Full time
Humana
Remote (Dover, DE, USA)
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...
