Senior Escalation Specialist, Complex Claims

A healthcare administration company is seeking an Escalation Officer to manage complex disputes and grievances not resolved by standard customer service methods. The ideal candidate will have 3–5 years of experience in claims or customer escalation, with a preference for backgrounds in medical schemes or insurance. Key responsibilities include case management, root cause analysis, and ensuring compliance with regulations. Exceptional soft skills in conflict resolution and negotiation are essential for this role.
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