Customer Care Analyst | Healthcare or Dental Experience Required Must Reside in OK

Job description

Job DetailsJob Location: Oklahoma - OKPosition Type: Full TimeJob Shift: Day Are you passionate about helping people navigate challenges with clarity, care, and confidence? Do you thrive in a role where every interaction is an opportunity to make a meaningful difference? If so—you may be the perfect fit for our Customer Care Analyst role! Candidates must reside in Oklahoma: Healthcare or dental industry experience is required About the Role: The Customer Care Analyst serves as a confidential, neutral resource for members, ensuring fair treatment and helping resolve conflicts efficiently. You will manage dissatisfaction calls, grievances, exempt grievances, appeals, second opinions, and other escalated inquiries—accurately documenting each case in HSP while collaborating closely with Member Services, Grievance & Appeals, Dental Consultants, and internal partners. What You’ll Do: Member Support & Communication: Educate members on their rights, responsibilities, and available covered dental services Provide clear guidance on the complaint and appeals process Respond to inquiries within established turnaround times (72 hours; 24 hours for emergencies) Compose professional and comprehen...