Consumer Service Ops Professional

🔥 0 minutes ago

🐎 Kentucky – Remote

🐎 Kentucky – Remote

💵 $58.7k - $68.2k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Coordinate member support and benefit fulfillment activities across multiple service responsibilities • Resolve member, provider, and customer service issues • Coordinate fulfillment of member benefits and resources, including researching products, identifying solutions, and arranging delivery • Collaborate with internal and external partners to address member needs and ensure service excellence • Facilitate benefit fulfillment, resolve barriers, and support member outcomes • Use benefit fulfillment systems, multiple systems, and data sources to process requests and maintain accurate records • Analyze information, research problems, and determine appropriate solutions while balancing quality, compliance, and member experience • Monitor work activity and use operational data, reports, and performance metrics to support decision-making and workload prioritization • Identify opportunities to improve processes, workflows, and the member experience • Support implementation of new programs, benefits, workflows, or operational programs • Prioritize work and adapt established procedures to unique situations • Demonstrate accountability for complex issues through resolution • Align operational activities with department, segment, and organizational strategies • Contribute to continuous improvement, teamwork, and consumer experience

🎯 Requirements

• Bachelor's degree or equivalent work experience • 3 years of experience in a service operations environment • Passion for improving consumer experiences • Benefit or program implementation experience preferred • Experience with healthcare or benefit administration preferred • Experience analyzing operational data and metrics to identify trends, support decision-making, and communicate insights preferred • Quality assurance, auditing, or continuous improvement experience preferred • Project management experience preferred • Minimum download speed of 25 Mbps and upload speed of 10 Mbps for home internet service • Dedicated work space without ongoing interruptions to protect member PHI / HIPAA information

🏖️ Benefits

• Bonus incentive plan • Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Self-provided internet service for home employees • Remote work arrangement • Occasional travel to Humana offices for training or meetings