Jobs · OTHR · California

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

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