Case Resolution Specialist

This job is fully in-person in Honolulu, HI
*Job Description*
* Manage appeals and grievances across all lines of business, including Medicare and Quest.
* Address member complaints such as:
* Rude customer service interactions
* Dissatisfaction with benefits
* Conduct case research, draft formal letters to members, and coordinate with internal departments. Then, Medical Directors will make final decisions on cases.
* Role is primarily written communication; occasional phone calls may be required to explain decisions or gather additional information.
* Any phone calls will require the ability to handle high-stakes situations requiring calm demeanor and effective de-escalation skills.
*Ideal Skills:*
* Strong customer service experience
* Knowledge of healthcare benefits and industry terminology
* Excellent time management and ability to prioritize tasks
* Maintains a calm demeanor under pressure; not easily flustered
* Success is measured by:
* Accuracy and clarity of written communication
* Timeliness in case resolution
* Ability to manage member expectations professionally
*Pay and Benefits*
The pay range for this position is $22.00 - $23.00/hr.
Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
available for this temporary role may include the following:
* Medical, dental & vision
* Critical Illness, Accident, and Hospital
* 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
* Life Insurance (Voluntary Life & AD&D for the employee and dependents)
* Short and long-term disability
* Health Spending Account (HSA)
* Transportation benefits
* Employee Assistance Program
* Time Off/Leave (PTO, Vacation or Sick Leave)
*Workplace Type*
This is a fully onsite position in Honolulu,HI.
*Application Deadline*
This position is anticipated to close on Oct 10, 2025.
h4>About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About TEKsystems and TEKsystems Global Services
We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.