Consumer Service Operations Representative

Profile

Description

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.

Responsibilities

Where you Come In

The On-Site Consumer Service Operations Representative will work on-site 5 days a week at the Delray, FL Humana Neighborhood Center assisting members as they come in with claims issues, enrollment questions, may perform installation, implementation, client support, client services, client administration, customer service, enrollment and eligibility and claims processing. In this position you will investigate and settle claims and customer service issues. 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. You will need to have strong communication and customer service skills along with solid typing and computer skills. We are looking for dynamic individuals are self-motive, engaged and focused on providing our members with world-class customer service experience.

What Humana Offers

Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education.

Required Qualifications

Fully Bilingual English/Spanish . Must be able to speak, read and write in both languages without limitations or assistance. If selected for the position, you will be required to take a Language Proficiency Assessment in English/Spanish. See Additional Information on testing

Customer service experience including strong typing/data entry skills

Proficient in Microsoft Office Outlook and Word

Excellent verbal, listening and written communication skills

Aptitude for quickly learning and navigating new technology, systems and applications

Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems

Ability to work the required hours for this role which are Monday-Friday 8:30 am-5:00 pm. EST

2 Year commitment in the role upon hire

Preferred Qualifications

Previous inbound and/or outbound call center

Associate's or bachelor's degree

Previous healthcare experience

Clerical support background in a healthcare environment

Familiarity with medical terminology

Medicare experience

Additional Information

Benefits starting day 1 of employment

Competitive 401k match

Generous Paid Time Off accrual

Tuition Reimbursement

Parent Leave

Please be advised, 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. Candidates must be tested in ALL languages listed on the description.

Work Location : Must be located within a 1-to-25-mile radius of the Delray, FL area

Work Style : Remote ONLY for the first 3 months (Training) and then it will be On-Site 5 days a week at the Delray, FL Humana Neighborhood Center

Work hours : Monday-Friday 8:30 a.m. to 5 p.m. EST

Work at Home/Remote Requirements (Only for the first 3 months of training)

To ensure Hybrid Office/Home associates' ability to work effectively, the self-provided internet service of Hybrid Office/Home 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

ALERT : Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana's secure website.

Interview Format:

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

Company info

Humana Inc.
Website : http://www.humana.com