[Remote] Escalation Response Specialist II

Remote, USA Full-time
Note: The job is a remote job and is open to candidates in USA. RemoteHunter is a diversified national organization supporting 28 million members as a Customer Care professional. The role focuses on assisting with member and provider complaints and escalations, ensuring timely issue resolution, and improving customer experience. Responsibilities Provide timely and appropriate resolutions to escalated issues received from various communication channels Serve as a liaison between departments to ensure issue resolution Document, track, and resolve complaints and inquiries in writing and/or by telephone professionally and promptly Support root cause analysis of member/provider issues and collaborate cross-functionally for enterprise-wide solutions Coordinate with contact center team to research escalated inquiries, validate complaints, and evaluate remedy options Review complaint trends and develop draft recommendations to enhance member and provider experience and reduce escalations Maintain basic knowledge of products and services to support customers accurately Research and identify basic claims payment errors and make adjustments when necessary Perform other duties as assigned Comply with all policies and standards Skills Authorization to work in the U.S. without current or future employment-based visa sponsorship High School diploma or GED required 1 to 2 years of related experience required Availability to work between 9:00am and 6:00pm EST Location near Tampa Bay, Florida preferred; position is remote Experience with Medicare, Medicaid, and prescription drug plans preferred Vocational or technical education and additional on-the-job training or continuous learning may be required Benefits Competitive pay Health insurance 401K and stock purchase plans Tuition reimbursement Paid time off plus holidays Flexible work arrangements including remote, hybrid, field, or office schedules Company Overview RemoteHunter is your dedicated AI job search assistant, turning the job hunt from a slow, individual effort into a quicker, smarter, and guided experience by streamlining each step of the process and speeding up your path to the right career opportunities. It was founded in 2025, and is headquartered in , with a workforce of 11-50 employees. Its website is
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