Medicare Call Center Representative

🔥 6 hours ago

🐎 Kentucky, North Carolina, +3 more states – Remote

🐎 Kentucky – Remote 🌲 North Carolina – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote

💵 $39k - $49.4k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📞 Call Center Representative

🚫👨‍🎓 No degree required

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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

• Represent Humana by addressing incoming telephone, digital, or written inquiries from Group or Individual Medicare members • Provide a resolution or pathway to resolution on each call while delivering a perfect call experience • Address complex benefits questions, resolve issues, and educate members • Handle 40+ inbound calls daily in a fast-paced, high-volume call center environment • Accurately record inquiries, comments, complaints, transactions, and interactions • Take prompt and appropriate action, including escalating unresolved and pending member grievances • Interpret department policies and methods to complete assignments • Identify work expectations and quality standards with minimal direction • Prioritize and schedule work within defined parameters • Assist with other lines of business, potentially including Member Solutions and escalations, based on business requirements • Attend virtual training during the first 12 weeks and participate in required meetings with camera on • Work an assigned 8-hour shift between 8:00 AM and 8:00 PM Eastern Time, Monday through Friday, with possible weekends and overtime

🎯 Requirements

• Minimum 2 years of customer service experience • Demonstrated strong customer service and effective communication skills • Strong attention to detail and active listening skills • Experience managing multiple or competing priorities • Experience using multiple computer applications and systems simultaneously • Proficiency with Microsoft Office applications, particularly Outlook and Teams • Ability to work 40 hours per week • Ability to work 8:00 AM–4:30 PM EST during 12 weeks of virtual training, Monday through Friday • Ability to work an assigned 8-hour shift between 8:00 AM and 8:00 PM Eastern Time, Monday through Friday, after training • Availability for some weekends and overtime, especially October through March • No time off during training or in January, except Humana-observed holidays • Hard-wired internet connection; wireless, satellite, cellular, and microwave connections are not permitted • Internet service with at least 25 Mbps download and 10 Mbps upload speed • Dedicated workspace without ongoing interruptions to protect PHI/HIPAA information • Current, updated resume in PDF or Word format • Spanish/English bilingual applicants must complete language proficiency testing; the ILR test is required for applicants speaking with members in a language other than English • Occasional travel to Humana offices for training or meetings may be required

🏖️ Benefits

• Paid Humana-observed holidays during training and within the initial 120 days • 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 • Career growth and development opportunities • Remote work arrangement • 40-hour workweek