Customer Service Specialist

Profile

Description

The Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service function areas.

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

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

2 years of leadership, escalated calls, team lead or similar experience

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

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

Bilingual in English/Spanish- ability to read, write, and speak in both languages without limitations or assistance

Clerical support background in a healthcare environment

Familiarity with medical terminology and/or ICD-10 codes

CNA or Medical Assistant background

Medicare experience

Scheduled Weekly Hours

40

Company info

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