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Job Details

Consumer Service Operations Professional WAH Nationwide

Company name
Humana Inc.

Aberdeen, SD, United States

Employment Type

Customer Service

Posted on
Jun 09, 2021

Valid Through
Sep 22, 2021

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The Consumer Service Operations Professional 1 is responsible for the daily activities across multiple service functions area. The Consumer Service Operations Professional 1 work assignments are often straightforward and of moderate complexity.


Humana is seeking a Consumer Service Operations Professional 1 who may perform installation, implementation, client support, client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations. This position investigates and settles claims and customer service issues. They will understand their own work area professional concepts/standards, regulations, strategies and operating standards. This individual makes decisions regarding own work approach/priorities, and follows direction. Their work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.

Typical responsibilities of this position include:

supporting member/provider experience design

investigating and settling claims and customer service issues

identifying automation/optimization opportunities/development of reporting

quality assurance/creation and driving IT projects

Required Qualifications

Bachelor's degree or 3 years working experience in a service operations environment equivalency

Ability to manage multiple or competing priorities and work in a very fast-paced environment

Strong written and verbal communication skills

1 years Customer Service experience

Comprehensive knowledge of Microsoft Office Suite to include Word, Excel, PowerPoint and Access are a plus

Investigative and problem solving skills

Organizational skills and an ability to manage multiple, shifting priorities, and meet deadlines in a fast paced environment

Ability to analyze information, research problems, and determine and implement solutions

Must have accessibility to high speed DSL or cable modem for a home office (satellite internet service is NOT allowed for this role); and a minimum internet connection speed of 10M x 1M

A dedicated home office space, with a locked door, lacking ongoing interruptions to protect member PHI / HIPAA information

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

Experience with medical claims/health insurance

Previous letter writing experience

Knowledge of health insurance compliance impacts

Previous Team Lead experience

Additional Information

Must have accessibility to high speed DSL or cable modem for a home office (satellite internet service is NOT allowed for this role); and a minimum internet connection speed of 10M x 1M

Scheduled Weekly Hours


Company info

Humana Inc.
Website :

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