Escalation Response Specialist

Job Summary

A company is looking for an Escalation Response Specialist III.

Key Responsibilities

• Responds to complaints and escalations from members or providers, ensuring timely resolutions
• Documents and tracks complaints, conducting root cause analysis to identify trends and solutions
• Collaborates with various departments to resolve claims issues and enhance customer experience

Required Qualifications

• High School diploma or GED required
• 2 - 4 years of related experience preferred
• Vocational or technical education may be required in addition to work experience
• Experience in healthcare, escalation, and Medicare is highly preferred
• Additional on-the-job training or continuous learning education may be necessary