Humana
Claims Research & Resolution Representative 2
Humana, Mount Vernon, Kentucky, United States, 40456
Why consider this job opportunity
Salary up to $52,300 per year
Opportunities for career advancement and growth within the organization
Remote work with flexibility
Comprehensive benefits package, including medical, dental, vision, and 401(k) retirement plan
Supportive and collaborative work environment that values associate engagement and well‑being
What to Expect (Job Responsibilities)
Manage claims operations involving customer contact, investigation, and resolution of claims‑related financial issues
Handle inbound calls to address customer needs, including complex financial recovery and issue resolution
Record detailed notes of inquiries, comments, and transactions, taking appropriate action
Escalate unresolved customer inquiries for further assistance
Interpret department policy and methods to complete assignments within defined parameters
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 (Word, Excel, Outlook, and Teams)
Strong technical skills with the ability to work across multiple software systems
Ability to manage multiple or competing priorities while maintaining confidentiality
How to Stand Out (Preferred Qualifications)
Bachelor's Degree
Prior claims processing experience
Financial recovery experience
Familiarity with Mentor software
Experience with 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.
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Salary up to $52,300 per year
Opportunities for career advancement and growth within the organization
Remote work with flexibility
Comprehensive benefits package, including medical, dental, vision, and 401(k) retirement plan
Supportive and collaborative work environment that values associate engagement and well‑being
What to Expect (Job Responsibilities)
Manage claims operations involving customer contact, investigation, and resolution of claims‑related financial issues
Handle inbound calls to address customer needs, including complex financial recovery and issue resolution
Record detailed notes of inquiries, comments, and transactions, taking appropriate action
Escalate unresolved customer inquiries for further assistance
Interpret department policy and methods to complete assignments within defined parameters
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 (Word, Excel, Outlook, and Teams)
Strong technical skills with the ability to work across multiple software systems
Ability to manage multiple or competing priorities while maintaining confidentiality
How to Stand Out (Preferred Qualifications)
Bachelor's Degree
Prior claims processing experience
Financial recovery experience
Familiarity with Mentor software
Experience with 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.
#J-18808-Ljbffr