Become a part of our caring community and help us put health first
The Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service functions area. The Consumer Service Operations Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills.
THIS POSITION IS LOCATED IN THE MIAMI, FLORIDA AREA - YOU WILL BE TRAVELING TO 4-5 DIFFERENT LOCATIONS EACH DAY IN THE AREAS LISTED BELOW.
The Bilingual Consumer Service Operations Representative III may perform installation, implementation, client support, client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations. This individual investigates and settles claims and customer service issues. Decisions are typically focus on methods, tactics and processes for completing administrative tasks/projects. This individual regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge.
Use your skills to make an impact
Required Qualifications
- Bilingual English/Spanish: ability to read, write, speak fluently without limitations or assistance
- Minimum of 1 year of customer service experience in a healthcare setting
- Proficient in Microsoft Office, Outlook, Word, and Excel
- Must be able to travel between the 4-5 different locations in SW 40th Street, Mills Drive, Cutler Bay (South Dixie Hwy and SW 211th Street), North Homestead Blvd. You will travel to a different clinic each day.
- Excellent verbal, listening and written communication skills
- Aptitude for quickly learning and navigating new technology, systems and applications as well as working knowledge of computers
- Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
- Undergraduate Degree
- Previous healthcare experience
- Clerical support background in a healthcare environment
- Familiarity with medical terminology and/or ICD-10 codes
- CNA or Medical Assistant background
- Quality background
- Medicare experience
Additional Information
- The four to five work locations will range from SW 40th Street, Mills Drive, Cutler Bay (South Dixie Hwy and SW 211th Street), North Homestead Blvd. You will travel to a different clinic each day.
- Relocation assistance is also available (up to company discretion/policy)
- 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.
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.
$40,200 - $55,200 per year
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 and 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, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
