Consumer Service Operations Representative 2 - EAP

Profile

Description

The Consumer Service Operations Representative 2 is responsible for the daily activities across multiple service functions area. The Consumer Service Operations Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

Responsibilities

The Consumer Service Operations Representative 2 may perform installation, implementation, client support, client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations. Investigates and settles claims and customer service issues. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

Mostly inbound and outbound phone calls to support the Employee Assistance Program (EAP) product

Works on resolution of EAP provider escalations

Performs enhanced referrals to connect members to preferred providers within the EAP network

Required Qualifications

High School Diploma or equivalent

2 years of customer service experience, including typing/data entry

Excellent verbal, listening and written communication skills

Aptitude for quickly learning and navigating new technology, systems and applications

Proficient in Microsoft Office Outlook and Word

Preferred Qualifications

Associate's or Bachelor's Degree

Previous healthcare experience

Previous inbound and/or outbound call center experience

Provider relations or account management experience

Additional Information

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Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com