Remote Resolution Specialist

Job Summary

A company is looking for a Remote-Resolution Specialist responsible for managing and resolving complex member issues through proactive outreach and case ownership.

Key Responsibilities

• Manage assigned member resolution cases from intake through final closure, ensuring timely resolution of concerns
• Serve as a subject matter resource for escalated member issues including claims, authorizations, and benefits clarification
• Collaborate with internal departments and external partners to resolve complex member concerns effectively

Required Qualifications

• Minimum 1 year of healthcare experience
• Minimum 1 year of contact center experience involving complex problem solving or issue resolution
• Experience assisting members with navigating healthcare services
• High School Diploma or GED required; college coursework in healthcare administration preferred
• Intermediate proficiency in Microsoft Office Suite