Job Details

Bilingual English/Spanish Consumer Service Operations Representative 3

Location
Orange City, FL, United States

Posted on
Dec 11, 2020

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Job Information
Humana
Bilingual (English/Spanish) Consumer Service Operations Representative 3
in
Orange City
Florida
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 The Consumer Service Op administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills.
The Consumer Service Operations Representative 3 may perform installation, implementation, client support, client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations. Investigates and settles claims and customer service issues. Decisions are typically focus on methods, tactics and processes for completing administrative tasks/projects. 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.
Responsibilities
This position will start as remote/work at home, due to current COVID, restrictions, but will resume as an agile based position once it is determined safe to return to the office.
The hours for this role are Monday-Friday 8:30 am-5:00 pm.
Required Qualifications
High School Diploma or equivalent
1-3 years of customer service experience, including typing/data entry
Previous inbound and/or outbound call center or related customer service experience
Excellent verbal, listening and written communication skills
Aptitude for quickly learning and navigating new technology, systems and applications
Proficient in Microsoft Office Outlook and Word
Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems
Bilingual in English/Spanish- ability to read, write, and speak in both languages without limitations or assistance
This role is considered patient facing and is a part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
Work at Home/Remote Requirements
Must ensure designated work area is free from distractions during work hours and virtual meetings
Must provide a high-speed DSL or cable modem for a workspace (Satellite, Wireless and Hotspots are prohibited). A minimum standard speed of 10x1 (10mbs download x 1mbs upload) for optimal performance of is required
Preferred Qualifications
Associate's or Bachelor's Degree
Clerical support background in a healthcare environment
Familiarity with medical terminology
Medicare experience
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.
Scheduled Weekly Hours
40

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