Humana
Claims Research & Resolution Representative 2
Humana, California, Missouri, United States, 65018
Employer Industry: Healthcare Insurance
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 hours
Comprehensive benefits package including medical, dental, vision, and retirement plans
Supportive and collaborative work environment
Commitment to associate engagement and 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 and pending customer inquiries as necessary
Interpret area or department policy to make decisions related to assignments
Work independently within defined parameters to 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 in financial recovery and overpayment resolution
Familiarity with Mentor software or similar systems
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
Opportunity for career advancement and growth within the organization
Work remotely with flexible hours
Comprehensive benefits package including medical, dental, vision, and retirement plans
Supportive and collaborative work environment
Commitment to associate engagement and 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 and pending customer inquiries as necessary
Interpret area or department policy to make decisions related to assignments
Work independently within defined parameters to 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 in financial recovery and overpayment resolution
Familiarity with Mentor software or similar systems
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