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Humana

Claims Research & Resolution Representative 2

Humana, Nashville, Tennessee, United States

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Why consider this job opportunity?

Salary up to $52,300 per year

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

Opportunity for career advancement and professional development within a Fortune 100 company

Work remotely with the flexibility to manage your own workspace

Supportive and inclusive company culture focused on employee well‑being

What to Expect (Job Responsibilities)

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

Accurately record notes detailing inquiries, transactions, and interactions with customers

Escalate unresolved customer inquiries to appropriate departments for further assistance

Interpret and apply departmental policies and practices to complete assignments

Prioritize tasks and manage workload effectively under minimal supervision

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

Strong technical skills with the ability to navigate multiple software systems

Ability to maintain confidentiality while working remotely

How to Stand Out (Preferred Qualifications)

Bachelor's Degree

Prior claims processing experience

Experience with financial recovery and overpayment issues

Familiarity with Mentor software

Experience in PrePay or Post Pay processes

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