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Humana

Claims Research & Resolution Representative 2

Humana, Albuquerque, New Mexico, United States

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Employer Industry: Health 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 flexibility in your schedule

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

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, and transactions

Escalate unresolved customer inquiries as necessary

Interpret department policies and methods for completing assignments

Work under minimal direction while prioritizing tasks and meeting 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 work across multiple software systems

Ability to manage multiple or competing priorities while maintaining confidentiality

How to Stand Out (Preferred Qualifications)

Bachelor's Degree

Prior claims processing experience

Overpayment and financial recovery experience

Previous experience with Mentor software

Experience with CRM systems

#HealthInsurance #CustomerService #RemoteWork #CareerOpportunity #CompetitiveBenefits

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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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