Enable job alerts via email!

Bilingual Claims Resolution Rep

Humana

Washington (District of Columbia)

Remote

USD 40,000 - 53,000

Full time

Yesterday

Be an early applicant

Boost your interview chances

Create a job specific, tailored resume for higher success rate.

Job summary

Humana is seeking a Bilingual Claims Research & Resolution Representative 2 to manage claims operations with customer interactions and problem resolution. This remote position requires 1+ years of experience in call center environments and fluency in both English and Spanish. The opportunity includes training for 8-10 weeks and offers excellent benefits starting on day one.

Benefits

Benefits starting day 1 of employment

Competitive 401k match

Generous Paid Time Off accrual

Tuition Reimbursement

Parental Leave

Numerous well-being programs

Qualifications

1 or more years of Call Center or Telephonic customer service experience.
Strong technical skills to work across multiple software systems.
Ability to maintain confidentiality working remotely.

Responsibilities

Manage claims operations involving customer contact and resolution.
Address customer needs including financial recovery and answering questions.
Record notes and escalate unresolved inquiries.

Skills

Bilingual in Spanish and English

Customer service

Call center experience

Time management

Technical skills

Education

Previous health care related experience or related education

Tools

Microsoft Office (Word, Excel, Outlook, Teams)

Humana District of Columbia, United States

3 days ago Be among the first 25 applicants

Get AI-powered advice on this job and more exclusive features.

Continue with Google Continue with Google

This range is provided by Humana. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$40,000.00/yr - $52,300.00/yr

Become a part of our caring community and help us put health first

The Bilingual Claims Research & Resolution Representative 2 manages claims operations that involve customer contact, investigation, and resolution of claims or claims-related financial issues. The position includes moderately complex call center, administrative, operational and customer support assignments. Workload is typically semi-routine assignments along with intermediate level math computations. This is an opportunity to work remotely and use your research, resolution and customer service skills to join a Fortune 100 company with a great culture and outstanding benefits. Humana values associate engagement and well-being. We also provide excellent professional development and continued education.

The start date for this position is Monday, August 11th. Training is conducted for 8-10 weeks, and perfect attendance is required for success in the position. No PTO will be granted during this time.

Responsibilities

The claims inbound call center is comprised of a group of calls, claims and provider associates researching the resolution to a pending call. The Bilingual Claims Research & Resolution Representative 2 works with English and Spanish speaking providers, members, insurance companies, and collection services in the resolution of claims and claims-related financial issues. Responsibilities include:

Taking inbound calls to address customer needs which may include complex financial recovery, answering questions, and resolving issues.
Recording notes with details of inquiries, comments or complaints, transactions or interactions and taking action in accordance to it.
Escalation of unresolved and pending customer inquiries.
Decisions are typically focused on interpretation of area or department policy and methods for completing assignments.
Standard policies and practices allow for some opportunity for interpretation / deviation and / or independent discretion.
Work is within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization and timing, and works under minimal direction.

How We Value You!

Benefits starting day 1 of employment
Competitive 401k match
Generous Paid Time Off accrual
Tuition Reimbursement
Parental Leave
Numerous well-being programs

Required Qualifications

Use your skills to make an impact

1 or more years of Call Center or Telephonic customer service experience (within the past 5 years)
Previous health care related experience or related education
Bilingual in Spanish and English (see Language Proficiency Testing below)
Basic Microsoft Office (Word, Excel, Outlook, and Teams) skills
Strong technical skills with the ability to work across multiple software systems
Capacity to maintain confidentiality working remotely out of your home
Self-reliance with ability to resolve issues independently with minimum supervision
Ability to use internal system resources (i.e., Mentor) to find a resolution to an issue and/or respond to an inquiry
Demonstrated time management and prioritization skills
Ability to manage multiple or competing priorities

Training

Virtual training starts on day one of employment (MONDAY, August 11th) and will run for the first 8 to 10 weeks with a schedule of 8:00 AM to 4:30 PM Eastern, Monday - Friday.
Attendance is vital for your success; no time off will be allowed during training.
The initial 120 days of employment as a Claims Research & Resolution Representative 2 constitute an appraisal period. This Appraisal Period is essential to your learning and development, which is why we ask for perfect attendance during both the classroom training and nesting periods.
This position requires learning many systems, policies, and tools, and it takes time to become proficient in the role. You must be willing to remain in this position for a period of eighteen (18) months before applying to other Humana opportunities.

Work Hours

Following training, you must be able to work an assigned 8-hour shift between the hours of 8:00 AM to 6:00 PM Eastern Standard Time.
Overtime may be offered, based on business needs.

Preferred Qualifications

Bachelor's Degree
Prior claims processing experience
Overpayment experience
Financial recovery experience
Previous experience with Mentor software
PrePay or Post Pay experience
CAS, CIS or CISPRO experience
CRM experience

Additional Information

PLEASE MAKE SURE YOU ATTACH YOUR RESUME TO YOUR APPLICATION (PDF OR WORD FORMAT) **

Work at Home Guidance

To Ensure Home Or Hybrid Home/Office Associates’ Ability To Work Effectively, The Self-provided Internet Service Of Home Or Hybrid Home/Office Associates Must Meet The Following Criteria

At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
Satellite, cellular and microwave connection can be used only if approved by leadership.
Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Language Proficiency Testing

Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.

Interview Process

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Text Prescreen: Shortly after submitting your application, you may receive both a text message and email requesting you to complete 10 to 15 prescreen questions with either yes or no answers. The text message may arrive prior to the email. If you prefer to answer via computer or tablet, wait for the email.
Video Prescreen: If you are successful with the text prescreen, you will receive another communication to record a Video Prescreen. This is an online video activity using your phone, tablet, or computer; however, most candidates prefer using a computer or tablet.
Interviews: Some candidates will be invited to interview. If so, the recruiter will reach out to schedule.
Offers: Finalists from the interview will be contacted by a recruiter to discuss an offer for the job
Note: Depending on the number of openings, the number of candidates who apply, and the schedules of interviewers and recruiters, this process may take several weeks or less; however, know that we are working hard to proceed as quickly as possible and to keep you informed.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$40,000 - $52,300 per year

Description Of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Seniority level

Seniority level
Entry level

Employment type

Employment type
Full-time

Job function

Job function
Finance and Sales
Industries
Insurance

Referrals increase your chances of interviewing at Humana by 2x

Continue with Google Continue with Google

Outside Property Claim Representative Trainee

Experienced Outside Property Claim Representative

Remote Field Adjuster - General Liability/Property Damage (Seattle-Based)

Washington, DC $80,000 - $110,000 2 days ago

District of Columbia, United States $40,000 - $52,300 1 day ago

Associate General Adjuster / General Adjuster - Maryland, DC, Delaware Region

Washington, DC $84,400 - $160,200 6 days ago

Washington, DC
$20,000.00
-
$25,000.00
2 weeks ago

Washington, DC $41.75 - $43.75 2 weeks ago

Claims Review Pain Management/Anesthesiologist

FOIA Remote Federal Dept of Commerce (Must have Federal Dept of Commerce exp)

Washington, DC $55,000 - $60,000 1 month ago

Executive Assistant, Enterprise Facilities, Washington DC, Hybrid

Washington, DC $70,000 - $99,000 2 days ago

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.