Consumer Service Operations Representative III jobs in United States
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Humana · 14 hours ago

Consumer Service Operations Representative III

Humana is a health insurance company committed to putting health first. The Consumer Service Operations Representative III is responsible for daily activities across multiple service functions, including client support, claims processing, and customer service, while exercising discretion and judgment in administrative tasks.

Health CareHealth InsuranceInsuranceVenture Capital
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H1B Sponsor Likelynote

Responsibilities

Perform advanced administrative/operational/customer support duties that require independent initiative and judgment
May apply intermediate mathematical skills
Perform installation, implementation, client support, client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations
Investigate and settle claims and customer service issues
Make decisions focusing on methods, tactics and processes for completing administrative tasks/projects
Regularly exercise discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques
Work under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge

Qualification

Customer service experienceMicrosoft Office proficiencyHealthcare experienceMedical terminology knowledgeClerical support experienceCNAMedical Assistant experienceQuality experienceMedicare experienceAptitude for technologyCommunication skills

Required

Must be able/willing to travel between the 4 different locations in Stuart, East St. Lucie, Southeast St. Lucie, and West St. Lucie (zip codes ranging from 34994, 34952, 34984, and 34986). You will travel to a different clinic each day
Minimum 1 year of customer service experience in a healthcare setting
Proficient in Microsoft Office, Outlook, Word, and Excel
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

Preferred

Undergraduate Degree
Clerical support experience in a healthcare environment
CNA or Medical Assistant experience
Quality experience
Medicare experience
Familiarity with medical terminology and/or ICD-10 codes

Benefits

Medical, dental and vision benefits
401(k) retirement savings plan
Paid time off
Company and personal holidays
Volunteer time off
Paid parental and caregiver leave
Short-term and long-term disability
Life insurance

Company

Humana is a health insurance provider for individuals, families, and businesses.

H1B Sponsorship

Humana has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (282)
2024 (246)
2023 (284)
2022 (274)
2021 (212)
2020 (84)

Funding

Current Stage
Public Company
Total Funding
$13.07B
2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B

Leadership Team

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Jim Rechtin
CEO and President
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Colin Drylie
Senior Vice President, Experience Transformation
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Company data provided by crunchbase