Educates members, providers, and employers regarding insurance-related health care issues by demonstrating a thorough knowledge of all Humana products.
Documents calls through automated system in accordance with established guidelines.
Demonstrates problem solving ability utilizing analytical skills in order to process and interpret data from multiple sources. Consistently and accurately resolve complex member, provider and employer claims, eligibility, referral status and benefit inquiries utilizing Humana systems ensuring prompt and accurate resolution that exceeds customer satisfaction expectations. Directs applicable issues and questions to the appropriate level and area within the department. Consistently recognizes, promotes, and delivers quality customer service to ensure accomplishment of departmental and corporate goals. College degree and claims experience would be desired.