Call Center Rep - Work From Home

Puerto Rico

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Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, InsuranceIndustries

Requirements

Candidates must reside in Puerto Rico and possess at least 2 years of customer service experience. Demonstrated experience in providing strong customer service, attention to detail, and active listening is required. Prior experience managing multiple or competing priorities, including the simultaneous use of multiple computer applications and systems, is also necessary. Proficiency with Microsoft Office applications is expected.

Responsibilities

The Call Center Representative will address incoming telephone, digital, or written inquiries from members, striving to provide resolutions and a perfect call experience. Responsibilities include addressing complex benefit questions, resolving issues, educating members, and handling over 40 inbound calls daily. The role involves recording inquiry details, escalating unresolved issues, and working within defined parameters to meet quality standards.

Skills

Customer Service

Communication

Problem-Solving

Data Entry

Call Center Operations

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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