Consumer Service Operations Representative at Humana

Louisville, Kentucky, United States

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Not SpecifiedCompensation

Entry Level & New GradExperience Level

Full TimeJob Type

UnknownVisa

Healthcare, InsuranceIndustries

Requirements

2+ years of customer service experience, including data entry
Strong verbal, written, and listening skills
Comfortable navigating multiple systems and learning new technology
Proficient in Microsoft Outlook and Word
Adaptable and open to change in a dynamic environment
Preferred Qualifications
Bilingual English/Spanish
Associate’s or Bachelor’s degree
Experience in healthcare or social services
Previous inbound/outbound call center experience

Responsibilities

Engage with members over the phone to assess eligibility for programs like the Medicare Savings Program
Collect and input personal and financial information into multiple systems with accuracy and efficiency
Identify additional resources to support members’ needs, such as food assistance or medication cost savings
Educate and empower members to take advantage of benefits that improve their quality of life
Collaborate with a supportive team and contribute to a culture of compassion, service, and excellence

Skills

Inbound Calls

Customer Support

Data Entry

Eligibility Assessment

Program Education

CRM Systems

Empathy Communication

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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