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 all assigned complaints and inquiries, providing updates to stakeholders
• Analyzes trends in escalated issues and collaborates with departments to implement solutions

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 with Medicare members and call center operations is highly preferred
• Knowledge of claims payment processes is a plus