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Member Services Case Specialist

2 months ago

Corona, California, United States Rose International Full time

Position Overview:

This role offers a unique opportunity to work remotely, with initial training conducted onsite.

Key Responsibilities:

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

Essential Qualifications:

  • Experience in handling member or patient grievances and appeals.
  • Excellent organizational and time management abilities.
  • Capacity to manage multiple tasks in a dynamic environment.

Preferred Qualifications:

  • Minimum of 6 years in customer service roles, 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 highly advantageous.

Additional Information:

  • All candidates must be legally authorized to work in the designated country.
  • Position start dates and durations are subject to change based on client needs.

Benefits:

For details regarding employment benefits, please refer to the company's official resources.

Equal Opportunity Employer:

Rose International is committed to providing equal employment opportunities without regard to 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 to the HR Department.