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Escalation Response Specialist

7/9/2025

N/A

Job Summary

A company is looking for an Escalation Response Specialist III.

Key Responsibilities
  • Responds to complaints and escalations from members or providers, ensuring timely resolutions
  • Documents and tracks complaints, conducting root cause analysis to identify trends and solutions
  • Collaborates with various departments to resolve claims issues and enhance customer experience
Required Qualifications
  • High School diploma or GED required
  • 2 - 4 years of related experience preferred
  • Vocational or technical education may be required in addition to work experience
  • Experience in healthcare, escalation, and Medicare is highly preferred
  • Additional on-the-job training or continuous learning education may be necessary

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