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Job Details

Consumer Service Operations Representative 2 - EAP

Company name
Humana Inc.

Location
San Antonio, TX, United States

Employment Type
Full-Time

Industry
Customer Service

Posted on
Dec 01, 2020

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Profile

Description

The Consumer Service Operations Representative 2 is responsible for the daily activities across multiple service functions area. The Consumer Service Operations Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

Responsibilities

The Consumer Service Operations Representative 2 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 interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

Mostly inbound and outbound phone calls to support the Employee Assistance Program (EAP) product

Works on resolution of EAP provider escalations

Performs enhanced referrals to connect members to preferred providers within the EAP network

Required Qualifications

High School Diploma or equivalent

2 years of customer service experience, including typing/data entry

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

Preferred Qualifications

Associate's or Bachelor's Degree

Previous healthcare experience

Previous inbound and/or outbound call center experience

Provider relations or account management experience

Additional Information

If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.

Scheduled Weekly Hours

40

Company info

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

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