*candidates for this activity have the flexibility to paintings far flung from home everywhere within the united states.
*The agenda for this position is Monday via Friday, 9:30am to 6pm, jap, AND 8am to 4:30pm, eastern, every 4th to 6th Saturday. extra time is based on business desires.
function reason: Assists with responding to proceedings and escalations from members/providers. helps in coping with escalations, managing trouble tickets, and imparting feedback to senior group contributors regarding member/issuer troubles.
gives well timed and suitable resolutions to escalated issues obtained from diverse communication channels
Serves as a liaison in maintaining relationships between departments to ensure well timed and appropriate difficulty resolution
supports the documentation, tracking, and resolution to all assigned proceedings and inquiries in writing and/or by phone in a well timed and professional way
helps root motive analysis of member/provider problems to discover traits across the company, and works pass functionally with all departments to ensure agency–wide answers
helps to coordinate with touch middle team to analyze underlying statistics of escalated inquiries, decide validity of complaints and evaluate alternatives to remedy those complaints
critiques grievance traits and uses steerage of senior team members to increase draft guidelines that are designed to enhance member and company revel in and decrease lawsuits and escalations
continues primary, introductory expertise of our products and services to offer accurate and powerful assist to clients
In a few times, researches and identifies primary claims price errors and make suitable modifications
plays other responsibilities as assigned
Complies with all guidelines and standards
training/experience: calls for a excessive college diploma or GED. requires 1 – 2 years of related revel in. may also require vocational or technical training similarly to previous paintings enjoy. Vocation or technical education can also encompass additional on-the-process education or non-stop mastering training. call center, coping with escalations and health care revel in fantastically desired.
Pay range: $17.50 – $27.50 consistent with hour
Centene offers a comprehensive benefits package deal inclusive of: aggressive pay, health insurance, 401K and inventory purchase plans, lessons compensation, paid break day plus vacations, and a flexible approach to paintings with far off, hybrid, field or office paintings schedules. actual pay may be adjusted based on an character‘s abilties, revel in, education, and other activity–associated elements approved through law, including complete-time or part-time popularity. overall reimbursement may additionally consist of additional sorts of incentives. blessings can be issue to program eligibility.
Centene is an same possibility business enterprise this is dedicated to variety, and values the approaches in which we’re extraordinary. All qualified applicants will get hold of consideration for employment with out regard to race, shade, faith, intercourse, sexual orientation, gender identity, country wide beginning, disability, veteran repute, or other characteristic included by way of relevant law.
certified candidates with arrest or conviction facts might be taken into consideration in accordance with the la County Ordinance and the California honest threat Act