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Humana

Claims Research & Resolution Representative 2

Humana, Jackson, Mississippi, United States

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Employer Industry: Healthcare Insurance

Why consider this job opportunity:

Salary up to $52,300 per year

Opportunity for professional development and continued education

Flexible remote work option available

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

Supportive work culture focusing on associate engagement and well-being

Possibility for overtime based on business needs

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, or complaints during customer interactions

Escalate unresolved customer inquiries as necessary

Interpret departmental policies and methods for completing assignments with some independent discretion

Maintain quality standards while managing workload within defined parameters

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 from home

How to Stand Out (Preferred Qualifications):

Bachelor's Degree

Prior claims processing experience

Experience with financial recovery and overpayment

Familiarity with Mentor software

Experience with CRM systems

#HealthcareInsurance #RemoteWork #CustomerService #CareerDevelopment #CompetitiveBenefits

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