Ombudsman Specialist
Health Here · Lakewood, CA · 2 mo ago
OTHRFull-time
About the role
Ombudsman Specialist responsible for managing escalated member and client inquiries, providing resolution, and ensuring high-quality customer service in a fast-paced environment.
Responsibilities
- Handle high-volume inquiries via phone and email, delivering accurate information and professional communication.
- Manage sensitive escalations on behalf of senior leadership, ensuring swift and appropriate responses.
- Collaborate with internal teams and external partners to address complex complaints and track case resolutions.
- Compile reports, analyze data, and prepare operational and performance reports.
- Research, craft well-written responses, and maintain knowledge of policies, initiatives, and legislative positions.
- Identify trends, provide feedback, and support process improvements to minimize escalations.
- Build partnerships across departments, demonstrating leadership and excellent interpersonal skills.
Requirements
- Bachelor’s degree in business or communications and at least 6 years of relevant experience.
- Proficient in Microsoft Office Suite and familiar with company software tools.
- Outstanding written and verbal communication, problem-solving, and analytical skills.
- Ability to multitask, prioritize, and make independent, time-sensitive decisions.
- Strong attention to detail, ownership mindset, and flexibility to work outside standard hours.
Skills
- Adaptability
- Professionalism
- Creative problem-solving
- Collaboration
- Commitment to high service standards