Humana
Claims Research & Resolution Representative 2
Humana, North, South Carolina, United States, 29112
Employer Industry: Health 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 flexibility in a supportive environment
Comprehensive benefits package including medical, dental, vision, and 401(k) retirement savings plan
Virtual training provided to ensure success in the role
Chance to make a positive impact on customer satisfaction and health outcomes
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 actions
Escalate unresolved or pending customer inquiries to the appropriate parties
Interpret policies and methods for completing assignments with some discretion allowed
Work under minimal direction while prioritizing workload within defined parameters
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 work across multiple software systems
Ability to manage multiple or competing priorities while maintaining confidentiality
Preferred Qualifications
Bachelor's degree
Prior claims processing experience
Experience with financial recovery and overpayment processes
Familiarity with Mentor software
Experience with CRM systems
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Salary up to $52,300 per year
Opportunity for career advancement and growth within the organization
Work remotely with flexibility in a supportive environment
Comprehensive benefits package including medical, dental, vision, and 401(k) retirement savings plan
Virtual training provided to ensure success in the role
Chance to make a positive impact on customer satisfaction and health outcomes
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 actions
Escalate unresolved or pending customer inquiries to the appropriate parties
Interpret policies and methods for completing assignments with some discretion allowed
Work under minimal direction while prioritizing workload within defined parameters
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 work across multiple software systems
Ability to manage multiple or competing priorities while maintaining confidentiality
Preferred Qualifications
Bachelor's degree
Prior claims processing experience
Experience with financial recovery and overpayment processes
Familiarity with Mentor software
Experience with CRM systems
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