Success & Investigative Services Specialist III
Success & Investigative Services Specialist III
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Job Description
Are you passionate about making a difference in peoples lives Do you enjoy working in a service-oriented industry If so this opportunity may be the right fit for you!
Modivcare is looking for an experienced Success & Investigative Services Specialist III to join our team. In this role you will be responsible for delivering superior customer service and reducing official complaints by identifying root causes of service failures. You will serve as a key liaison between members providers and agencies ensuring the effective resolution of high-risk issues and fostering long-term solutions through cross-functional collaboration.
This role
Handles high-risk member complaints and grievances with professionalism and urgency.
Collects and analyzes supporting information to provide accurate resolutions.
Partners with other operational work streams to drive permanent solutions for high-risk cases.
Logs and investigates complaints grievances and service issues received via various communication channels.
Escalates complex issues to appropriate internal or external stakeholders including government agencies legal and clients when necessary.
Monitors complaint aging reports to ensure timely resolution.
Tracks member transportation trips to proactively identify and resolve issues.
Participates in other projects or duties as assigned.
We are interested in speaking with individuals with the following
High School Diploma required.
Two (2) plus years of relevant experience or an equivalent combination of education and/or experience.
Excellent customer service and phone etiquette.
Strong verbal communication problem-solving time management and organizational skills.
Ability to handle high-volume workloads efficiently and effectively.
Quick to learn and apply modern technology.
Accurate typing ability (35 WPM).
Proficient in English reading and writing.
Proficient with Microsoft Word Excel and Outlook.
Comfortable working independently or as part of a team.
Experience in medical front-office case management or medical social work is a plus.
Bi-lingual abilities are a plus.
Salary: $16.36 - $22.09/hr
Modivcares positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role the number of roles and the number of applications received. We encourage our prospective candidatesto submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities andencourage prospective candidates to check back often for new postings.
We value our team members and realize the importance of benefits for you and your family.
Modivcare offers a comprehensive benefits package to include the following:
- Medical Dental and Vision insurance
- Employer Paid Basic Life Insurance and AD&D
- Voluntary Life Insurance (Employee/Spouse/Child)
- Health Care and Dependent Care Flexible Spending Accounts
- Pre-Tax and Post --Tax Commuter and Parking Benefits
- 401(k) Retirement Savings Plan with Company Match
- Paid Time Off
- Paid Parental Leave
- Short-Term and Long-Term Disability
- Tuition Reimbursement
- Employee Discounts (retail hotel food restaurants car rental and much more!)
Modivcare is an Equal Opportunity Employer.
- EEO is The Law - click here for more information
- Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
- We consider all applicants for employment without regard to race color religion sex sexual orientation national origin age handicap or disability or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance please reach out to us at
Required Experience:
Unclear Seniority
Employment Type
Full-Time
