Role: New Member Assessment Specialist-Limited Term
Assignment: Clinical Services
Location:Saint Petersburg, FL
Humana is looking for associates dedicated to service, and who believe in following the golden rule: treat others the way you want to be treated. Humana was founded on this basic premise of how people should be treated, and this value is very much alive in our expectations for providing our customers with perfect service today. At Humana, Perfect Service means getting the basics done right, delivering value and quality, providing guidance on their needs, and actively engaging with our members. Our associates engage with members through every step of their road to wellness; whether it’s through direct interaction or their efforts behind the scenes. Humana associates provide Perfect Service every day to our members, employers, providers and colleagues. As a member of our service organization you will respond directly to questions and provide guidance on transactions, inquires, or complaints from consumers. Humana is looking for people who improve their own well-being by taking care of others.
Be a part of Service Operations – provide perfect service and guidance to members and providers.
Humana is seeking a Limited Term-New Member Assessment Specialist for our contact centers to proactively assess service needs, directly respond to questions, handle issues and provide guidance to both internal and external customers who may participate in Humana’s Medicare Advantage programs.
Receive, document and resolve member and provider inquiries by using established best practices
Manage inbound and outbound contacts; including conducting a Health Risk Assessment to eligible members
Build lasting relationships with Humana’s members and providers
Educate members, providers and employers about Humana’s products and services over the telephone and online (email)
Maybe be assigned additional task(s) of a regular and recurring nature, and other duties by the leadership team
High School Diploma or G.E.D
1 – 3 years of customer service experience
Ability to multi-task while using multiple computer systems simultaneously
Capacity to maintain confidentiality
Aptitude for quickly learning and navigating new technology systems and applications
Knowledge of customer service principles and practices
Excellent oral and written communication skills
Must be available to work an 8 hour work schedule Monday-Friday between the hours of 8 a.m.-8 p.m. (Eastern Standard Time)
Must have availability to work overtime as needed which can include weekends
Associate’s or Bachelor’s Degree
3-5 years inbound and/or outbound contact center or related customer service experience
Healthcare experience; Insurance or Provider
Language skills; Fluency in Spanish and/or Mandarin
Prior Medicare experience
You will report to a Frontline Leader
This is a limited term role, which is defined as a role where an associate may work any number of hours, depending on the business needs, for a limited period of time (usually 1 to 180 days, but may vary). In this role the associate will receive limited benefits which include, Business Travel Accident Insurance and eligibility to participate in Humana's Retirement & Savings Plan.
At Humana, we know your well-being is important to you, and it’s important to us too. That’s why we’re committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. If you share our passion for helping people, we likely have the right place for you at Humana.
Title: New Member Assessment Specialist-Limited Term
Location: FL-Saint Petersburg
Requisition ID: 178991
Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.