What are the responsibilities and job description for the Customer Success Agent position at Humana?
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 drives member retention through active engagement with high-risk members.
Handles escalated member concerns leading to discussions of plan options and election periods.
Resolves disenrollment issues and guides members through the Medicaid/LIS recertification process to quality for dual plans..
Here is what we need your help with:
Model a high level of professionalism, integrity, and quality with every inbound and outbound consumer phone interaction.
Actively listens for unmet needs, suggests available community resources, and recommends other plans and benefits when suitable, including enrollment into other plans
Explain plan benefits, claims, and communications received from the plan
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
1 years professional experience in navigating multiple computer tools/systems/screens
Available and willing to work any shift between 7:00am — 11:00pm including weekends
Overtime and weekend work will be required during our peak season from approximately September - December
Preferred Qualifications
Bilingual in English/Spanish with the ability to speak, read and write in both languages without limitations or assistance
Prior Medicare product sales experience
Prior call center experience
Ability to connect meaningfully with customers to build emotional engagement and customer advocacy
Simplify complexity and integrate internal efforts to deliver an optimal customer experience
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 with a competitive commission structure
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.)
Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota. 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.
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Scheduled Weekly Hours
40Pay 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 decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$47,700 - $65,600 per year
Description of Benefits
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 because he or she is a protected veteran. 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.
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Salary : $47,700 - $65,600