Humana Bilingual Customer Service Specialist in Doral, Florida

Role: Bilingual Customer Service Specialist

Assignment: CarePlus Health Plans– Full Time inbound call center role

Location: Doral, FL

Come be a part of our Customer Service Center. We provide perfect service and guidance to all CarePlus health plan members. We seek Bilingual Customer Service Specialists to directly respond to questions about medical claims, pharmaceutical, billing and any additional grievances. Our Specialists are trained to handle any issue and provide guidance to the appropriate solution.

  • Document customer inquiries by using established best practices

  • Empathize and build lasting relationships with customers

  • Educate customers about our products and services over the phone

  • Comply with all HIPPA and CMS regulations

  • Schedule medical appointments and transportation for patients and/or care givers when needed

    Why you should work for CarePlus?

  • Extensive Benefit package that starts your 1stday of employment

  • 3 weeks accrued PTO your 1styear of employment

  • Associate engagement and appreciation activities

  • Earn cash/gifts/discounts through our associate wellness and rewards program

  • Quarterly Pay Incentives based on associate’s production and quality scores

  • Career and growth opportunities – starting with job shadowing

    Role Essentials

  • High School Diploma or GED required

  • 6 months minimum of inbound call center experience

  • Bilingual English and Spanish. Must be able to read and speak in Spanish and write in English. Bilingüe Inglés y Español. Debe ser capaz de leer y hablar en español y escribir en Inglés.

  • Excellent written and verbal communication skills.

  • Intermediate level computer skills in Word and Excel

  • Ability to work an 8 hour shift anytime between the hours of 8 a.m. to 8 p.m., Monday through Friday with the flexibility to work overtime based on business needs

  • Capacity to maintain confidentiality

    Role Desirables

  • Associate’s or Bachelor’s degree

  • Prior healthcare experience

    Reporting Relationships

  • You will report to a frontline leader or a manager

    Additional Information

    During Open Enrollment October 7th- February 24th - Must have the ability to work an 8 hour shift between 8 a.m. to 8 p.m. Monday through Sunday (Saturday OR Sunday),5 days per week, with the flexibility to work overtime based on business needs

Interview Format

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Montage SMS Text Messaging to enhance our hiring and decision-making ability. Montage SMS Text Messaging allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

If you are selected to move forward, you will receive an email or text correspondence inviting you to participate in a Montage SMS Text Messaging. In this interview, you will respond to a set of interview questions over your phone. You should anticipate this interview to take about 5 to 10 minutes. Your recorded response will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Title: Bilingual Customer Service Specialist

Location: FL-Doral

Requisition ID: 190333

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.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. We also provide free language interpreter services. See our full accessibility rights information and language options.