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Humana

Claims Research & Resolution Representative 2

Humana, Denver, Colorado, United States

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Employer Industry: Health Insurance Services

Why consider this job opportunity

Salary up to $52,300 per year

Opportunity for career advancement and growth within a Fortune 100 company

Work remotely with a flexible schedule

Comprehensive benefits package including medical, dental, vision, and 401(k) retirement savings plan

Supportive and collaborative work environment focused on associate engagement and well‑being

Paid time off, including personal holidays and caregiver leave

What to Expect (Job Responsibilities)

Manage inbound calls to address customer inquiries, including complex financial issues and claims resolution

Document calls and maintain detailed records of customer interactions and transactions

Escalate unresolved customer inquiries to appropriate departments

Interpret and apply department policies to complete assignments and resolve issues

Work independently with minimal supervision while managing multiple priorities

What is Required (Qualifications)

1 or more years of call center or telephonic customer service experience within the past 5 years

Previous healthcare‑related experience or education

Basic proficiency in Microsoft Office (Word, Excel, Outlook, and Teams)

Strong technical skills to navigate multiple software systems

Ability to maintain confidentiality while working remotely

How to Stand Out (Preferred Qualifications)

Bachelor's degree

Experience in claims processing and financial recovery

Familiarity with Mentor software and CRM systems

Knowledge of PrePay or Post Pay processes

Overpayment experience

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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top‑tier employer.

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