Humana
Claims Research & Resolution Representative 2
Humana, Billings Metropolitan Area, Montana, United States
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 flexible arrangements 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 Extensive professional development and continued education opportunities What to Expect (Job Responsibilities)
Manage inbound calls to address customer needs, including complex financial recovery and issue resolution Document inquiries, comments, complaints, and interactions accurately and take necessary actions Escalate unresolved or pending customer inquiries to appropriate channels Interpret and apply departmental policies and practices to complete assignments Maintain quality standards while managing workload and prioritizing 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 to navigate multiple software systems Demonstrated time management and prioritization skills How to Stand Out (Preferred Qualifications)
Bachelor's Degree Prior claims processing experience Experience with financial recovery and overpayment management Familiarity with Mentor software Experience in PrePay or Post Pay processes 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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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 flexible arrangements 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 Extensive professional development and continued education opportunities What to Expect (Job Responsibilities)
Manage inbound calls to address customer needs, including complex financial recovery and issue resolution Document inquiries, comments, complaints, and interactions accurately and take necessary actions Escalate unresolved or pending customer inquiries to appropriate channels Interpret and apply departmental policies and practices to complete assignments Maintain quality standards while managing workload and prioritizing 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 to navigate multiple software systems Demonstrated time management and prioritization skills How to Stand Out (Preferred Qualifications)
Bachelor's Degree Prior claims processing experience Experience with financial recovery and overpayment management Familiarity with Mentor software Experience in PrePay or Post Pay processes 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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