Humana

The Inbound Contacts Representative 1 represents the company by addressing incoming telephone inquiries and records details of inquiries, comments, complaints, transactions, or interactions. The Inbound Contacts Representative 1 assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. Responsibilities The Inbound Contacts Representative 1 addresses customer needs which may include complex benefit questions, resolving issues, and educating members. Records details of inquiries, comments or complaints, transactions or interactions and takes action in accordance with it. Escalates unresolved and pending customer grievances. Decisions are limited to defined parameters around work expectations, quality standards, priorities and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for...

The Inbound Contacts Representative 1 represents the company by addressing incoming telephone inquiries and records details of inquiries, comments, complaints, transactions, or interactions. The Inbound Contacts Representative 1 assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. Responsibilities The Inbound Contacts Representative 1 addresses customer needs which may include complex benefit questions, resolving issues, and educating members. Records details of inquiries, comments or complaints, transactions or interactions and takes action in accordance with it. Escalates unresolved and pending customer grievances. Decisions are limited to defined parameters around work expectations, quality standards, priorities and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for...

The Inbound Contacts Representative 1 represents the company by addressing incoming telephone inquiries and records details of inquiries, comments, complaints, transactions, or interactions. The Inbound Contacts Representative 1 assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. Responsibilities The Inbound Contacts Representative 1 addresses customer needs which may include complex benefit questions, resolving issues, and educating members. Records details of inquiries, comments or complaints, transactions or interactions and takes action in accordance with it. Escalates unresolved and pending customer grievances. Decisions are limited to defined parameters around work expectations, quality standards, priorities and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for...

The Inbound Contacts Representative 1 represents the company by addressing incoming telephone inquiries and records details of inquiries, comments, complaints, transactions, or interactions. The Inbound Contacts Representative 1 assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. Responsibilities The Inbound Contacts Representative 1 addresses customer needs which may include complex benefit questions, resolving issues, and educating members. Records details of inquiries, comments or complaints, transactions or interactions and takes action in accordance with it. Escalates unresolved and pending customer grievances. Decisions are limited to defined parameters around work expectations, quality standards, priorities and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for...

The Inbound Contacts Representative 1 represents the company by addressing incoming telephone inquiries and records details of inquiries, comments, complaints, transactions, or interactions. The Inbound Contacts Representative 1 assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. Responsibilities The Inbound Contacts Representative 1 addresses customer needs which may include complex benefit questions, resolving issues, and educating members. Records details of inquiries, comments or complaints, transactions or interactions and takes action in accordance with it. Escalates unresolved and pending customer grievances. Decisions are limited to defined parameters around work expectations, quality standards, priorities and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for...

R-305627 Description The Bilingual Grievances & Appeals Representative 3 manages client concerns by conducting and responding to complaints, grievances and appeals in a consistent fashion, adhering to all regulatory, accreditation and internal processing timelines. Collect, analyze, and interpret trend information to address and resolve non-routine business-related concerns. Responsibilities Bilingual Grievances & Appeal Representative 3 Reviewing customer complaints Outreach to providers and members Customer conflict resolution Conflict prevention Required Qualifications 1 or more years of experience in a telephonic customer service environment Strong data entry skills Experience with Microsoft Word, Excel & Outlook Fully Bilingual English/Spanish. Must be able to speak, read and write in both languages without limitations or assistance. If selected for the position, you will be required to take a Language Proficiency Assessment in...

The Inbound Contacts Representative 1 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments. Responsibilities The Inbound Contacts Representative 1 addresses customer needs which may include complex benefit questions, resolving issues, and educating members. Records details of inquiries, comments or complaints, transactions or interactions and takes action in accordance too it Escalates unresolved and pending customer grievances Decisions are limited to defined parameters around work expectations, quality standards, priorities, and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for deviation Must have Effective verbal and listening communication...