Claims Escalation Specialist

A company is looking for a Claims Escalation Response Specialist IV. Key Responsibilities Responds to complex complaints and escalations from members or providers, ensuring timely resolutions Maintains relationships between departments to facilitate issue resolution and documents all inquiries Leads projects within the escalation response team to improve processes and provides updates to stakeholders Required Qualifications High School diploma or GED required 4+ years of related experience required Vocational or technical education may be required in addition to work experience Strong claims background is highly preferred Continuous learning and on-the-job training may be necessary

Mar 14, 2025 - 17:40

A company is looking for a Claims Escalation Response Specialist IV. Key Responsibilities Responds to complex complaints and escalations from members or providers, ensuring timely resolutions Maintains relationships between departments to facilitate issue resolution and documents all inquiries Leads projects within the escalation response team to improve processes and provides updates to stakeholders Required Qualifications High School diploma or GED required 4+ years of related experience required Vocational or technical education may be required in addition to work experience Strong claims background is highly preferred Continuous learning and on-the-job training may be necessary