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... transformative business results. Summary/Scope The Customer Care Quality Analyst supports the ... the delivery of world class service. They are responsible for assessing ... of the performance of the..
... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... as a member advocate, addressing customer needs, which may include acting ... Work Environment: This is a..
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..
... 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..
... the work activities of the Service Level Management Team (SLMT) addressing ... the GBO contact centers including: Medical, Specialty, Go365 ensuring performance guarantees ... met as well as all..
... as we positively impact millions…one customer at a time. The Retail ... in a growing, high impact, customer focused role, working both independently ... Essential Functions: • Providing differentiated..
... as we positively impact millionsu2026one customer at a time.The Retail Store ... in a growing, high impact, customer focused role, working both independently ... of others.Essential Functions:u2022 Providing differentiated..
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 Enrollment Manager in Jersey City New Jersey 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. Typically works on ... 2 includes data entry into medical management system, assigning an appropriate ... provider, reviewing for benefits, and/or..
... Appeals Representative 4 manages client medical denials by conducting a comprehensive ... leads advanced and highly specialized administrative/operational/customer support duties that require independent ... with little oversight. Manages client..
... information. Develops and maintains positive customer relations and coordinates with various ... within the company to ensure customer (member or provider) requests and ... cases, longer as needed and..
... 2 or more years of customer service experience 1 or more years ... in the healthcare industry or medical field Advanced proficiency in Microsoft ... you will learn more..
... Bilingual / Call Center / Customer Service Rep / Remote / Work ... / Bilingual / Call Center Customer Service Representative who is interested in ... team that focuses..
... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... to their resolution. Provides exceptional customer service, ensuring that all interested parties ... Problem-Solving, and Critical Thinking..
Job Information Humana Specialty Pharmacy RX Education Manager in Jersey City New Jersey Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, ..
... Appeals Representative 4 manages client medical denials by conducting a comprehensive ... leads advanced and highly specialized administrative/operational/customer support duties that require independent ... 2 - 4 years of..
... our members and provide excellent service and support. These fully Work ... Inbound Contact Representative 2 addresses customer needs that may include complex ... Qualifications 2 years or more..
... Grievances & Appeals manages client medical denials by conducting a comprehensive ... 4 - 6 years of customer service experience in the healthcare industry ... in the healthcare industry..
... strong technical mindset rooted in customer service and problems solving skills. Develop ... Investigate and resolve system issues Customer support via phone, email and ... 1 or more years..
