Consumer Service Operations Representative 2

Florida, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, InsuranceIndustries

Requirements

Candidates must have 1 or more years of telephonic customer service experience within the last 5 years and 1 or more years of typing/data entry experience within the last 5 years. Proficiency in Microsoft Office Suite (Excel, Word, Outlook) is required, and candidates must reside within a 1-hour radius of Miami, FL. Bilingual English and Spanish skills are preferred, along with experience in inbound/outbound call centers and knowledge of state and federal application processes. The ability to manage multiple competing priorities and work independently is also desired.

Responsibilities

The Consumer Service Operations Representative 2 is responsible for daily activities across multiple service functions, including installation, implementation, client support, client services, client administration, customer service, eligibility, and call center operations. This role involves providing assistance and support to sales agents regarding prospects for CarePlus and Humana eligibility, and supporting CarePlus agents with non-processed applications and enrollment. Responsibilities include facilitating expedited referrals for state and federal assistance, performing data entry and review of screenings, providing feedback to leadership, and maintaining confidentiality. Additionally, the representative will assist with the CarePlus Link initiative by logging attendance and transferring calls.

Skills

Telephonic customer service

Data entry

Microsoft Excel

Microsoft Word

Microsoft Outlook

Bilingual English and Spanish

Inbound call center

Outbound call center

State and federal application processes

Written communication

Verbal communication

State/Federal Assistance Programs

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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