Humana
Claims Research & Resolution Representative 2
Humana, Mount Washington, Kentucky, United States, 40047
Employer Industry: Health Insurance Services
Why consider this job opportunity:
Salary up to $52,300 per year
Competitive benefits 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
Flexibility to work remotely from home
Supportive and engaging work 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
Document details of inquiries, comments, or complaints and take appropriate action
Escalate unresolved customer inquiries to ensure timely resolution
Interpret department policies and methods to complete assignments effectively
Work within defined parameters while having some discretion over prioritization and timing
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 or overpayment issues
Familiarity with Mentor software or similar systems
Experience in 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
Why consider this job opportunity:
Salary up to $52,300 per year
Competitive benefits 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
Flexibility to work remotely from home
Supportive and engaging work 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
Document details of inquiries, comments, or complaints and take appropriate action
Escalate unresolved customer inquiries to ensure timely resolution
Interpret department policies and methods to complete assignments effectively
Work within defined parameters while having some discretion over prioritization and timing
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 or overpayment issues
Familiarity with Mentor software or similar systems
Experience in 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