Humana

Outbound Contacts Representative 2

Florida, United States

Not SpecifiedCompensation
Mid-level (3 to 4 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries

Outbound Contacts Representative 2

Position Overview

Become a part of our caring community and help us put health first. The Outbound Contacts Representative 2 represents the company by making outbound contacts to members and/or providers regarding a variety of issues. This role performs varied activities and moderately complex administrative/operational/customer support assignments, including computations. Typically works on semi-routine assignments with some latitude over prioritization and timing, working under minimal direction.

Responsibilities

  • Perform necessary follow-up with members and/or providers.
  • Ensure timely responses to member and/or provider inquiries to achieve service and quality standards.
  • Interpret area/department policy and methods for completing assignments.
  • Work within defined parameters to identify work expectations and quality standards.
  • Follow standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

Required Qualifications

  • Experience working in a call center environment (heavy call volume, auto-dialer, dedicated inbound/outbound customer service or support role).
  • Minimum 1 year of customer service related experience.
  • Bilingual - English, Spanish. Must be able to speak, read, and write in both languages without limitations or assistance. Must take a language proficiency assessment.
  • Able to work independently, remotely, and with minimal supervision.
  • Intermediate to Advanced skills with Microsoft Office Word, Excel, Outlook.
  • Proficiency in utilizing multiple shared systems and platforms.
  • Ability to troubleshoot/resolve general technical issues.
  • Strong typing and computer navigation skills with the capacity to use multiple computer applications simultaneously.

Preferred Qualifications

  • Associate's or Bachelor's Degree.
  • Experience in a healthcare setting.

Additional Requirements

  • Anticipated Start Date: August 2025
  • Work Style: Remote Work at Home
  • Schedule: Monday through Friday between 8:00 AM and 5:00 PM Eastern Time.

Additional Information

  • Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment provided by an outside vendor to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.

Social Security Alert

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

Modern Hire

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Work at Home Guidance

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

  • At minimum, a download speed of [Information not provided in original text].

Benefits

Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:

  • Health benefits effective day 1
  • Paid time off, holidays, volunteer time, and jury duty pay
  • Recognition pay
  • 401(k) retirement savings plan with employer match
  • Tuition assistance
  • Scholarships for eligible dependents
  • Parental and caregiver leave
  • Employee charity matching program
  • Network Resource Groups (NRGs)
  • Career development opportunities

Skills

Call center
Outbound calls
Customer service
Bilingual (English/Spanish)
Microsoft Office Suite
Microsoft Word
Microsoft Excel
Microsoft Outlook
Typing
Computer navigation
Technical troubleshooting

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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