Senior Consumer Service Operations Professional

Employment Type: Full-time

Position Overview

Become a part of our caring community and help us put health first. The Senior Consumer Service Operations Professional is responsible for the daily activities across multiple service functions areas. The Senior Consumer Service Operations Professional's work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

The PEEHIP onsite Senior Consumer Service Operations Professional 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. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

All responsibilities must be performed onsite at Public Education Employees Health Insurance Plan in Montgomery, AL. This is not a Work at Home position.

Use your skills to make an impact.

Required Qualifications

• Prior experience working in the healthcare industry
• 2+ years of experience with Employer/Group Medicare plans
• Extensive experience in a corporate service operations environment
• Demonstrated ability to analyze information, research problems, and determine and implement solutions
• Ability to multi-task and work in a very fast-paced environment
• Strong written and verbal communication skills, to include presentation skills
• Excellent interpersonal skills and ability to develop collaborative working relationships across multiple functional areas in the organization or with consumers
• Consultative skills, which include the ability to assess, understand the consumer, and make recommendations
• Ability to work independently
• Comprehensive knowledge of Microsoft Office Suite (Word & Excel)
• Strong technical experience with the ability to navigate multiple systems
• Ability to travel up to 15% within the US

Preferred Qualifications

• Bachelor's degree
• PowerPoint and Access skills
• Organizational skills necessary to effectively manage multiple activities
• Experience with medical claims
• Medicare experience
• Project Management experience

Location

• Address: RSA headquarters, which houses PEEHIP, is located at 201 South Union Street, Montgomery, Alabama 36104.
• Work Arrangement: Onsite

Travel

• While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. (Note: This statement contradicts the onsite requirement. Please clarify.)

Compensation

• Scheduled Weekly Hours: 40
• Pay Range: $59,300 - $80,900 per year
  • 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.
• Bonus: This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides:

• Medical, dental, and vision benefits
• 401(k) retirement savings plan
• Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
• Short-term and long-term disability
• Life insurance
• Many other opportunities

About Us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services and CenterWell healthcare services.