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Humana

Claims Research & Resolution Representative 2

Humana, Nevada, Iowa, United States, 50201

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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 flexibility

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

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

Structured training program with a strong emphasis on professional development

Job Responsibilities

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

Record detailed notes of customer inquiries, transactions, and actions taken

Escalate unresolved customer inquiries to appropriate departments

Interpret department policies to effectively complete assignments with some discretion

Maintain confidentiality while working remotely and manage multiple priorities

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 work independently with minimal supervision and manage time effectively

Preferred Qualifications

Bachelor's degree

Prior claims processing experience

Experience with financial recovery and overpayment processes

Familiarity with Mentor software

Experience with CRM systems

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