Consumer Service Operations Representative III

Humana; United States; Remote; USD 43 000 - 57 000; Full time

Job summary

Join a forward-thinking organization dedicated to putting health first. As a Consumer Service Operations Representative, you'll play a crucial role in delivering exceptional customer service across various healthcare functions. This position offers the opportunity to engage with clients, resolve issues, and contribute to enhancing consumer experiences. With a commitment to continuous improvement, you'll be part of a team that values your contributions and supports your professional growth. If you're passionate about making a positive impact in healthcare, this role is perfect for you.

Benefits

Medical Benefits

Dental Benefits

Vision Benefits

401(k) Retirement Plan

Paid Time Off

Short-term Disability

Long-term Disability

Life Insurance

Qualifications

• Minimum of 1 year of customer service experience in a healthcare setting.
• Proficient in Microsoft Office applications.
• Excellent verbal and written communication skills.

Responsibilities

• Perform advanced administrative and customer support duties.
• Investigate and settle claims and customer service issues.
• Travel between multiple locations for client support.

Skills

Customer Service

Microsoft Office

Verbal Communication

Written Communication

Problem Solving

Bilingual (English/Spanish)

Education

Undergraduate Degree

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

Job description

Become a part of our caring community and help us put health first
The Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service functions area. The Consumer Service Operations Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills.

The Consumer Service Operations Representative III may perform installation, implementation, client support, client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations. This individual investigates and settles claims and customer service issues. Decisions are typically focus on methods, tactics and processes for completing administrative tasks/projects. This individual regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge.

Use your skills to make an impact

Required Qualifications

• Must be able/willing to travel between the 5 different locations in West Palm Beach, Jupiter, and Palm Beach Gardens (zip codes ranging from 33401, 33417, 33458, 33410). You will travel to a different clinic each day.
• Minimum of 1 year of customer service experience in a healthcare setting
• Proficient in Microsoft Office, Outlook, Word, and Excel
• Excellent verbal, listening and written communication skills
• Aptitude for quickly learning and navigating new technology, systems and applications as well as working knowledge of computers
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

• Undergraduate Degree
• Bilingual English/Spanish: ability to read, write, speak fluently without limitations or assistance
• Previous healthcare experience
• Clerical support background in a healthcare environment
• Familiarity with medical terminology and/or ICD-10 codes
• CNA or Medical Assistant background
• Quality background
• Medicare experience

Additional Information

• Must be able to travel between the 5 different locations in West Palm Beach, Jupiter, and Palm Beach Gardens (zip codes ranging from 33401, 33417, 33458, 33410). You will travel to a different clinic each day.
• As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called HireVue.HireVue Text, Scheduling, and Video technologies allow you to interact with us at the time and location most convenient for you.
• If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview.Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

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.$43,000 - $56,200 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.