Humana-posted 8 months ago
$48,900 - $66,200/Yr
Full-time • Entry Level
Remote
Insurance Carriers and Related Activities

Be a part of our caring community and help us put health first. The Customer Success Agent is responsible for member retention through active engagement with high-risk members. The Customer Success Agent work assignments are often straightforward and of moderate complexity. Humana's Customer Success Agents are our members' trusted partners in navigating healthcare. In this role, you'll provide guidance and solutions to ensure a positive member experience, from explaining plan benefits to resolving issues around disenrollment or dual eligibility. You'll work cross-functionally with care teams, sales agents, and customer service to support and retain members throughout their healthcare journey.

  • Deliver a high level of professionalism and empathy with every inbound and outbound consumer phone interaction.
  • Actively listen to identify member needs and suggest available plans, resources, and/or services, which may include enrollments into other plans.
  • Simplify and clearly explain plan benefits, claims, and coverage communications.
  • Ask thoughtful questions to uncover social determinants of health and broader member needs.
  • Support member retention and engagement goals by educating and guiding members through complex decisions.
  • Contribute feedback and insights to test-and-learn and proactive outreach initiatives.
  • Active resident Health insurance license for your state of residence.
  • Flexibility to work a flexible schedule, including overtime, nights, and weekends as needed.
  • 2+ years of experience working in a virtual environment.
  • 2+ years professional experience in navigating multiple computer tools/systems/screens.
  • 2+ years of Medicare customer service experience or sales experience (virtual/telephonic preferred).
  • Demonstrated ability to understand and explain Medicare benefits and address the unique needs of Medicare and dual-eligible members.
  • Prior call center experience.
  • Prior success in Medicare Product Sales or member retention roles.
  • Prior Sales (any industry) experience.
  • Experience navigating SALESFORCE CRM or similar customer relationship management systems.
  • Proven ability to collaborate cross-functionally to resolve complex member issues.
  • In addition to English, proficiency in additional languages.
  • Base salary.
  • Medical, Dental, Vision and a variety of other supplemental insurances.
  • Paid time off (PTO) & Paid Holidays.
  • 401(k) retirement savings plan.
  • Tuition reimbursement and/or scholarships for qualifying dependent children.
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