Humana
Claims Research & Resolution Representative 2
Humana, Mountain Iron, Minnesota, United States, 55768
Employer Industry: Health Insurance 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 the flexibility to manage your home office environment
Comprehensive benefits package including medical, dental, vision, 401(k), and paid time off
Supportive and engaging company culture that prioritizes associate well‑being
Structured professional development and continued education available
What to Expect (Job Responsibilities):
Manage inbound calls to address customer inquiries, resolve claims issues, and provide financial recovery assistance
Document details of customer interactions and escalate unresolved inquiries as necessary
Interpret and apply department policies to ensure effective resolution of claims‑related matters
Utilize various software systems and internal resources to find resolutions to customer issues
Prioritize and manage multiple tasks effectively 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 with the ability to navigate multiple software systems
Demonstrated time management and prioritization skills, with the capacity to maintain confidentiality while working remotely
How to Stand Out (Preferred Qualifications):
Bachelor's degree
Prior claims processing and financial recovery experience
Familiarity with Mentor software and CRM systems
Experience with PrePay or Post Pay processes
Knowledge of CAS, CIS, or CISPRO systems
#HealthInsurance #RemoteWork #CustomerService #CareerGrowth #BenefitsPackage
“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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Why consider this job opportunity:
Salary up to $52,300 per year
Opportunity for career advancement and growth within the organization
Work remotely with the flexibility to manage your home office environment
Comprehensive benefits package including medical, dental, vision, 401(k), and paid time off
Supportive and engaging company culture that prioritizes associate well‑being
Structured professional development and continued education available
What to Expect (Job Responsibilities):
Manage inbound calls to address customer inquiries, resolve claims issues, and provide financial recovery assistance
Document details of customer interactions and escalate unresolved inquiries as necessary
Interpret and apply department policies to ensure effective resolution of claims‑related matters
Utilize various software systems and internal resources to find resolutions to customer issues
Prioritize and manage multiple tasks effectively 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 with the ability to navigate multiple software systems
Demonstrated time management and prioritization skills, with the capacity to maintain confidentiality while working remotely
How to Stand Out (Preferred Qualifications):
Bachelor's degree
Prior claims processing and financial recovery experience
Familiarity with Mentor software and CRM systems
Experience with PrePay or Post Pay processes
Knowledge of CAS, CIS, or CISPRO systems
#HealthInsurance #RemoteWork #CustomerService #CareerGrowth #BenefitsPackage
“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