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Humana

Claims Research & Resolution Representative 2

Humana, New York, New York, United States

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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 a flexible schedule

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

Supportive and collaborative work environment focused on associate engagement and well‑being

Comprehensive training program 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 on inquiries, comments, and transactions to ensure accurate follow‑up

Escalate unresolved customer inquiries to appropriate teams for further action

Interpret departmental policies and apply them to daily assignments with some discretion

Prioritize and manage multiple tasks while working under minimal supervision

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, including Word, Excel, Outlook, and Teams

Strong technical skills with the ability to work across multiple software systems

Demonstrated time management and prioritization skills

How to Stand Out (Preferred Qualifications)

Bachelor's Degree

Prior claims processing experience

Overpayment and financial recovery experience

Familiarity with Mentor software and 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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