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**Become a part of our caring community and help us put health first**The Customer Success Agent is responsible for member retention through active engagement with high-risk members. The Customer Success Agent work assignments are often straightforward and of moderate complexity.Humana's Customer Success Agents are our members' trusted partners in navigating healthcare. In this role, you'll provide guidance and solutions to ensure a positive member experience, from explaining plan benefits to resolving issues around disenrollment or dual eligibility. You'll work cross-functionally with care teams, sales agents, and customer service to support and retain members throughout their healthcare journey.We welcome candidates with diverse professional backgrounds!• *Here is what we need your help with:**+ Deliver a high level of professionalism and empathy with every inbound and outbound consumer phone interaction.+ Actively listens to identify member needs and suggest available plans, resources, and/or service, which may include enrollments into other plans.+ Simplify and clearly explain plan benefits, claims, and coverage communications.+ Ask thoughtful questions to uncover social determinants of health and broader member needs.+ Support member retention and engagement goals by educating and guiding members through complex decisions.+ Contribute feedback and insights to test-and-learn and proactive outreach initiatives.• *Additional Information**+ **Department Hours** - Shift could fall between the business hours of 7:00 am to 11:00 pm local time. _Hours are subject to change based on business needs_+ **Training Hours** - Training will start day one of employment and run the first 6 weeks with a schedule of 10:30 am to 7:00 pm EST. **Attendance is vital for success**• *Use your skills to make an impact**• *Required Qualifications**+ Active resident Health insurance license for your state of residence (based on the resident state's Department of Insurance requirements)+ Flexibility - Ability to work a flexible schedule, including overtime, nights and weekends as needed to meet business demands (see additional details below under Work At Home Requirements)+ 2+ years of experience working in a virtual environment+ 2+ years professional experience in navigating multiple computer tools/systems/screens+ 2+ years of Medicare customer service experience or sales experience (virtual/telephonic preferred)+ Demonstrated ability to understand and explain Medicare benefits and address the unique needs of Medicare and duel-eligible members+ All Humana associates approved for the Home or Hybrid Home/Office work styles are required to self-provide wireless, wired cable or DSL access to the internet at the connectivity speeds required by the company to successfully perform their job with the exception of associates who live or work from home in the state of California, Illinois, Montana, or South Dakota. Connectivity requirements are detailed below.• *Preferred Qualifications**+ Prior call center experience+ Prior success in Medicare Product Sales or member retention roles+ Prior Sales (any industry) experience+ Experience navigating SALESFORCE CRM or similar customer relationship management systems+ Proven ability to collaborate cross-functionally to resolve complex member issues+ In addition to English, proficiency in additional languages; ability to read, write, and speak without limitations or assistance.+ Bachelor's Degree• *Additional Information**+ Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Language Proficiency Assessment (LPA) in that language(s) and English as provided and required by the Federal Government.• *Humana Perks:**     Full time associates enjoy:  + Base salary + Medical, Dental, Vision and a variety of other supplemental insurances  + Paid time off (PTO) & Paid Holidays + 401(k) retirement savings plan+ Tuition reimbursement and/or scholarships for qualifying dependent children+ And much more! • *Social Security Task:**Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into the application at Humana's secure website.• *Virtual Pre-Screen:**As part of our hiring process for this opportunity, we will be using exciting virtual pre-screen technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a virtual pre-screen, you will receive an email and text correspondence inviting you to participate in a Modern Hire interview. In this virtual pre-screen, you will receive a set of questions to answer. You should anticipate this virtual pre-screen to take about 10-15 minutes.• *Work at Home Connectivity Requirements**To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate.+ Wireless, Wired Cable or DSL connection is suggested.+ Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership. (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.)• *_Travel_**_While this is a remote position, occasional travel to Humana's offices for training or meetings may be required._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.$48,900 - $66,200 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 complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
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What You Should Know About Customer Success Agent, Humana

Join the fantastic team at Humana as a Customer Success Agent in Jackson, MS, where your role will be pivotal in ensuring our members have a positive healthcare journey. In this role, you will be the go-to person for high-risk members, offering them invaluable support and guidance as they navigate their healthcare plans. It's all about building trust and strong relationships with our members, so you should bring a high level of professionalism and empathy to every phone call, whether it’s inbound or outbound. You'll simplify complex information, help members understand their plan benefits, and educate them about resources available to them. Your listening skills will allow you to uncover their needs, addressing everything from enrollment queries to dual eligibility concerns. Plus, you'll collaborate with diverse teams to maintain strong member engagement and retention. We're looking for candidates with varied experiences because we believe in diverse perspectives enhancing our mission. If you're passionate about healthcare and ready to make an impact, this role is for you. Embrace this opportunity to work flexible hours that adapt to the business’s needs, starting off with robust training to set you up for success. Come help us put health first!

Frequently Asked Questions (FAQs) for Customer Success Agent Role at Humana
What are the main responsibilities of a Customer Success Agent at Humana?

As a Customer Success Agent at Humana, your primary responsibilities include engaging with high-risk members to ensure retention. You'll provide compassionate guidance, explain plan benefits clearly, assist members with enrollment processes, and address any issues they may face regarding their healthcare. You'll also work across various teams to provide members with the best possible support and solutions, contributing directly to their healthcare journey.

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What qualifications do I need to become a Customer Success Agent at Humana?

To become a Customer Success Agent at Humana, you must have an active health insurance license in your state, a minimum of two years of experience in a virtual environment, and two years of Medicare customer service or sales experience. You also need to demonstrate the ability to navigate multiple computer systems efficiently. While a bachelor's degree and prior call center experience are preferred, a passion for helping others is essential.

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How does training work for the Customer Success Agent role at Humana?

Training for the Customer Success Agent role at Humana is designed to set you up for success. It begins on your very first day and lasts for six weeks. During this time, you'll learn the ins and outs of healthcare benefits, customer service skills, and the tools you'll use in your daily work, with a schedule running from 10:30 am to 7:00 pm EST. Attendance during training is crucial, so commitment is key!

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What kind of work environment can I expect as a Customer Success Agent at Humana?

At Humana, as a Customer Success Agent, you can expect to work primarily in a remote environment. However, occasional travel may be required for training or team meetings at Humana's offices. The workplace culture fosters collaboration and empathy, aiming to support both team members and our valued customers in a compassionate way.

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What benefits does Humana offer to Customer Success Agents?

Humana offers a comprehensive benefits package for its Customer Success Agents, including competitive salaries, medical, dental, and vision insurance, generous paid time off, a 401(k) retirement plan, and tuition reimbursement for qualifying educational needs. Humana understands the importance of overall well-being and is committed to providing opportunities for both personal and professional growth.

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Common Interview Questions for Customer Success Agent
How do you handle difficult customer interactions as a Customer Success Agent?

When faced with difficult customer interactions, I remain calm and empathetic. I listen actively to their concerns and validate their feelings. My goal is to clearly understand the issue and provide a solution, ensuring that the member feels heard and supported throughout the process.

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Can you describe a time when you successfully resolved a complex issue for a customer?

Certainly! In my previous role, a customer was confused about their dual eligibility status. I took the time to explain their plan benefits, clarified any misconceptions, and collaborated with our internal teams to facilitate a swift resolution. This not only resolved their issue but also strengthened their trust in our services.

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What strategies do you use to stay organized while juggling multiple customer inquiries?

To stay organized while managing multiple customer inquiries, I utilize to-do lists and digital tools to prioritize tasks. I also set aside specific blocks of time to check in on ongoing issues, ensuring that I provide timely follow-ups without getting overwhelmed.

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Why do you want to work as a Customer Success Agent for Humana?

I am drawn to Humana's mission of putting health first and genuinely care for the well-being of others. I believe my skills and experience align well with the work Humana does, and I am eager to contribute positively to the member experience while advocating for their needs.

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How do you ensure that you have a proper understanding of healthcare plans and benefits to assist customers effectively?

I actively engage in continuous learning by taking advantage of training opportunities, reading relevant materials, and participating in discussions with more experienced colleagues. This commitment to staying informed ensures that I can provide accurate and helpful information to customers regarding their healthcare plans.

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What do you believe is the most important quality for a Customer Success Agent?

Empathy is the most important quality for a Customer Success Agent. Understanding the unique needs of each member and being able to connect on a personal level is crucial in building trust and retaining customers in a competitive healthcare environment.

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How would you handle a situation where you don't know the answer to a customer's question?

If I encounter a question I can't answer immediately, I would politely inform the customer that I will find the information they need. I would then consult available resources or colleagues to get an accurate response, ensuring that the customer receives the correct information as quickly as possible.

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Describe how you would approach educating a member about their healthcare options.

I would begin by asking open-ended questions to understand the member's unique situation. After gathering necessary information, I would clearly explain their options using simple, jargon-free language. Providing examples and allowing time for questions ensures that they feel comfortable and informed.

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What is your experience with virtual customer service tools and systems?

I have extensive experience using various virtual customer service tools, including CRM systems and communication platforms. I'm comfortable navigating multiple screens and databases to efficiently assist customers, which I believe is vital for success in a remote role.

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What do you do to maintain a positive attitude in a challenging customer service environment?

Maintaining a positive attitude in challenging situations starts with self-care and mindset. I focus on the impact I can make, take breaks when needed, and use positive affirmations. Celebrating small wins and learning from each interaction helps me stay motivated and driven.

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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 ...

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April 22, 2025

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