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Humana

Claims Research & Resolution Representative 2

Humana, Bismarck, North Dakota, United States

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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 supportive and collaborative work environment

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

Virtual training program to help you succeed in your role

Chance to make a positive impact on customer satisfaction and healthcare services

What to Expect (Job Responsibilities)

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

Record detailed notes of inquiries, comments, and transactions while taking appropriate action

Escalate unresolved customer inquiries as necessary

Interpret policies and procedures to complete assignments effectively

Work independently with minimal supervision while adhering to 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 Microsoft Office skills (Word, Excel, Outlook, and Teams)

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

Ability to manage multiple priorities and maintain confidentiality while working remotely

How to Stand Out (Preferred Qualifications)

Bachelor’s Degree

Experience in claims processing or financial recovery

Familiarity with Mentor software or CRM systems

Knowledge of PrePay or Post Pay processes

Overpayment experience

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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