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Humana

Claims Research & Resolution Representative 2

Humana, Florida, New York, 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 flexible scheduling options

Supportive and collaborative work environment with a focus on associate well-being

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

What to Expect (Job Responsibilities):

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

Document inquiries, comments, and transactions accurately in the system

Escalate unresolved customer inquiries as needed

Interpret department policies and methods to complete assignments effectively

Work under minimal supervision 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 skills in Microsoft Office (Word, Excel, Outlook, and Teams)

Strong technical skills with the ability to navigate multiple software systems

Ability to maintain confidentiality while working remotely

How to Stand Out (Preferred Qualifications):

Bachelor's degree

Prior experience in claims processing

Experience with financial recovery and overpayment

Familiarity with Mentor software or similar systems

Experience with CRM tools

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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