Humana Inbound Contacts Representative 2 in FtnSqr2, United States


The Inbound Contacts Representative 2 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.


The Inbound Contacts Representative 2 addresses customer needs which may include complex benefit questions, resolving issues, and educating members. We provide perfect service and guidance to all CarePlus health plan members. We see Inbound Contact Representatives to directly respond to questions about medical claims, pharmaceutical, billing and any additional grievances. Our representatives 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 1st day of employment

  • 3 weeks accrued PTO your 1st year 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

Required Qualifications

  • High School Diploma or equivalent

  • Previous customer service experience

  • Strong customer service orientation

  • Strong attention to detail

  • Strong typing and computer navigation skills

  • Capacity to multi-task, including use of multiple computer applications simultaneously

  • Effective verbal and listening communication skills

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

Preferred Qualifications

  • 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.

  • Previous inbound call center experience

  • Prior experience in the Pharmacy industry

  • Healthcare experience

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

Scheduled Weekly Hours


About Us

Equal Opportunity Employer

It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster.

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