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Humana

Claims Research & Resolution Representative 2

Humana, Columbia, South Carolina, us, 29228

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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 a flexible schedule

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

Supportive and engaging company culture focused on employee well-being

Extensive training and professional development provided

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

Escalate unresolved customer inquiries to appropriate channels

Interpret and apply department policies and methods in decision-making

Work independently within defined parameters to prioritize tasks and meet quality standards

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 to navigate multiple software systems

Ability to manage multiple priorities and maintain confidentiality while working remotely

How to Stand Out (Preferred Qualifications)

Bachelor's Degree

Prior claims processing experience

Experience with financial recovery and overpayment issues

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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