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Description The Claims Processing Representative 1 reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. The Claims Processing Representative 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works ..
Description The Consumer Service Operations Professional 1 is responsible ... the daily activities across multiple service functions area. The Consumer Service Operations Professional 1 work assignments ... Humana is seeking..
Job Information Humana Consumer Service Operations Representative 2 (Data Entry/Call ... Puerto Rico Description The Consumer Service Operations Representative 2 is responsible ... the daily activities across multiple service functions..
... Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent ... 1 - 3 years of customer service experience Must have experience in ... inbound call center or..
... our members and provide excellent service and support. These fully Work ... Qualifications 2 years or more customer service experience with heavy or high ... volume healthcare, call quality,..
... & Appeals Representative 3 - Pre-Service in San Juan Puerto Rico ... Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent ... 1 - 3 years of..
... Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent ... warranted. Performing advanced administrative and/or customer support duties that require independent ... inbound call center or related..
Job Information Humana Outbound Contacts Representative 3 in San Juan Puerto Rico Description The Outbound Contacts Representative 3 represents the company by making outbound contact to members and/or providers regarding a ..
... our members and provide excellent service and support. These fully Work ... / Call Center Representative addresses customer needs that may include complex ... English/Spanish 2 years or more..
Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Supervisor, Grievances & Appeals ..
Job Information Humana Specialty Pharmacy RX Education Manager in San Juan Puerto Rico Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, ..
... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... Representative 2 addresses LI NET customer needs, which may include complex ... action. Escalates unresolved and pending..
Description The Care Management Support Assistant 3 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
... Marketing Representative 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on ... sales teams. Gathers and reports customer intelligence to sales teams. Decisions ... experience : Sales, Promoter, Marketing,..
Job Information Humana Specialty Pharmacy RX Enrollment Manager in San Juan Puerto Rico Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, ..
... Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent ... or equivalent 1-3 years of customer service experience Must have experience in ... inbound call center or..
... Inbound Contact Representative 2 addresses customer needs which may include complex ... it. Escalates unresolved and pending customer grievances. Decisions are typically focused ... office (Satellite and Wireless Internet..
Description The Outbound Contacts Representative 3 represents the company by making outbound contacts to members and/or providers regarding a variety of issues. The Outbound Contacts Representative 3 performs advanced administrative/operational/customer support ..
... & Appeals Representative performs advanced administrative/operational/customer support duties that require independent ... Required Qualifications 1-3 years of customer service experience Must have experience in ... inbound call center or..
Description The Consumer Experience Lead ensures optimized interaction between a company and members. The Consumer Experience Lead works on problems of diverse scope and complexity ranging from moderate to substantial. Responsibilities ..