[Remote] Inbound Contacts Representative 2 at Humana

Ohio, United States

Humana Logo
Not SpecifiedCompensation
N/AExperience Level
N/AJob Type
Not SpecifiedVisa
N/AIndustries

Requirements

  • Must reside in the state of Ohio
  • Minimum one (1) year customer service experience
  • Proficiency with Microsoft Office applications, particularly Outlook and Teams
  • Strong technical skills with the ability to work across multiple software systems including Outlook, Teams
  • Efficient typing skills and toggling across multiple databases while engaging with callers
  • Excellent interpersonal skills and the ability to organize simultaneous tasks
  • Associate or bachelor’s Degree
  • Previous Inbound and/or Outbound call center or related customer service experience
  • Prior healthcare experience

Responsibilities

  • Addressing incoming telephone, digital, or written inquiries
  • Addressing customer needs which may include complex benefit questions, resolve issues, and educate members
  • Records details of inquiries, comments or complaints, transactions or interactions and acts in accordance with it
  • Escalates unresolved and pending customer grievances
  • Support Outbound Call Campaign efforts by conducting outreach calls to members

Skills

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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