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Humana

Claims Research & Resolution Representative 2

Humana, Madison, Wisconsin, United States

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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

Flexibility to work remotely

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

Engaging and supportive work culture focused on employee well-being

In-depth training and professional development from day one

What to Expect (Job Responsibilities):

Manage inbound calls to address customer needs, including financial recovery and issue resolution

Document inquiries, comments, and actions taken for customer interactions

Escalate unresolved customer inquiries to appropriate channels

Interpret policies and procedures to complete assignments effectivelyPrioritize tasks and manage workload with 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 skills in Microsoft Office (Word, Excel, Outlook, and Teams)

Strong technical skills to navigate multiple software systems

Proven ability to manage multiple priorities and maintain confidentiality while working remotely

How to Stand Out (Preferred Qualifications):

Bachelor’s Degree

Prior claims processing experience

Experience with financial recovery and overpayment issues

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.

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