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Humana

Claims Research & Resolution Representative 2

Humana, Montgomery, Alabama, United States

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Employer Industry: Healthcare Insurance

Why consider this job opportunity

Salary up to $52,300 per year

Opportunity for career advancement and growth within the organization

Work remotely with the flexibility to manage your 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 volunteer time off

Job Responsibilities

Manage inbound calls to address customer needs, including complex financial recovery, and resolve issues

Record detailed notes of inquiries, comments, complaints, and transactions

Escalate unresolved customer inquiries as necessary

Make decisions based on interpretation of policies and methods for completing assignments

Maintain confidentiality while working remotely and manage multiple priorities

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 Microsoft Office skills (Word, Excel, Outlook, and Teams)

Strong technical skills with the ability to work across multiple software systems

Demonstrated time management and prioritization skills

Preferred Qualifications

Bachelor's Degree

Prior claims processing experience

Experience in financial recovery or overpayment

Familiarity with Mentor software

Experience with CRM systems

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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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