Remote-Eligible Escalation Specialist II

Centene Corporation; Arizona; Híbrido; USD 32.000 - 52.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Flexible work schedules (remote,Hybrid

Descripción de la vacante

Centene Corporation is seeking an associate to assist with responding to complaints and escalations from members and providers in a flexible work environment in the United States. The role supports escalation handling, problem tickets, and provides feedback to senior team members to improve member/provider issues.

The position requires 1–2 years of related experience and a High School diploma or GED. Preferred qualifications include healthcare or health plan experience, call center and call

Formación

• Requires 1–2 years of related experience.
• Preferred qualifications include healthcare/health plan experience and call center, phone-based, and call escalation experience.
• Medicare experience is preferred.

Responsabilidades

• Provides timely and appropriate resolutions to escalated issues from various communication channels.
• Serves as a liaison between departments to ensure timely and appropriate issue resolution.
• Supports documentation, tracking, and resolution to all assigned complaints and inquiries in writing and/or by telephone in a timely and professional manner.
• Supports root cause analysis of member/provider issues to identify trends and works cross-functionally to ensure enterprise-wide solutions.
• Coordinates with the contact center team to research underlying facts of escalated inquiries, determine validity of complaints and evaluate options to remedy these complaints.
• Reviews complaint trends and uses guidance of senior team members to develop draft recommendations to improve member/provider experience and reduce escalations.
• Maintains basic knowledge of our products and services to provide accurate support to customers.
• Researches basic claims payment errors and makes appropriate adjustments when needed.
• Performs other duties as assigned and complies with all policies and standards.

Conocimientos

Call center experience

Phone-based support

Call escalation experience

Healthcare/health plan knowledge

Medicare experience

Educación

High School diploma or GED

Descripción del empleo

Centene Corporation is seeking an associate to assist with responding to complaints and escalations from members and providers in a flexible work environment in the United States. The role supports escalation handling, problem tickets, and provides feedback to senior team members to improve member/provider issues.

The position requires 1–2 years of related experience and a High School diploma or GED. Preferred qualifications include healthcare or health plan experience, call center and call