Let’s get started
By clicking ‘Next’, I agree to the Terms of Service
and Privacy Policy, and consent to receive emails from Rise
Jobs / Job page
Consumer Service Operations Representative III image - Rise Careers
Job details

Consumer Service Operations Representative III

Become a part of our caring community and help us put health first
 

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.

The Consumer Service Operations Representative III may perform installation, implementation, client support, client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations. This individual investigates and settles claims and customer service issues. Decisions are typically focus on methods, tactics and processes for completing administrative tasks/projects. This individual 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.


Use your skills to make an impact
 

Required Qualifications

  • Minimum of 1 year of customer service experience in a healthcare setting
  • Ability to manage, prioritize, meet deadlines, retrieve and compile data from multiple resources into presentation format
  • Proficient in Microsoft Office, Outlook, Word, Excel, and PowerPoint
  • Excellent verbal, listening and written communication skills
  • Aptitude for quickly learning and navigating new technology, systems and applications as well as working knowledge of computers
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Work-At-Home Requirements

  • At minimum, a download speed of 25 mbps and an upload speed of 10 mbps is recommended; wireless, wired cable or DSL connection is suggested
  • Satellite, cellular and microwave connection can be used only if approved by leadership
  • Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
  • Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Preferred Qualifications

  • Undergraduate Degree
  • Previous healthcare experience
  • Experience coordinating and leading various projects
  • 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

  • As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called HireVue. HireVue Text, Scheduling, and Video technologies allow you to interact with us at the time and location most convenient for you.
  • If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


 

$43,000 - $56,200 per year


 

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.


About us
 

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Humana Glassdoor Company Review
3.8 Glassdoor star iconGlassdoor star iconGlassdoor star icon Glassdoor star icon Glassdoor star icon
Humana DE&I Review
3.53 Glassdoor star iconGlassdoor star iconGlassdoor star icon Glassdoor star icon Glassdoor star icon
CEO of Humana
Humana CEO photo
Jim Rechtin
Approve of CEO

Average salary estimate

$49600 / YEARLY (est.)
min
max
$43000K
$56200K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

Similar Jobs
Photo of the Rise User
Posted 3 days ago

Join Humana Inc. as a Talent Acquisition Manager and leverage your expertise to shape health-focused recruitment strategies.

Photo of the Rise User
Posted 19 hours ago

Lead impactful learning design initiatives at Humana, focusing on instructional excellence and community health improvement.

Photo of the Rise User
Posted 5 days ago
Inclusive & Diverse
Empathetic
Collaboration over Competition
Growth & Learning
Transparent & Candid
Medical Insurance
Dental Insurance
Mental Health Resources
Life insurance
Disability Insurance
Child Care stipend
Employee Resource Groups
Learning & Development

Become a key part of Team Amex as a Customer Care Professional, dedicated to delivering outstanding service and fostering customer loyalty.

Photo of the Rise User

As a Customer Success Manager at DualEnroll, you'll drive success for clients using a comprehensive SaaS platform aimed at enhancing educational experiences.

Ricoh Careers Hybrid Auburn Hills, Michigan, United States
Posted 6 days ago

Join a dynamic team as a Field Representative II, where you'll be instrumental in supporting financial transactions and customer service interactions.

Photo of the Rise User
Ernest Hybrid Commerce, California, United States
Posted 7 days ago

Join Ernest Packaging Solutions as a Client Coordinator, where you'll deliver exceptional customer support while being part of a vibrant company culture.

UNAVAILABLE Hybrid SAN LUIS OBISPO
Posted 13 days ago

Join French Hospital Medical Center as a Security Officer and make a difference in the safety of our community.

Join VEG as a Customer Experience Coordinator and help redefine emergency veterinary care through exemplary customer service.

Photo of the Rise User
ServiceNow Hybrid 12900 Science Drive Suite 100, Orlando, Florida, United States
Posted 7 hours ago
Inclusive & Diverse
Mission Driven
Rise from Within
Diversity of Opinions
Work/Life Harmony
Empathetic
Feedback Forward
Take Risks
Collaboration over Competition
Medical Insurance
Dental Insurance
Vision Insurance
Mental Health Resources
Life insurance
Disability Insurance
Health Savings Account (HSA)
Flexible Spending Account (FSA)
Conferences Stipend
Paid Time-Off
Maternity Leave
Equity

Be part of ServiceNow's mission to enhance how organizations work by becoming an Associate Customer Success Manager, guiding clients towards success with our state-of-the-art platform.

Photo of the Rise User
Posted 5 days ago

The Activities Assistant will play a key role in enhancing the lives of residents through diverse community activities and support.

Join CommonSpirit Health as a CNA Med Surg and contribute to delivering high-quality patient care in a supportive team environment.

Photo of the Rise User
Health Savings Account (HSA)
Dental Insurance
Vision Insurance
Disability Insurance
Flexible Spending Account (FSA)
Family Medical Leave
Paid Holidays

Join Instructure as a Customer Success Product Specialist to empower Customer Success Managers with essential technical insights for the Canvas product line.

Join Sunrise Senior Living as a Memory Care Coordinator to empower residents through compassionate care and support in a fulfilling and dynamic environment.

Photo of the Rise User
WSU Tech Hybrid No location specified
Posted 11 days ago

Become the welcoming face of WSU Tech, guiding visitors and providing essential administrative support in a vibrant educational environment.

COURY HOSPITALITY LLC Hybrid Southlake, Texas, United States
Posted 14 days ago

We are looking for a passionate Front Desk Manager to deliver exceptional guest services and lead our front office team in Southlake, Texas.

Since 1961, Humana has been committed to helping people live healthy and happy. Our approach is simple—offer personalized care from people who care. We do this by listening to our members and creating solutions to help them reach the best version ...

372 jobs
MATCH
VIEW MATCH
FUNDING
SENIORITY LEVEL REQUIREMENT
TEAM SIZE
EMPLOYMENT TYPE
Full-time, remote
DATE POSTED
April 16, 2025

Subscribe to Rise newsletter

Risa star 🔮 Hi, I'm Risa! Your AI
Career Copilot
Want to see a list of jobs tailored to
you, just ask me below!
LATEST ACTIVITY
T
Someone from OH, Springfield just viewed Senior Web Developer at The Panaro Group
Photo of the Rise User
Someone from OH, Springfield just viewed Sr Web Software Engineer at MGM Resorts International
Photo of the Rise User
Someone from OH, Cincinnati just viewed Freelance Senior Employer Branding Specialist at FIND
Photo of the Rise User
Someone from OH, Akron just viewed Remote Account Coordinator at Amazee Global Ventures
Photo of the Rise User
Someone from OH, Dayton just viewed Associate Customer Success Manager at Poll Everywhere