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Humana

Claims Research & Resolution Representative 2

Humana, Louisiana, Missouri, United States, 63353

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Employer Industry: Healthcare 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 a flexible schedule

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

Supportive and collaborative work environment

Commitment to associate engagement and well-being

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, and take appropriate actions

Escalate unresolved customer inquiries to ensure timely resolution

Interpret departmental policies to complete assignments effectively

Maintain confidentiality while working remotely and manage multiple priorities

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

Ability to manage multiple or competing priorities and demonstrate time management skills

How to Stand Out (Preferred Qualifications):

Bachelor's degree

Prior claims processing experience

Experience in financial recovery and overpayment resolution

Familiarity with Mentor software or similar systems

CRM experience

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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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