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Humana

Claims Research & Resolution Representative 2

Humana, Los Angeles, California, United States

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Employer Industry: Healthcare Insurance Services

Why consider this opportunity

Salary up to $52,300 per year

Opportunity for career advancement and growth within the organization

Work remotely with flexibility in work hours

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

Supportive and collaborative work environment focused on employee well-being

Training and professional development provided from day one

Job Responsibilities

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

Record detailed notes on inquiries, comments, complaints, and transactions, taking appropriate action

Escalate unresolved and pending customer inquiries to the appropriate channels

Interpret area or department policies to make informed decisions on assignments

Prioritize workload and manage tasks with minimal supervision

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 to work across multiple software systems

Ability to maintain confidentiality while working remotely

Preferred Qualifications

Bachelor's Degree

Prior claims processing experience

Experience in financial recovery and overpayment situations

Familiarity with Mentor software

Experience with CRM systems

Equal Opportunity Statement 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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