Humana
Claims Research & Resolution Representative 2
Humana, Manchester, New Hampshire, United States
Employer Industry: Healthcare Insurance Services
Why consider this job opportunity:
Salary up to $52,300 per year
Competitive benefits package, including medical, dental, vision, and a 401(k) retirement savings plan
Opportunity for career advancement and professional development within a Fortune 100 company
Work remotely with the flexibility to manage a work-life balance
Supportive and collaborative work environment that prioritizes employee well-being
What to Expect (Job Responsibilities):
Manage inbound calls to address customer needs, including complex financial recovery and issue resolution
Record detailed notes of inquiries, comments, or complaints and take appropriate action
Escalate unresolved customer inquiries to ensure timely resolution
Interpret department policies and procedures to complete assignments effectively
Prioritize tasks and manage multiple responsibilities with 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 Microsoft Office skills (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 experience
Experience in financial recovery or overpayment resolution
Familiarity with Mentor software
Experience with CRM 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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Why consider this job opportunity:
Salary up to $52,300 per year
Competitive benefits package, including medical, dental, vision, and a 401(k) retirement savings plan
Opportunity for career advancement and professional development within a Fortune 100 company
Work remotely with the flexibility to manage a work-life balance
Supportive and collaborative work environment that prioritizes employee well-being
What to Expect (Job Responsibilities):
Manage inbound calls to address customer needs, including complex financial recovery and issue resolution
Record detailed notes of inquiries, comments, or complaints and take appropriate action
Escalate unresolved customer inquiries to ensure timely resolution
Interpret department policies and procedures to complete assignments effectively
Prioritize tasks and manage multiple responsibilities with 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 Microsoft Office skills (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 experience
Experience in financial recovery or overpayment resolution
Familiarity with Mentor software
Experience with CRM 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.
#J-18808-Ljbffr