Seasonal Opportunity - Consumer Service Operations

San Antonio, Texas, United States

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Not SpecifiedCompensation

Entry Level & New GradExperience Level

Full TimeJob Type

UnknownVisa

Health Insurance, HealthcareIndustries

Requirements

Candidates must have prior customer service or operations work experience and demonstrated skills in attention to detail. Prior experience utilizing multiple computer applications simultaneously and performing multiple tasks simultaneously within a production-based environment is required. Work at home requirements include a minimum internet connection speed of 25m x 10m and a dedicated secure home workspace. Preferred qualifications include prior experience handling high numbers of calls, military or healthcare industry experience, and experience working with the senior population.

Responsibilities

The Consumer Service Operations Representative 1 is responsible for daily activities across multiple service functions, performing basic administrative, clerical, operational, customer support, and computational tasks. This role involves taking inbound and outbound calls related to Medicare Supplement plans, preparing and scrubbing applications for underwriting review, and ensuring all required information is complete. The representative will investigate and settle claims and customer service issues within defined parameters and under close supervision.

Skills

Customer Service

Administrative Tasks

Clerical Tasks

Call Center Operations

Claims Processing

Enrollment and Eligibility

Underwriting Support

Application Review

Data Entry

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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