Job Details

A company is looking for a Remote-Resolution Specialist responsible for managing and resolving complex member issues through proactive outreach and case ownership.Key ResponsibilitiesManage assigned member resolution cases from intake through final closure, ensuring timely resolution of concernsServe as a subject matter resource for escalated member issues including claims, authorizations, and benefits clarificationCollaborate with internal departments and external partners to resolve complex member concerns effectivelyRequired QualificationsMinimum 1 year of healthcare experienceMinimum 1 year of contact center experience involving complex problem solving or issue resolutionExperience assisting members with navigating healthcare servicesHigh School Diploma or GED required; college coursework in healthcare administration preferredIntermediate proficiency in Microsoft Office Suite