Company name
Humana Inc.
Location
Pittsburgh, PA, United States
Employment Type
Full-Time
Industry
Customer Service, Call Center, Telecom
Posted on
Oct 21, 2022
Profile
Description
The Consumer Service Operations Representative 4 is responsible for the daily activities across multiple service functions area. The Consumer Service Operations Representative 4 assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment.
Responsibilities
This position is for Enclara Pharmacia, a Humana company. Enclara, is a wholly owned hospice and palliative care pharmacy business acquired by Humana in 2021. Enclara is the nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice and palliative care sectors. Serving over 450 customers and nearly 100,000 patients nationally, Enclara works closely with hospices to reduce pharmacy costs, improve patient care and support caregivers through: digital innovations, flexible medication access, one-on-one clinical support, and excellent customer service.
The Consumer Service Operations Representative 4 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 regarding the daily priorities for an administrative work group and/or external vendors including coordinating work activities and monitoring progress towards schedules/goals, and often oversees work of others and/or is the primary administrative owner of a main process, program, product or technology. Works within broad guidelines with little oversight.
Required Qualifications
2 - 4 years of customer service experience
Proficiency in all Microsoft Office programs including Word, PowerPoint, Excel, Access, etc.
Demonstrated capability with coaching and developing associates formally and informally
Ability to monitor and recommend improvements to increase team productivity by providing expert advice and assistance to other associates, as needed
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
1 - 5 years of leadership, escalated calls experience, or team lead experience
Preferred Qualifications
College degree or some college coursework preferred
Previous experience with coordinating and leading projects and tasks
Experience working in a call center environment
Healthcare experience
Additional Information
Scheduled Weekly Hours
10
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