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Member Services Case Specialist

2 months 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.
  • Exceptional organizational and time management abilities.
  • Capability to handle multiple tasks in a dynamic environment.

Preferred Skills:

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

Additional Information:

  • Only candidates authorized to work in the designated country will be considered.
  • Start dates and duration of the position may vary based on client needs.

Benefits:

For details regarding employment benefits, please refer to the company website.

Equal Opportunity Employment:

Rose International is committed to diversity and inclusion in the workplace. All qualified applicants will receive consideration for employment without regard to any protected characteristic.

If assistance is needed during the application process, please reach out to our HR Department.