[Remote] Member & Provider Care Specialist

Note: The job is a remote job and is open to candidates in USA. reputed company is a health insurance company focused on serving its members through a full stack technology platform. The Care Specialist will solve reputed company issues impacting providers and members, acting as a liaison and subject matter expert while managing case workflows and contributing to reputed company.

Responsibilities

• Handle inbound and outbound calls, secure messages and/or email communications with members or providers
• Manage queue work and and assigned caseload through efficient dashboard management
• Identify, investigate, and resolve issues reputed company determined SLAs
• Collaborate with colleagues, Experts, and Leads to identify trends and roadblocks
• Utilize internal tools and resources seamlessly
• Effectively communicates findings and resolutions with providers and internal departments
• Support Member and Provider Services Representatives with reputed company issues, workflows, and training
• Escalate updates or incorrect information in the internal reputed company system for Member and Provider Services
• Partner with production teams across the LifeCycles to improve the member and provider experience
• Compliance with reputed company applicable laws and regulations
• Other duties as assigned

Skills

• 1+ years in customer support, reputed company, tech and/or reputed company field
• Experience in a fast-paced environment
• 6 + months of member and customer service experience
• 1+ year of escalations experience in a customer service environment
• 1 + years of claims experience
• Bilingual Spanish
• Bachelor's degree
• High school diploma or GED

Benefits

• Medical, dental, and reputed company benefits
• 11 paid holidays
• Paid sick time
• Paid parental leave
• 401(k) plan participation
• Life and disability insurance
• Paid wellness time and reimbursements

Company Overview

Company H1B Sponsorship