Consumer Service Operations Representative

Become a part of our caring community and help us put health firstThe Consumer Service Operations Representative is responsible for the daily activities across multiple service functions area. This is an inbound call center type environment position, using a headset, handling a large volume of continuous incoming calls. Orlando, Tampa, and South Florida areaThe Consumer Service Operations RepresentativeHandling a large volume of incoming calls from sales agent (internal and external) licensed to sell CarePlus and Humana in the State of FloridaProviding first-call resolution and exceptional customer service experience in a fast-paced call center environmentEnrollment verification, eligibility verification, pre-screen, and initiating expedited referrals in the application for Federal and State assistance programsProvides plan and benefits information to callers, view appointments and sales agent certification inquiriesFollow all regulatory and compliance guidelines implemented by state and federal government or the planUse your skills to make an impact Required Qualifications 3 or more years of Telephonic customer service experience, including typing/data entry (in the past 5 years)Proficient in Microsoft Office Outlook and WordMust be able to live near and travel to the closest CarePlus Health Plan facility as needed. Orlando, Tampa, and South Florida. Schedule work hours are from 9:00 am to 6:00 pm Eastern time, Monday through Friday. During open enrollment (15 Oct – 7 Dec), we extend our hours from 9:00 am to 7:00 pm, Monday through Friday and 9:00 am to 5:00 pm on Saturdays. Extended hours will be covered on a rotating basis. Preferred QualificationsFully bilingual English/Spanish. Must be able to speak, read and write in both languages without limitations or assistance. Associate or bachelor's degreeExcellent verbal, listening and written communication skills. Previous healthcare experiencePrevious inbound and/or outbound call center experienceAptitude for quickly learning and navigating new technology, systems and applications. Additional InformationSchedule work hours are from 9:00 am to 6:00 pm Eastern time, Monday through Friday. During open enrollment (15 Oct – 7 Dec), we extend our hours from 9:00 am to 7:00 pm, Monday through Friday and 9:00 am to 5:00 pm on Saturdays. Extended hours will be covered on a rotating basis. Language Proficiency TestingAny 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 Interagency Language Rating (ILR) test as provided by the Federal Government. HireVue As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. Work at Home GuidanceTo 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; wireless, wired cable or DSL connection is suggestedSatellite, cellular and microwave connection can be used only if approved by leadershipAssociates 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 informationInternal- If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/vivaengage and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours40Pay RangeThe 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.$40,000 - $52,300 per yearDescription of BenefitsHumana, 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 usAbout CarePlus Health Plans: CarePlus Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to help people with Medicare, or both Medicare and Medicaid, achieve their best possible health and wellness through plans with benefits and services they care about. As a wholly owned subsidiary of Humana, CarePlus currently serves Medicare beneficiaries throughout 21 Florida counties. About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our 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 EmployerIt 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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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. Originally posted on Himalayas Apply To this Job