Senior Consumer Service Operations Professional

Senior Consumer Service Operations Professional

Become a part of our caring community and help us put health first. The Senior Consumer Service Operations Professional is responsible for the daily activities across multiple service functions area. The Senior Consumer Service Operations Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The TRS of Ky onsite Senior Consumer Service Operations Professional may perform installation, implementation, client support, client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations. Investigates and settles claims and customer service issues. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

All responsibilities must be performed onsite at Public Education Employees Health Insurance Plan in Frankfort, Ky. This is not a Work at Home position.

Use your skills to make an impact

Required Qualifications

• Prior experience working in healthcare industry
• 2+ years experience with Employer/Group Medicare plans
• Extensive experience in a corporate service operations environment
• Demonstrated ability to analyze information, research problems, and determine and implement solutions
• Ability to multi-task and work in a very fast-paced environment
• Strong written and verbal communication skills to include presentation skills
• Excellent interpersonal skills and ability to develop collaborative working relationships across multiple functional areas in the organization or with consumers
• Consultative skills which include ability to assess, understand the consumer and make recommendations
• Ability to work independently
• Comprehensive knowledge of Microsoft Office Suite Word & Excel
• Strong technical experience with ability to navigate multiple systems
• Ability to travel up to 15% within the US

Preferred Qualifications

• Bachelor's degree
• PowerPoint and Access skills
• Organizational skills necessary to effectively manage multiple activities
• Experience with medical claims
• Medicare experience
• Project Management experience

Address location for role: Teacher's Retirement System of the State of Kentucky headquarters is located at 479 Versailles Rd, Frankfort, KY 40601

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 The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $59,300 - $80,900 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

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.