The Customer Service Representative will provide high-quality support to Humana members, healthcare providers, and internal teams. This role requires excellent communication skills, a strong attention to detail, and the ability to resolve inquiries efficiently while delivering an exceptional service experience
Respond to incoming calls, emails, and messages from members and providers.
Assist customers with benefits questions, claims inquiries, billing, and account updates.
Accurately document interactions and update member records.
Follow established workflows and guidelines to resolve issues promptly.
Coordinate with various internal departments to address customer needs.
Provide clear, empathetic, and professional support to ensure customer satisfaction.
Maintain confidentiality and comply with all HIPAA and company policies.
Required:
High school diploma or equivalent.
1+ year of customer service, call center, or administrative experience.
Strong communication, problem-solving, and multitasking skills.
Proficiency with computer systems and ability to learn new software.
Ability to work scheduled shifts and meet performance metrics.