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Humana

Claims Research & Resolution Representative 2

Humana, El Paso, Texas, United States

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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, and vision coverage, as well as a 401(k) retirement savings plan

Supportive and collaborative work environment with a focus on associate engagement and well-being

Virtual training and professional development opportunities available

What to Expect (Job Responsibilities)

Manage customer inquiries through inbound calls, addressing complex financial recovery and resolving issues

Record detailed notes of inquiries, comments, and actions taken during customer interactions

Escalate unresolved customer inquiries to appropriate departments for further assistance

Interpret departmental policies to make informed decisions on claims resolution

Prioritize tasks and manage multiple inquiries while working 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 proficiency in Microsoft Office (Word, Excel, Outlook, and Teams)

Strong technical skills to navigate multiple software systems

Demonstrated time management and prioritization 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

Experience with CRM systems

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