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Humana

Claims Research & Resolution Representative 2

Humana, Oklahoma City, Oklahoma, United States

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Why consider this job opportunity:

Salary range up to $52,300 per year

Opportunity for career advancement and growth within the organization

Work remotely with flexibility in your schedule

Comprehensive benefits including medical, dental, vision, 401(k), and paid time off

Engaging company culture focused on associate well-being and professional development

Initial virtual training provided to ensure success in the role

What to Expect (Job Responsibilities):

Manage inbound calls to address customer needs, including complex financial recovery and issue resolution

Record detailed notes of inquiries, transactions, and interactions to ensure accurate follow-up

Escalate unresolved customer inquiries to appropriate personnel

Interpret department policies and methods to complete assignments effectively

Work within defined parameters while exercising discretion over prioritization and timing

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 and the ability to work across multiple software systems

Demonstrated time management and prioritization skills

How to Stand Out (Preferred Qualifications):

Bachelor’s degree

Prior experience in claims processing or financial recovery

Familiarity with Mentor software or similar systems

Experience with PrePay or Post Pay processes

Knowledge of 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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