mode classifications are assigned to allow precise trending for data analysis purposes.
Identified applicable corrective and preventative actions to facilitate complaints closure.
Experience
5-7 Years
Level
Executive
Education
Diploma
Complaint Analyst Resume
Headline : Responsible for Notifying Client Services of complaint on a timely basis of receipt of the same complaint, and also Retrieving, evaluating, and documenting all calls associated with the complaint, and provide a synopsis of the call along with the collector (s) activity for all calls.
Skills : Microsoft Office, QuarkXPress.
Description :
Excelled and demonstrated persuasive leadership as key investigator charged to assist in the investigation, analysis, and prosecution of 400 consumer complaints/licensees while assigned to the Consumer Protection Division within the Medical Licensing Section.
Chaired ambitious projects while providing high-level executive administrative support.
Served on the Attorney Generals Legislative Team which led to the General Assembly passing 8 out of 9 Attorney General bill(s) presented to the House and Senate respectively.
Analyzed and created several programs to help streamline administrative tasks associated with Microsoft Office, Word, Outlook, Excel, Access, PowerPoint, and various other software programs --- prepared key documents, charts, and graphs to succinctly highlight critical medical, business, and legal data for proper charging decision(s).
Pioneered strategies and assembled office-wide training with respect to many administrative tasks including, but not limited to marshaling documentary evidence, obtaining testimony, and acquiring critical information - led to medical licensee discipline within various disciplines.
Superior attention to detail led to being relied heavily upon to prepare complex legal documents.
Collaborated with board members to expertly staff and manage administrative hearings.
Experience
5-7 Years
Level
Executive
Education
M.A. In Organizational Leadership
Complaint Analyst Resume
Headline : Responsible for Providing a summation of the account documentation and call recordings in accordance with the allegation as stated in the complaint, Requesting, as needed, all pertinent media correspondence involving the consumer, client, and company.
Skills : Call Center Service, Customer Service, Complaint Handling Dispute, Sales Support, Microsoft Word, Microsoft Excel, Microsoft Outlook, Analytical, Multitasking.
Description :
Analyzed, research, and respond to HIPAA individual rights requests from customers, consisting of requests for confidential communications, access to Designated Records Sets (DRS), amendments, accounting disclosures, and restrictions requests.
Analyzed, investigated, and responded to Commercial and PPO Complaints from customers, consisting of administrative complaints related to access, attitude, service, billing, financial, and membership.
Evaluated, researched, identified, and prioritized for referral of Commercial and PPO Clinical and Urgent Complaints related to access, attitude, service, quality of care, quality of practitioners' office site to BCN Quality Management Coordinator.
Analyzed, researched, and responded to complain inquiries from the Health Care marketplace regarding enrollment issues.
Identified, coded, assigned, and tracked work categories taking into consideration Federal/CMS guidelines and/or regulations.
Reviewed and accessed appropriate computer files and/or displays to ensure the appropriate and/or correct coding of work categories.
Researched, reviewed, and monitored the HICS Marketplace website to resolve enrollment issues.
Experience
5-7 Years
Level
Executive
Education
MS
Complaint Analyst Resume
Objective : Highly experienced in complaint intake, data collection, and support for complaint investigations. Exceptional ability to multitask and perform with accuracy and high attention to detail. Plan and prioritize my own work routine to support complaint activities and business objectives with little or no supervision required.
Skills : JD Edwards, Microsoft Office, Quality And Compliance Management System By EtQ, EDI, AS400, Spanish, Photoshop.
Description :
Entered, verified accuracy, and documented data for each complaint, maintain a filing system for all documentation.
Supported complaint activities through accurate and timely data collection (oral and written), follow up for pertinent information to allow a thorough investigation, and handling returns and replacement of complaint products.
Followed internal SOPs and regulatory requirements to support investigation and closing of complaints within the established time period; completion of training records on time.
Responsible for training and supervising a second intake coordinator as a backup to the intake process.
Centralized and established conference calls, staffed board meetings, and maintained office calendar for special events between Attorneys, Administrative Law Judges, and opposing party(s).
Mastered the most complex of legal issues by conducting hours of research and analysis.
Performed validation activities for databases used in complaints and using other cross-functional systems.
Experience
2-5 Years
Level
Executive
Education
BS In Management
Complaint Analyst Resume
Summary : A challenging Complaint Analyst position that will utilize and strengthen my organizational, criminal justice, and business administration skills acquired in over 20 years of diverse and demanding responsibilities.
Skills : Typing Skills, Analyst, Multitasking.
Description :
Answered questions concerning Commission activities, policies, and determinations.
Received and analyzed complaints and questions from the general public.
Secured all the necessary supportive information to resolve the complaint or question.
Reviewed and analyzed explanations given by all NC utility companies to determine if any violations or irregularities are present.
Responded to the complainant, with supporting documentation setting forth the basis of the determination.
Calculated consumer bills using the appropriate rate to determine the validity, subsequently taking appropriate actions when irregularities occur.
Advised NC consumers of their rights and options in pursuing disputed determination.
Used Strong analytical, deductive reasoning, and listening skills Precise and accurate communication at all levels of the organization Strong interpersonal skills Strong project management skills.
Experience
10+ Years
Level
Senior
Education
MS
Complaint Analyst Resume
Objective : Responsible for Investigating, analyzing, and resolving inquiries and/or complaints by clarifying the customer's concerns, and also resolving the cause of the problem; providing the best solution, expediting correction or adjustment; following up to ensure resolution.
Skills : Microsoft Office, SAP Software.
Description :
Included providing support to the regulatory department for complaint remediation, handling, and closure.
Developed, implemented, and monitored training and desk level procedure documentation for the complaint handling process.
Provided training for new hires.
Assisted in managing the complaint investigation end-to-end process to provide timely escalation of product issues identified.
Processed complaint closures.
Communicated these resolutions to requesting agency via telephone or written correspondence.
Assisted with managing cross-functional ad hoc projects by driving coordination and communication across multiple LOBs.
Experience
2-5 Years
Level
Junior
Education
Bachelor's In Healthcare Management
Complaint Analyst Resume
Objective : A detail-oriented risk management professional who effectively identifies and resolves complex issues. Thrive in fast-paced and ever-changing business environments. Self-motivated and highly proficient in data analysis and logic-based decision-making. Work well with all levels of management and create effective working relationships. Currently perusing a BS in Information Technology and seeking employment opportunities in an IT-related career field.
Skills : Excel, Written and Oral Communication, Type 40 wpm.
Description :
Identified, analyzed, and researched consumer Student Loan complaint data in order to identify trends analysis and root cause.
Compiled and produced metrics reporting.
Identified and interpreted trends and patterns in datasets.
Developed and/or implement processes/change management for enhancing metrics, dashboards, and scorecards.
Collaborated with subject matter experts to establish data collection and audits.
Monitored metrics systems in relation to applicable policies and procedures and development of expanded policies and procedures.
Collaborated with management to ensure processes and procedures are up-to-date and meet standards.
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