Humana
Claims Research & Resolution Representative 2
Humana, Virginia, Minnesota, United States, 55792
Why consider this job opportunity:
Salary up to $52,300 per year
Comprehensive benefits package including medical, dental, and vision coverage
Opportunity for career advancement and professional development
Work remotely with flexibility to manage your work environment
Supportive company culture focused on employee well‑being and engagement
Initial virtual training provided to ensure success in the role
What to Expect (Job Responsibilities):
Manage inbound calls to address customer inquiries and resolve complex financial issues
Document details of interactions, inquiries, and actions taken for each call
Escalate unresolved customer issues to appropriate departments
Interpret policies and procedures to complete assignments effectively
Work independently to prioritize tasks and manage workload 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 skills in Microsoft Office (Word, Excel, Outlook, and Teams)
Strong technical skills to navigate multiple software systems
Ability to maintain confidentiality and manage multiple priorities effectively
How to Stand Out (Preferred Qualifications):
Bachelor's degree
Experience in claims processing and financial recovery
Familiarity with Mentor software and CRM systems
Knowledge of PrePay or Post Pay processes
Experience with overpayment resolution
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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Salary up to $52,300 per year
Comprehensive benefits package including medical, dental, and vision coverage
Opportunity for career advancement and professional development
Work remotely with flexibility to manage your work environment
Supportive company culture focused on employee well‑being and engagement
Initial virtual training provided to ensure success in the role
What to Expect (Job Responsibilities):
Manage inbound calls to address customer inquiries and resolve complex financial issues
Document details of interactions, inquiries, and actions taken for each call
Escalate unresolved customer issues to appropriate departments
Interpret policies and procedures to complete assignments effectively
Work independently to prioritize tasks and manage workload 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 skills in Microsoft Office (Word, Excel, Outlook, and Teams)
Strong technical skills to navigate multiple software systems
Ability to maintain confidentiality and manage multiple priorities effectively
How to Stand Out (Preferred Qualifications):
Bachelor's degree
Experience in claims processing and financial recovery
Familiarity with Mentor software and CRM systems
Knowledge of PrePay or Post Pay processes
Experience with overpayment resolution
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