Remote-Customer Experience Specialist
Core
Deliver compassionate, seamless service to seniors and chronically ill members by resolving inquiries, navigating complex systems, and advocating for member needs end-to-end.
Role type
Customer Experience Specialist (Healthcare/Medicare)
Builds
Member support interactions, claim/reimbursement resolutions, and outreach programs for older adults and individuals with disabilities.
Domain
Healthcare / Medicare Advantage / Managed Care
Deliverable
client delivery
Required skills
Empathy, patience, conflict resolution, system navigation, HIPAA compliance, clear verbal communication, documentation accuracy, multitasking, shift flexibility
Preferred skills
Bilingual (Spanish, Vietnamese, Korean, Mandarin, Cantonese), Medicare/Medi-Cal knowledge, problem-solving, self-motivation
Technologies
Microsoft Outlook, Word, Excel, CRM, Contact Center solutions
Responsibilities
Build caring connections with members, resolve inquiries on first contact, assist with provider network and claim questions, document interactions in real time, address complaints and grievances, support outbound outreach initiatives, manage high call volumes with complex situations
Seniority
Individual Contributor, entry-to-mid level