Consumer Service Operations Representative 3 Data entry Inbound and/or outbound Call Center exp Barceloneta PR

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Job Information

Humana

Consumer Service Operations Representative 3 (Data entry, Inbound and/or outbound Call Center exp) Barceloneta, PR

in

Barceloneta

Puerto Rico

Description

The Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service functions area. The Consumer Service Operations Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills.

Responsibilities

The Consumer Service Operations Representative 3 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 methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge.

Required Qualifications

1-3 years of customer service experience, including typing/data entry

Previous inbound and/or outbound call center or related customer service experience

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

Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems

Bilingual English/Spanish. Candidate selected will not be communicating in English with members.

COVID Vaccination:

We will require full COVID vaccination for this job as we are a healthcare company committed to putting health and safety first for our members, patients, associates and the communities we serve. This job must be in the office and requires close personal interaction with patients. You will not be able to social distance. If progressed to offer, you will be required to provide proof of full vaccination where allowed by law. Medical and religious exemptions will be considered on a case by case basis. Requests for these exemptions should be submitted at least 2 week prior to your scheduled first day of work.

Preferred Qualifications

Associate's or Bachelor's Degree

Previous healthcare experience

Clerical support background in a healthcare environment

Familiarity with medical terminology and/or ICD-10 codes

CNA or Medical Assistant background

Quality background

Medicare experience

Additional information

Schedule

Monday to Friday from 8:00 am to 5:00 pm, Overtime, needed to work some weekends

Training

: 2 months - Hato Rey

Work Location (Address):

Premium Outlets Caribbean Cinema. Building Suite 10, Barceloneta, P.R. 00617

Scheduled Weekly Hours

40

Company info

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