Medicare Inbound Contacts Representative - Work from Home

Humana • PR

100d • $29,300 - $37,100

About The Position

The Provider Group Medicare Inbound Contacts Representative 2 represents the company by addressing incoming telephone, digital, or written inquiries. The representative performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. The Provider Group Medicare Inbound Contact Representative 2 addresses customer needs which may include answering complex benefit questions, resolving issues, and educating providers. Handles 25+ inbound calls daily from providers to check on members and claims in a fast-paced inbound call center environment. Records details of inquiries, comments or complaints, transactions, or interactions, and acts accordingly. Escalates unresolved and pending customer grievances. Decisions are typically focused 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.

Requirements

• 1 year of customer service experience.
• Demonstrated customer service focus.
• Strong attention to detail.
• High-level of typing and computer navigation skills.
• Ability to manage multiple or competing priorities.
• Effective verbal and listening communication skills.
• Passionate about contributing to an organization focused on continuously improving consumer experiences.

Nice To Haves

• Previous inbound call center or related customer service experience.
• Healthcare experience.

Responsibilities

• Address incoming telephone, digital, or written inquiries.
• Perform varied activities and moderately complex administrative/operational/customer support assignments.
• Handle 25+ inbound calls daily from providers.
• Answer complex benefit questions and resolve issues.
• Educate providers on member and claims inquiries.
• Record details of inquiries, comments or complaints, transactions, or interactions.
• Escalate unresolved and pending customer grievances.
• Interpret area/department policy and methods for completing assignments.

Benefits

• Medical, dental and vision benefits.
• 401(k) retirement savings plan.
• Paid time off, company and personal holidays.
• Volunteer time off.
• Paid parental and caregiver leave.
• Short-term and long-term disability.
• Life insurance.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Number of Employees: 5,001-10,000 employees