Claims Research & Resolution Representative

Are you a detail-oriented and customer-focused individual looking for your next career opportunity? Look no further than Humana's Claims Research & Resolution Representative position! As a member of our team, you will play a crucial role in ensuring accurate and timely resolution of claims for our valued customers. We are seeking a highly motivated and organized individual with excellent communication skills and a passion for providing exceptional customer service. If you are ready to take the next step in your career and join a dynamic and growing company, we invite you to apply for this exciting role at Humana.

1. Accurately research and resolve customer claims in a timely manner.
2. Provide exceptional customer service to ensure customer satisfaction and retention.
3. Maintain a high level of attention to detail to ensure accuracy in claims resolution.
4. Communicate effectively with customers, colleagues, and other departments to gather necessary information and resolve claims.
5. Utilize company systems and resources to gather and analyze data to ensure accurate claims resolution.
6. Stay up-to-date on industry standards and regulations to ensure compliance in claims resolution.
7. Collaborate with team members to share knowledge and best practices for claims resolution.
8. Identify and escalate any recurring issues or trends in claims to management for further action.
9. Meet and exceed performance metrics and goals set by the company.
10. Continuously seek opportunities for process improvement to enhance the customer experience and increase efficiency.
11. Maintain confidentiality of sensitive customer information at all times.
12. Adhere to company policies and procedures in all aspects of the job.
13. Stay organized and prioritize workload to ensure timely resolution of claims.
14. Act as a brand ambassador for Humana, promoting the company's values and mission in interactions with customers and colleagues.

According to JobzMall, the average salary range for a Claims Research & Resolution Representative in Louisville, KY, USA is between $35,000 and $45,000 per year. However, this can vary depending on factors such as experience, education, and the specific company and industry. Some companies may offer higher salaries for candidates with more experience or advanced degrees, while others may offer lower salaries for entry-level positions. It is important to research the specific company and industry you are interested in to get a better understanding of the salary range for this position.

Humana Inc. is a for-profit American health insurance company based in Louisville, Kentucky. Its strategy integrates care delivery, the member experience, and clinical and consumer insights to encourage engagement, behavior change, proactive clinical outreach and wellness for the millions of people they serve across the country. The company operates its business through the following segments: Retail, Group, and Healthcare Services.