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Humana

Claims Research & Resolution Representative 2

Humana, Indiana, Pennsylvania, us, 15705

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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 a Fortune 100 company

Work remotely with a flexible schedule

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

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

Extensive professional development and continued education opportunities

Job Responsibilities

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

Document inquiries, comments, complaints, and transactions, taking appropriate action

Escalate unresolved customer inquiries as needed

Interpret department policies and standards to complete assignments effectively

Work under minimal direction while prioritizing tasks and managing workload

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 proficiency in Microsoft Office (Word, Excel, Outlook, and Teams)

Strong technical skills to navigate multiple software systems

Ability to maintain confidentiality while working remotely

Preferred Qualifications

Bachelor's Degree

Prior claims processing experience

Experience with financial recovery and overpayment issues

Familiarity with Mentor software and CRM systems

Knowledge of PrePay or Post Pay processes

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