AL; AR; CO; CT; DE; DC; FL; GA; ID; IL; IN; IA; KS; LA; ME; MD; MA; MI; MN; MS; MO; MT; NE; NH; NJ; NM; NY; NC; ND; OH; OK; OR; PA; RI; SC; SD; TN; TX; UT; VT; VA; WI;
For more than 50 years Humana has been a proven leader and innovator in the health and wellness industry. A passionate emphasis on people, choice, well-being, and innovation guides our business practices and culture. We’re not just a health insurance company. Our diverse lines of business position us to serve millions of people with a wide range of needs, including seniors, military members, and self-employed individuals.
If you're looking for a career that provides opportunities for growth and development in a stable industry, Humana might be the right fit for you. Read employee reviews here
Responsibilities
Work Environment: This is a customer-centric member advocate environment focused on high-quality outcomes versus activities. Our department primarily communicates over the phone, but we are not a “call center” environment as we are responsible for the member’s safety and advocacy outcome as part of the continuum of their care. We value quality work as every action taken in the member services department is to facilitate access to the member and avoid adverse outcomes for the member.
Associates can expect to take anywhere from 30-35 inbound calls per day with the focus being on high-quality service with a strong emphasis on member advocacy and patient safety.
While this associate receives inbound calls, up to 50% of these calls may require associates to place outbound calls to physicians, DME vendors, pharmacies or other entities to coordinate benefits and care for the member.
This role calls for strong emotional intelligence focused on proactively providing solutions, ensuring the member's utmost health and safety. De-escalation skills are a must to thrive in this role. We serve a wide variety of members, some of which are experiencing illness and trauma at the time of their call.
Anticipated Start Date/Training Date Depending on Interview Schedule: October 25th, 2021.
Responsibilities
We are looking for an Inbound Contacts Representative 1 Advocate to represent the company by addressing the following items below, but not limited to:
Incoming telephone, digital, or written inquiries
Addressing customer needs which may include complex benefit questions, resolving issues, and educating members.
Recording details of inquiries, comments or complaints, transactions or interactions and takes action in accordance to it.
Advancing unresolved and pending customer grievances.
Decisions include defined parameters around work expectations, quality standards, priorities, and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for deviation.
Required Qualifications
High School Diploma or equivalent
1 year of customer service experience
Phenomenal customer service orientation
Strong attention to detail
Ability to navigate computer programs and tools.
Capacity to handle multiple or challenging priorities, including use of multiple computer applications at a time.
Effective verbal and listening communication skills
Must be available to work any shift between the hours of 7:45 AM – 11:00 PM EST, Monday – Friday, and 7:45 AM – 6:30 PM EST, Saturday
Advocate provided internet requirement – At a minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate.
Preferred Qualifications
Previous inbound call center
Healthcare experience.
CT; DE; DC; FL; GA; IN; KY; ME; MD; MA; MI; NH; NJ; NY; NC; OH; PA; RI; SC; TN; VT; VA;
The Outbound Contacts Representative 3 performs necessary follow up with members and/or providers. Ensures responses to member and/or provider inquiries are completed on a timely basis to achieve service and quality standards. Decisions are typically focused 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.
Assist beneficiaries over the phone with Medicaid financial assistance program eligibility
Engage with beneficiaries and obtain buy-in with the handling of sensitive information
Ask probing questions, research and problem solve issues for beneficiaries
Process Medicaid State application forms
Meet daily and monthly productivity metrics
Any additional responsibilities or assignments identified by the Humana leadership team
Schedule will be Monday – Friday 10:40 a.m.-7:10 p.m.
Training Information 4-6 weeks of virtual training, 9:00 am-5:30 pm, subject to change based on business needs
Required Qualifications
1 + years of previous call center and/or customer service experience
Proficiency in Microsoft Office applications, including Outlook, Word, and Excel
Adaptable with the ability to thrive in a fast-paced environment
Strong attention to detail
Strong typing and computer navigation skills
Ability to manage multiple or competing priorities, including use of multiple computer applications simultaneously
Effective verbal and listening communication skills
High-speed DSL or cable modem internet connection for a home office; a minimum standard speed for optimal performance of 10mb and 1 mb up. A dedicated space with a door that locks preventing ongoing interruptions
Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
CA; CO; MT; NV; NM; OR; WA; WY;
Responsibilities
The Inbound Contacts Representative 1 addresses customer needs which may include complex benefit questions, resolving issues, and educating members. Records details of inquiries, comments or complaints, transactions, or interactions and take action in accordance with it. Escalates unresolved and pending customer grievances. Decisions are limited to defined parameters around work expectations, quality standards, priorities, and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for deviation.
Required Qualifications
2 years of customer service experience
Strong customer service orientation
Strong attention to detail
Strong typing and computer navigation skills
Ability to manage multiple or competing priorities, including use of multiple computer applications simultaneously
Effective verbal and listening communication skills
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
Associate's or Bachelor's Degree
Previous inbound call center or related customer service experience
Healthcare experience
Fluency in Spanish
(OH, AZ, TX, FL)
Responsibilities
The Inbound Contacts Representative 1 addresses customer needs which may include complex benefit questions, resolving issues, and educating members. Records details of inquiries, comments or complaints, transactions or interactions and take action in accordance to it. Escalates unresolved and pending customer grievances. Decisions are limited to defined parameters around work expectations, quality standards, priorities, and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for deviation.
Required Qualifications
2 years of customer service experience
Strong customer service orientation
Strong attention to detail
Strong typing and computer navigation skills
Ability to manage multiple or competing priorities, including use of multiple computer applications simultaneously
Effective verbal and listening communication skills
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
Associate's or Bachelor's Degree
Previous inbound call center or related customer service experience
Healthcare experience
Fluency in Spanish.
The responsibilities-50-mile radius of Louisville, KY or San Antonio, TX
The LINET Contact Center Representative 2 will assist members in a fast-paced inbound call center environment. You will be responsible for:
Verifying eligibility, processing enrollments, pharmacy claims, and other related tasks.
All associates must meet established performance metrics including quality, compliance, standards, and attendance.
Educating members and providing appropriate solutions and alternatives regarding their Part D plan benefit.
Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.
Required Qualifications
2+ years of customer service.
Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
Mandatory 6 weeks virtual training program Monday – Friday 8:00 am to 4:30 pm.
Must work an 8-hour shift during the hours of 10:30 am – 7:00 pm EST Monday through Friday; overtime based on business need.
Fluency in a professional environment with computer navigation, email, chats, typing skills, and toggling across multiple databases while engaging with the caller.
Must have excellent interpersonal skills and the ability to organize simultaneous tasks; and meet monthly call and performance metrics.
Must have accessibility to high-speed DSL or cable modem for a home office (Satellite internet service is NOT allowed for this role), and recommended speed for optimal performance from Humana systems is 10M x 1M
Must live within a 50-mile radius of Louisville, KY or San Antonio, TX
Preferred Qualifications
College degree (Associate’s or Bachelor’s) highly preferred
Knowledge of customer service principles and practices – formal training or experience
Additional Information
Benefits package that starts your 1st day of employment
Robust 401k plan through Charles Schwab.
Eligibility for associate wellness and rewards program
Opportunity to learn the industry and build a professional career
Tuition Reimbursement & Student Loan Refinancing.
The Inbound Contacts Representative 2 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts The Inbound Contacts Representative 2 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments
Work Environment: This is a customer-centric member advocate environment focused on high-quality outcomes versus activities. Our department primarily communicates over the phone, but we are not a “call center” environment as we are responsible for the member’s safety and advocacy outcome as part of the continuum of their care. We value quality work as every action taken in the member services department is to facilitate access to the member and avoid adverse outcomes for the member.
Associates can expect to take anywhere from 25 to 35 inbound calls per day with the focus being on high-quality service with a strong emphasis on member advocacy and patient safety.
While this associate receives inbound calls, up to 60% to 70% of these calls may require associates to place outbound calls to physicians, DME vendors, pharmacies or other entities to coordinate benefits and care for the member.
This role calls for strong emotional intelligence focused on proactively providing solutions, ensuring the member's utmost health and safety. De-escalation skills are a must to thrive in this role. We serve a wide variety of members, some of which are experiencing illness and trauma at the time of their call.
English and Spanish
AL; AZ; AZ; AZ; AR; CA; CO; CO; CT; DE; DC; FL; FL; FL; FL; GA; ID; IL; IL; IN; IA; KS; KY; LA; ME; MD; MA; MI; MS; MO; MT; NE; NV; NH; NJ; NM; NY; NC; ND; OH; OK; OR; PA; RI; SC; SD; TN; TX; TX; TX; TX; TX; UT; VT; VA; WA; WI;
The Inbound Contacts Representative 2 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.
Additional Details
Work Environment: This is a customer-centric member advocate environment focused on high-quality outcomes versus activities. Our department primarily communicates over the phone, but we are not a “call center” environment as we are responsible for the member’s safety and advocacy outcome as part of the continuum of their care. We value quality work as every action taken in the member services department is to facilitate access to the member and avoid adverse outcomes for the member.
Associates can expect to take anywhere from 25 to 35 inbound calls per day with the focus being on high-quality service with a strong emphasis on member advocacy and patient safety.
While this associate receives inbound calls, up to 60% to 70% of these calls may require associates to place outbound calls to physicians, DME vendors, pharmacies, or other entities to coordinate benefits and care for the member.
This role calls for strong emotional intelligence focused on proactively providing solutions, ensuring the member's utmost health and safety. De-escalation skills are a must to thrive in this role. We serve a wide variety of members, some of which are experiencing illness and trauma at the time of their call.
CT; DE; DC; FL; GA; IN; KY; ME; MD; MA; MI; NH; NJ; NY; NC; OH; PA; RI; SC; TN; VT; VA;
The Outbound Contacts Representative 3 performs necessary follow up with members and/or providers. Ensures responses to member and/or provider inquiries are completed on a timely basis to achieve service and quality standards. Decisions are typically focused 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.
Assist beneficiaries over the phone with Medicaid financial assistance program eligibility
Engage with beneficiaries and obtain buy-in with the handling of sensitive information
Ask probing questions, research and problem solve issues for beneficiaries
Process Medicaid State application forms
Meet daily and monthly productivity metrics
Any additional responsibilities or assignments identified by the Humana leadership team
Schedule will be Monday – Friday 10:40 a.m.-7:10 p.m.
Training Information 4-6 weeks of virtual training, 9:00 am-5:30 pm, subject to change based on business needs
Required Qualifications
1 + years of previous call center and/or customer service experience
Proficiency in Microsoft Office applications, including: Outlook, Word, and Excel
Adaptable with the ability to thrive in a fast-paced environment
Strong attention to detail
Strong typing and computer navigation skills
Ability to manage multiple or competing priorities, including use of multiple computer applications simultaneously
Effective verbal and listening communication skills
High-speed DSL or cable modem internet connection for a home office; a minimum standard speed for optimal performance of 10MB and 1 MB up. A dedicated space with a door that locks preventing ongoing interruptions
Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
Bilingual English and Spanish
Location:AL; AZ; AR; CA; CO; CT; DE; DC; FL; GA; ID; IL; IN; IA; KS; KY; LA; ME; MD; MA; MI; MN; MS; MT; NE; NV; NH; NJ; NM; NY; NC; ND; OH; OK; OR; PA; RI; SC; SD; TN; TX; UT; VT; VA; WA; WI;
Associates can expect to take inbound calls with the focus being on high-quality service with a strong emphasis on member advocacy and patient safety.
While this associate receives inbound calls, with limited up to 60% to 70% of these calls may require associates to place outbound calls to physicians, DME vendors, pharmacies or other entities to coordinate benefits and care for the member.
This role calls for strong emotional intelligence focused on proactively providing solutions, ensuring the member’s utmost health and safety. De-escalation skills are a must to thrive in this role. We serve a wide variety of members, some of which are experiencing illness and trauma at the time of their call.
Responsibilities
Work Environment: This is a customer-centric member advocate environment focused on high-quality outcomes versus activities. Our department primarily communicates over the phone, but we are not a “call center” environment as we are responsible for the member’s safety and advocacy outcome as part of the continuum of their care. We value quality work as every action taken in the member services department is to facilitate access to the member and avoid adverse outcomes for the member.
Associates can expect to take anywhere from 30-35 inbound calls per day with the focus being on high-quality service with a strong emphasis on member advocacy and patient safety.
While this associate receives inbound calls, up to 50% of these calls may require associates to place outbound calls to physicians, DME vendors, pharmacies or other entities to coordinate benefits and care for the member.
This role calls for strong emotional intelligence focused on proactively providing solutions, ensuring the member's utmost health and safety. De-escalation skills are a must to thrive in this role. We serve a wide variety of members, some of which are experiencing illness and trauma at the time of their call.
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