Consumer Service Operations Representative

HumanaLouisville, KY
Hybrid

About The Position

The Consumer Service Operations Representative represents the Dual Eligible Outreach Department by taking inbound calls to members and/or providers regarding a variety of issues. The Consumer Service Operations Representative performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply mathmatical skills. The Consumer Service Operations Representative performs varied activities and moderately complex administrative/operational/customer support assignments. Typically works on semi-routine assignments.

Requirements

  • Minimum 2 years of customer service experience to include experience assisting customers through effective listening and communication
  • Proficient in technology to include data entry, learning and navigating multiple systems and learning new applications
  • Proven ability applying critical thinking skills for rapid problem resolution
  • Adaptable and open to change in a dynamic environment

Nice To Haves

  • Experience in healthcare or social services
  • Previous inbound/outbound call center experience
  • Bilingual English/Spanish
  • Associate's or Bachelor's degree

Responsibilities

  • Take inbound calls from members and/or providers regarding a variety of issues.
  • Perform advanced administrative/operational/customer support duties requiring independent initiative and judgment.
  • Apply mathematical skills as needed.
  • Perform varied activities and moderately complex administrative/operational/customer support assignments.
  • Work in a call center environment, engaging with members over the phone to assess eligibility for programs like the Medicare Savings Program.
  • Collect and input personal and financial information into multiple systems with accuracy and efficiency.
  • Identify additional resources to support members' needs, such as food assistance or medication cost savings.
  • Educate and empower members to take advantage of benefits that improve their quality of life.
  • Collaborate with a supportive team and contribute to a culture of compassion, service, and excellence.

Benefits

  • Medical benefits
  • Dental benefits
  • Vision benefits
  • 401(k) retirement savings plan
  • Paid time off
  • Company holidays
  • Personal holidays
  • Volunteer time off
  • Paid parental leave
  • Paid caregiver leave
  • Short-term disability
  • Long-term disability
  • Life insurance
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