Medicare Call Center Representative

Humana; Kentucky; Remote; USD 39,000 - 49,000; Full time

Job summary

Humana is seeking a Medicare Call Center Representative (Inbound) to assist members with 40+ daily inbound calls in a remote, high-volume environment. You will document inquiries, provide resolutions, and educate members on benefits while adhering to policies and quality standards.

Training begins day one with 12 weeks of virtual sessions 8:00 AM–4:30 PM EST, Monday–Friday. After training, 8-hour shifts occur between 8:00 AM and 8:00 PM ET; some weekends/overtime may be required during peak

Qualifications

• Minimum 2 years of customer service experience.
• Strong communication and attention to detail; active listening.
• Ability to manage multiple priorities and use several computer apps simultaneously.
• Proficient in Microsoft Office applications, especially Outlook and Teams.

Responsibilities

• Handle 40+ inbound calls daily in a high-volume call center.
• Record details of inquiries, transactions, or complaints; escalate when needed.
• Provide resolution pathways and educate members on benefits.
• Follow policies and maintain quality standards within defined parameters.

Skills

Customer service

MS Outlook

MS Teams

Multitasking

Active listening

Education

Associate or Bachelor's degree

Tools

Outlook

Teams

Job description

Become a part of our caring community

The Medicare Call Center Rep (Inbound Contacts Representative 2) represents Humana by addressing incoming telephone, digital, or written inquiries. The Medicare Call Center Rep performs varied activities and moderately complex administrative / operational / customer support assignments. Performs computations. Typically works on semi-routine assignments.

The Medicare Call Center Rep (Inbound Contacts Representative 2) represents Humana by addressing incoming telephone, digital, or written inquiries. The Medicare Call Center Rep performs varied activities and moderately complex administrative / operational / customer support assignments. Performs computations. Typically works on semi-routine assignments.

In this position, you will strive to provide our Group or Individual Medicare members with a resolution or pathway to resolution on each call, while providing a perfect call experience.

Among other responsibilities, you will address member needs which may include complex benefits questions, resolving issues, and educating our members.

• You will handle 40+ inbound calls daily from our members in a fast-paced inbound call center environment. This is a high-volume call center setting, which may be stressful at times.
• You will accurately record details of inquiries, comments or complaints, transactions or interactions, and take prompt / appropriate action, including escalating unresolved and pending member grievances.
• Decisions are typically focused on interpretation of area / department policy and methods for completing assignments.
• You will work under minimal direction within defined parameters to identify work expectations and quality standards but will have some latitude over prioritization / timing.
• You will follow standard policies / practices that allow some opportunity for interpretation / deviation and / or independent discretion.

Required Work Schedule

Use your skills to make an impact

• Virtual training will start on day one of employment and runs for the first 12 weeks with a schedule of 8:00 AM to 4:30 PM EST, Monday through Friday.
• You must be on time, dressed appropriately, with your camera ON for the entire duration of training and for other meetings required by leadership. Your entire face, from the shoulders up, must be clearly visible with no obstructions.
• Attendance is vital for success, so no time off is allowed during training. Exception: Should a Humana-observed holiday occur during training or within the initial 120-days of employment, you will have the holiday off (paid).
• All associates are subject to a 180-day appraisal period.
• Following training, you will be assigned to an 8-hour shift between the hours of 8:00 AM and 8:00 PM Eastern Time, Monday through Friday.
• Shift Bids take place periodically and are based on performance and business needs.
• Some weekends and overtime may also be required, especially during our peak season of October through March and as needed by the business. No time off is allowed in January of each year (except Humana-observed holidays). We strive to provide a minimum of a week's advance notice for required weekends and / or overtime; however, at times business needs do not allow for a week's advance notice.
• This opportunity involves working in a call center environment to support Humana Medicare members. As part of your career development for this position, you may be asked to assist with other lines of business. This will be based on business requirements and may include Member Solutions, which handles escalations.
• Humana strongly supports your career growth! All Humana positions require learning many systems, policies, and tools, and it takes time to become proficient in the role. All associates who wish to apply for positions must have been in their present position for a period of twelve (12) months, unless the best interests of the company are served by a shorter period of service.

Required Qualifications

• You must have a minimum of 2 years of customer service experience
• You must have demonstrated experience with providing strong customer service, using effective communications skills and strong attention to detail, while also actively listening to their needs
• You must have prior experience managing multiple or competing priorities, including use of multiple computer applications and systems simultaneously
• You must be proficient with Microsoft Office applications, particularly Outlook and Teams

Preferred Qualifications

• Previous inbound call center or related customer service experience
• Previous healthcare experience
• Associate or Bachelor's degree
• Bilingual in Spanish and English (see Language Proficiency Testing below)

Pay Rate

• IMPORTANT: While you see an estimated pay range reflected in this job posting, the pay rate for this position is $19.24 per hour ($20.24 for Spanish / English Bilingual; requires language proficiency testing) and is non-negotiable.

Internet Connection Requirements

• Associates in this role are required to be hard-wired to their internet connection. Wireless, satellite, cellular and microwave connections are NOT permitted.

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.

Additional Information

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

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

$39,000 - $49,400 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.

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 or demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.