Logo
Humana

Claims Research & Resolution Representative 2

Humana, Topeka, Kansas, United States

Save Job

Employer Industry: Healthcare 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 with flexibility in scheduling

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

Initial training provided to ensure success in the role

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, complaints, transactions, or interactions

Escalate unresolved and pending customer inquiries as necessary

Interpret department policies and methods to complete assignments effectively

Work within defined parameters while prioritizing tasks and managing workload independently

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

Capacity to maintain confidentiality while working remotely

How to Stand Out (Preferred Qualifications):

Bachelor's Degree

Prior claims processing experience

Experience with overpayment and financial recovery

Familiarity with Mentor software

Experience with CRM systems

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