Consumer Service Operations Representative III - Remote Eligible

Become a Part of Our Caring Community and Help Us Put Health First

The Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service functions area. The Consumer Service Operations Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills.

This position is located in the West Palm Beach, Florida area - you will be traveling to one of three different locations each day on rotation in the areas listed below.

The Consumer Service Operations Representative III may perform installation, implementation, client support, client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations. This individual investigates and settles claims and customer service issues. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. This individual regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge.

Required Qualifications

• Must be able/willing to travel between the 3 different locations in Jupiter, Palm Beach Gardens, and West Palm Beach (zip codes ranging from 33401, 33417, 33458, and 33410). You will travel to a different clinic each day.
• Minimum of 1 year of customer service experience in a healthcare setting
• Proficient in Microsoft Office, Outlook, Word, and Excel
• Excellent verbal, listening and written communication skills
• Aptitude for quickly learning and navigating new technology, systems and applications as well as working knowledge of computers

Preferred Qualifications

• Undergraduate Degree
• Clerical support experience in a healthcare environment
• CNA or Medical Assistant experience
• Quality experience
• Medicare experience
• Familiarity with medical terminology and/or ICD-10 codes

Must be able/willing to travel between the 3 different locations in Jupiter, Palm Beach Gardens, and West Palm Beach (zip codes ranging from 33401, 33417, 33458, and 33410). You will travel to a different clinic each day.

As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called HireVue. HireVue Text, Scheduling, and Video technologies allow you to interact with us at the time and location most convenient for you.

If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours 40

Pay Range $43,000 - $56,200 per year

Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements.