Issue Resolution Specialist
Posted 2025-04-22About the position
Join Independence as we renew and reimagine the future of health care. We are looking for a candidate who is driven for excellence, teamwork, and customer commitment. The successful candidate will demonstrate proficiency in taking initiative, attention to detail, and effective communication skills, both verbal and written. This role involves performing daily investigations of inquiries, providing regular status reports, ensuring accurate and timely resolution of inquiries, and interacting with internal and external partners across multiple departments.
Responsibilities
? Apply initial training concepts while demonstrating the ability to learn new concepts.
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? Perform daily investigation of inquiries.
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? Provide regular status reports on all outstanding tasks.
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? Ensure all inquiries are researched accurately and resolved timely per department guidelines.
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? Monitor each inquiry and follow up regularly and timely as needed.
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? Escalate issues as they arise to management for communication to clients or partners.
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? Interact with all internal and external partners across multiple related departments as needed.
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? Identify, track, and report specific trends and issues related to inquiries and system issues.
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? Coordinate with Sr, Lead and/or Supervisor on resolution of inquiries.
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? Acknowledge each piece of mail and respond to written inquiries in a professional manner.
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? Effectively resolve all internal requests from diverse areas as directed by Sr and Lead and/or management.
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? May perform other duties as required by management.
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? Ability to work from home, which includes wi-fi capability and a quiet, confidential workspace.
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? Ability to work most holidays, flexibility between hours of 8am-6pm, and ability to work overtime as needed including weekends and holidays.
Requirements
? Knowledge of self-funded health insurance products and ancillary products (e.g. Dental, Vision, Prescription).
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? Understanding of the Affordable Care Act, HIPAA laws, and relevant state laws and regulations.
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? Ability to think critically and resolve problems.
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? Strong attention to detail and the ability to excel in a high-paced environment.
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? Proficient with Microsoft Excel, Access, Word, and Outlook.
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? Good listening, written, and verbal communication skills.
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? Ability to multitask and prioritize activities.
Nice-to-haves
? Plan to plan experience is a plus.
Benefits
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