Resolution Specialist

What will your job look like?

The Resolution Specialist is responsible for managing complaints, incidents and accidents for designated Clients, in accordance with Client requirements and MTM Policies and Procedures for Quality & Compliance.

Location:  Work From Home

Hours: 8am – 5pm Monday - Friday (Schedule may vary slightly.)

What you’ll do:


* Document, review, investigate, resolve and provide follow up for all complaints and complaint issues reported for assigned clients within the specified timeframe


* Closely adhere to client service level agreements to ensure complaints do not go out of compliance


* Obtain responses within 24-48 hours from Transportation Providers to complaints and complaint issues


* Provide immediate follow up for complaint responses that are not submitted within the specified timeframe


* Respond to client, Program Director, or Account Executive inquiries sent via email, or fax, within the specified timeframe


* Ensure accuracy of information in report prior to deadline submission


* Triage issues and provide assistance to MTM’s internal departments with complaint issues


* Assist with monthly trending information in regards to potential network inadequacies, transportation provider deficiencies, and training opportunities to applicable departments; report trends to leadership for further review


* Monitor and report incident/accident issues


* Monitor and report issues of non-compliance to the leadership staff and Network Management as indicated


* Compile weekly/monthly summaries of incident/accident investigations, findings, and resolutions as required


* Send out monthly Quality & Compliance Tips to transportation providers and Network Management regarding prevention measures identified


* Ensure all training documents received per Q&C request


* Create relevant workflows, and tracking mechanisms as assigned


* Perform activities and participate in quality improvement projects for the Quality Improvement Program(s) as assigned to ensure ongoing compliance with URAC standards


* Compile daily/weekly/monthly complaint reports to be submitted to designated clients per contract

What you’ll need: 

Experience, Education & Certifications:


* High School Diploma or G.E.D.


* 2 years of customer service experience

Skills:


* Proficient in Microsoft Suite


* Strong and effective communication skills, with an emphasis on grammar and spelling


* Ability to tactfully question and obtain information


* Excellent organizational skills


* Excellent interpersonal skills


* Ability to manage multiple priorities required


* Ability to handle confidential information in a professional manner


* Strong problem solving skills

Even better if you have...


* Previous Quality & Compliance experience preferred


* Some college preferred


* A minimum of six months in the MTM Customer Service Center preferre...