Logo
Humana

Claims Research & Resolution Representative 2

Humana, Des Moines, Iowa, United States

Save Job

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 from the comfort of your home

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

Supportive and collaborative work environment that values associate engagement and well‑being

Virtual training and professional development opportunities provided from day one

What to Expect (Job Responsibilities)

Manage 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 and issues to the appropriate departments

Interpret departmental policies and methods to complete assignments effectively

Work independently while following defined parameters and 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 proficiency in Microsoft Office (Word, Excel, Outlook, and Teams)

Strong technical skills 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

Prior claims processing experience

Experience with financial recovery and overpayment issues

Familiarity with Mentor software

Experience in PrePay or Post Pay processes

#HealthInsurance #CustomerService #RemoteWork #CareerGrowth #EmployeeBenefits

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.

#J-18808-Ljbffr