Humana

Seasonal Opportunity - Consumer Service Operations

San Antonio, Texas, United States

Not SpecifiedCompensation
Entry Level & New GradExperience Level
Full TimeJob Type
UnknownVisa
Health Insurance, HealthcareIndustries

About the Role

Employment Type: Full time

Become a part of our caring community and help us put health first. The Consumer Service Operations Representative 1 is responsible for the daily activities across multiple service functions areas. The Consumer Service Operations Representative 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments.

The Consumer Service Operations Representative 1 may perform installation, implementation, client support, client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations. Investigates and settles claims and customer service issues. Decisions are limited to defined parameters around work expectations, quality standards, priorities and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for deviation.

Consumer Services Representative (Underwriting)

Use your skills to make an impact. We need your assistance in ensuring that the Medicare Supplement consumer has a positive member experience. Your assistance in preparing and scrubbing applications assists the Underwriter in completing the work timely.

You will primarily take inbound calls as well as make outbound calls related to Medicare Supplement plans. You will take 20-30 inbound calls from members, agents and other teams within Billing and Enrollment. You will prepare and scrub applications for underwriting review which includes reviewing enrollment applications and ensuring all questions are complete on the Medicare Supplement Application. Any missing information will be properly documented.

Benefits and Perks

What you get from your great work!

  • Competitive compensation with strong hourly rate
  • The ability to cut your daily commute to less than a minute!! Yes 100% work at home
  • Extensive 100% virtual training program for the first 4-6 weeks, setting you up for immediate and future success
  • 401k Retirement Savings option
  • Employee Assistance Program and Work Life Services
  • Great Deals on both national and local discounts on everything from computers and vacations to phones and retail shopping
  • Cross training available for further skills development and potential Full-time opportunities

Required Qualifications

What you need for success!

  • Prior customer service or operations work experience
  • Prior experience utilizing multiple computer applications simultaneously as well as performing multiple tasks simultaneously within a production-based environment
  • Demonstrated skills in attention to detail
  • Work at home (WAH) requirements include a minimum internet connection speed of 25m x 10m, and a dedicated secure home workspace for interview or work purposes.

Preferred Qualifications

What you need to STAND OUT from the crowd!

  • Prior experience handling high numbers of calls providing excellent customer service
  • Military, healthcare/managed care, banking or related industry experience handling confidential and personal information
  • Experience working with the senior population.

Additional Information

  • Schedules shifts will fall during the hours of 6am-6pm EST and may include weekend days
  • Opportunities for overtime hours
  • Seasonal Humana associates may work any number of hours, depending on the business needs, for a limited period of time (usually 60 to 180 days)
  • Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $39,000 - $49,400 per year

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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