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Humana

Claims Research & Resolution Representative 2

Humana, Saint Paul, Minnesota, United States

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Employer Industry: Healthcare Insurance Services

Why consider this job opportunity:

Salary up to $52,300 per year

Opportunity for career advancement and growth within the organization

Work remotely with flexibility in scheduling

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

Supportive and inclusive company culture focused on employee well-being

Extensive professional development and continued education opportunities

What to Expect (Job Responsibilities):

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

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

Escalate unresolved and pending customer inquiries to appropriate departments

Interpret area or department policies to effectively complete assignments

Prioritize and manage multiple tasks under minimal supervision

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

Strong technical skills with the ability to navigate multiple software systems

Ability to maintain confidentiality while working remotely

How to Stand Out (Preferred Qualifications):

Bachelor's degree

Prior claims processing or financial recovery experience

Experience with Mentor software or CRM systems

Knowledge of PrePay or Post Pay processes

Familiarity with CAS, CIS, or CISPRO systems

"We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. 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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