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Humana

Claims Research & Resolution Representative 2

Humana, Oklahoma City, Oklahoma, United States

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Overview Employer Industry: Health Insurance Services

Salary up to $52,300 per year

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

Opportunity for career advancement and growth within the organization

Work remotely with flexible scheduling options

Supportive and collaborative work environment focused on associate well‑being

Extensive professional development and continued education programs

Job Responsibilities

Manage inbound calls to address customer needs, including complex financial recovery and issue resolution

Record detailed notes of inquiries, comments, and transactions, taking appropriate action

Escalate unresolved customer inquiries as necessary

Interpret departmental policies to make informed decisions on assignments

Prioritize and manage workload within defined parameters with minimal supervision

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 and ability to navigate multiple software systems

Demonstrated time management and prioritization skills, with the ability to maintain confidentiality while working remotely

Preferred Qualifications

Bachelor's Degree

Prior claims processing or financial recovery experience

Experience with Mentor software or similar systems

Knowledge of PrePay or Post Pay processes

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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