Member Services Case Specialist

2 weeks ago


Corona, California, United States Rose International Full time

Position Overview:

This role is fully remote, with an initial training period conducted onsite.

Key Responsibilities:

  • Investigate and address member complaints and appeals.
  • Ensure compliance with regulatory standards.
  • Enhance the overall member experience.

Essential Qualifications:

  • Experience in processing member or patient grievances and appeals.
  • Excellent organizational and time management abilities.
  • Capability to handle multiple tasks in a dynamic environment.

Preferred Qualifications:

  • Minimum of 6 years in customer service, with strong writing and verbal communication skills.
  • Proficiency in Microsoft Excel and Word.
  • Experience in a healthcare setting, particularly with organizations like BlueShield or Aetna, is highly advantageous.

Additional Information:

  • All applicants must be legally authorized to work in the designated country.
  • Position details, including start dates and duration, may vary based on business needs.

Equal Opportunity Employer:

Rose International is committed to providing equal employment opportunities to all qualified candidates, regardless of race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by law.

If you require assistance during the application process due to a disability, please reach out for support.



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