Talent.com
Escalation Response Specialist

Escalation Response Specialist

VirtualVocationsVisalia, California, United States
job_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for an Escalation Response Specialist III to handle complaints and escalations from members or providers.

Key Responsibilities

Provide timely resolutions to escalated issues from various communication channels

Document, track, and respond to all assigned complaints and inquiries professionally

Analyze root causes of issues and collaborate with departments to implement enterprise-wide solutions

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 with high-tier escalations and a healthcare background is highly preferred

Experience with executive escalation calls is highly preferred

serp_jobs.job_alerts.create_a_job

Escalation Specialist • Visalia, California, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
New York Licensed Claims Examiner

New York Licensed Claims Examiner

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Claims Examiner I.Key Responsibilities Investigates and evaluates insurance claims through contact with involved parties Negotiates claims effectively to achiev...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Billing Specialist I

Billing Specialist I

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for a Billing Specialist I to provide customer service and perform clerical and administrative tasks related to billing and authorization. Key Responsibilities Obtain and main...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
State Licensed Filing Analyst

State Licensed Filing Analyst

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for a State Filing Lead Analyst.Key Responsibilities Execute filing strategy to support product filing initiatives and lead projects involving outside vendors Revise existin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Denials Specialist

Denials Specialist

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for a Denials Specialist - REMOTE.Key Responsibilities Validate denial reasons and ensure accurate coding in DCM, coordinating with the Clinical Resource Center as needed Ge...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Licensed Claims Adjuster

Licensed Claims Adjuster

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Adjuster to manage and resolve claims effectively.Key Responsibilities Analyze claims exposure and execute decision-making to resolve claims Interact with vario...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Billing Follow Up Representative

Billing Follow Up Representative

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for a Billing Follow Up Representative I - Pharmacy.Key Responsibilities Review accounts and apply billing follow-up knowledge for insurance payors to ensure proper reimburse...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
California Licensed Senior Claims Adjuster

California Licensed Senior Claims Adjuster

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Claims Adjuster Workers Compensation.Key Responsibilities Manage claims by analyzing exposure, planning actions, and resolving claims effectively Communicate ex...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Arizona Licensed Workers' Comp Adjuster

Arizona Licensed Workers' Comp Adjuster

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Claims Examiner I responsible for examining, investigating, and settling insurance claims efficiently. Key Responsibilities Investigate workers' compensation clai...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Insurance Verification Specialist

Insurance Verification Specialist

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for an Insurance Verification Specialist - Per Diem.Key Responsibilities Ensure financial clearance for pre-service accounts prior to the date of service Obtain and verify i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Adjuster

Claims Adjuster

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for a Workers' Compensation Claims Representative.Key Responsibilities Determine compensability and coverage issues for loss time workers' compensation claims Effectively ma...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
California Licensed Claims Examiner

California Licensed Claims Examiner

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for a Workers Compensation Claims Examiner III (Temporary).Key Responsibilities Manage a caseload of 150 to 180 workers' compensation files, including complex claims Conduct...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior Claims Examiner

Senior Claims Examiner

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Claims Examiner to adjudicate complex life insurance claims.Key Responsibilities Lead the adjudication of complex or contested life insurance claims Conduct tho...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Title Express Auditor

Title Express Auditor

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for a Title Express Auditor.Key Responsibilities Perform comprehensive audits of open and closed assignments from various TE teams Conduct full-lot reviews, including call a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Back Office Analyst

Back Office Analyst

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for a Back Office Analyst (Tax and FLS) in Colombia.Key Responsibilities Perform property due diligence using online resources Compile reports and send information to client...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Clearance Specialist

Clearance Specialist

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for a Clearance Specialist to support their Specialty Infusion Pharmacy remotely.Key Responsibilities Process new referrals, including verifying patient eligibility and coord...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior Claims Adjuster

Senior Claims Adjuster

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Claims Adjuster who will manage and resolve complex claims while providing exceptional customer service. Key Responsibilities Analyze claims exposure and litigati...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Workday PSA Lead

Workday PSA Lead

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for a Workday PSA Lead to support an active project.Key Responsibilities Lead the implementation and configuration of Workday PSA solutions Serve as the primary expert on Wo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
AR Follow Up Specialist

AR Follow Up Specialist

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for an AR Follow Up Specialist to manage aged and unresolved claims with insurance carriers.Key Responsibilities Follow up on unresolved claims and check claim status with in...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Scheduler / Insurance Specialist

Scheduler / Insurance Specialist

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for a Scheduler / Insurance Specialist - Remote.Key Responsibilities Manage patient financial account services, including benefit assessment and insurance verification Coordin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Claims Examiner

Claims Examiner

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Examiner I.Key Responsibilities Process and adjudicate healthcare claims including medical, dental, vision, and mental health claims Conduct claims investigatio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30