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Humana

Claims Research & Resolution Representative 2

Humana, Lansing, Michigan, United States

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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 the flexibility of a dedicated home office

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

Supportive work culture focused on associate engagement and well-being

Extensive training and professional development opportunities

Job Responsibilities

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

Record detailed notes of inquiries, comments, and transactions during customer interactions

Escalate unresolved customer inquiries as needed

Interpret policies and procedures to complete assignments effectively

Work independently within defined parameters while prioritizing tasks and managing time effectively

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 navigate multiple software systems

Self-reliance and ability to resolve issues independently with minimal supervision

Preferred Qualifications

Bachelor's Degree

Prior claims processing experience

Experience in financial recovery and overpayment resolution

Familiarity with Mentor software

Experience with CRM systems

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