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Escalation Coordinator

Delta Dental of California
$40,500 - $84,800
United States, California, Rancho Cordova
Jan 27, 2026
JOB DESCRIPTION

The Escalation Coordinator will support and manage the resolution process that are received via inbound call or escalation in a timely and professional manner. This position will manage difficult and complex customer and inter-departmental situations that need strong guidance and resolution. The Coordinator will communicate with, escalate to, and consult with the various departments as needed and should be able to execute with a high degree of success in integrating and solving member and provider inquiries regarding complex inquires. This position will be the Special Person of Contact (SPOC) for dealing with escalated calls from customers.

RESPONSIBILITIES

  • Leads/coaches specialists in response to customer issues, complex inquiries, and difficult situations.
  • Recommends to supervisor or manager how to address deficiencies.
  • Provides immediate feedback to supervisors and managers of individual performance issues.
  • Resolves product or service problems, determines the cause of the problem, selects and explains the best solution to solve the problem, expedites correction or adjustment; follows up to ensure resolution.
  • Ensures that all customer escalations and complaints are managed to excellent professional standards and within Delta Dental's terms and policies.
  • Participates in team meetings, discussions and other activities as required in order to support the team and improve the quality of the operation.
  • Obtains and examines all relevant information to assess validity of complaints and to determine possible causes in a timely and efficient manner
  • Develops rapport with customers and keeps them updated


  • QUALIFICATIONS

    Minimum Qualifications
  • 1+ years of experience w/High School

  • Additional Experience
  • Experience in customer service, provider service, health service, or dental in a managed care or healthcare environment handling escalated or complex issues

  • Knowledge, Skills, Abilities
  • Knowledge of dental terminology and dental claim processing, procedures, and guidelines.
  • High level of attention to detail
  • Strong interpersonal and communications skills to work effectively with all levels of staff
  • Strong organizational, time management, and communication skills
  • Ability to make effective business recommendations and develop methods and procedures to improve department's effectiveness and efficiency.

  • Base Pay Information

    The national base pay range at the end is a good-faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental's assessment of the candidate's knowledge, skills, abilities (KSAs), related experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity.
    Pay Grade 15. $40,500 - $84,800

    ABOUT THE TEAM

    Delta Dental Ins. is an equal opportunity employer and is committed to providing a professional work environment free from discrimination and harassment. Individuals seeking employment at Delta Dental are considered without regard to race, ethnicity, color, age, sex, religion, national origin, ancestry, pregnancy, sexual orientation, gender identity, gender expression, genetic information, actual or perceived physical or mental disability, registered domestic partner status, caregiver status, marital status, veteran or military status, citizenship status, or any other legally protected category. Delta Dental is committed to providing equal employment opportunities to all employees and applicants for employment. Accordingly, we have adopted and maintain an Equal Employment Opportunity Policy, Harassment-Free Work Environment Policy, and Respectful Workplace policies and will not tolerate violations of these policies.

    Unfortunately, our Delta Dental Enterprise is unable to hire individuals residing in Alaska, Hawaii, Maine, Nebraska, New Hampshire, North Dakota, Oklahoma, Vermont, West Virginia, Wyoming, Washington DC, Puerto Rico or other US Territories or outside of the United States at this time.
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