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Medicare Inbound Contacts Representative

Remote / Online - Candidates ideally in
Kentucky, USA
Listing for: Humana Inc
Full Time, Remote/Work from Home position
Listed on 2026-01-06
Job specializations:
  • Customer Service/HelpDesk
    Bilingual, Customer Service Rep
Salary/Wage Range or Industry Benchmark: 10000 - 60000 USD Yearly USD 10000.00 60000.00 YEAR
Job Description & How to Apply Below
#
** Become a part of our caring community and help us put health first
** The Medicare Inbound Contact Representative 2 represents the company by addressing incoming telephone, digital, or written inquiries. The Medicare Inbound Contact Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

The Medicare Inbound Contact Representative 2 represents Humana by addressing incoming telephone, digital, or written inquiries from Medicare members. The Medicare Inbound Contact Representative 2 strives to provide the member a resolution or pathway to resolution on each call while providing a perfect call experience.

The Medicare Inbound Contact Representative 2 addresses customer needs which may include complex benefit questions, resolving issues, and educating members.
** This is a high-volume call center setting, which can be stressful at times.**
* ** Handles 40+ inbound calls daily from members in a fast-paced inbound call center environment.
*** Records details of inquiries, comments or complaints, transactions, or interactions, and takes action accordingly.
* Escalates unresolved and pending customer grievances. Decisions are typically focused on interpretation of area/department policy and methods for completing assignments.
* Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction.
* Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.#
** Use your skills to make an impact
**** Required

Work Schedule:

**
* ** Virtual training will start day one of employment and runs for the first 10 to 12 weeks with a schedule of 8:00 AM to 4:30 PM EST, Monday through Friday**.
* ** You must be on time, dressed appropriately, with your camera ON during training and for other meetings required by leadership**.
* ** Attendance is vital for success, so no time off is allowed during training or within 60 days following training. Time off during your initial 120-days of employment is extremely limited.
** Exception:
Should a Humana-observed holiday occur during training or within the initial 120-days of employment, you will have the holiday off (paid).
* ** All associates are subject to a 180-day appraisal period.
*** Following training, you will be assigned to an 8-hour shift between the hours of 7:45 AM and 9:00 PM Eastern Time, Monday through Friday.
* Shift Bids take place periodically and are based on performance and business needs.
* ** Some weekends and overtime may also be required, especially during our peak season of October-March and as needed by the business.
** We strive to provide a minimum of a week’s advance notice for weekends and overtime.
* This position requires learning many systems, policies, and tools, and it takes time to become proficient in the role.  You must be willing to remain in this position for a period of twelve (12) months before applying to other Humana opportunities outside of Individual or Group Medicare.
** Required Qualifications**
* ** 2 years of customer service experience
*** Demonstrated experience with providing strong customer service and attention to detail while actively listening.
* Prior experience managing multiple or competing priorities, including use of multiple computer applications / systems simultaneously.
* Proficiency with Microsoft Office applications, particularly Outlook and Teams
* Prior experience effectively communicating with customers verbally and actively listening to their needs.
** Preferred Qualifications
*** Associate or Bachelor’s degree
* Previous inbound call center or related customer service experience
* Previous healthcare experience
* Bilingual in Spanish and English (see Language Proficiency Testing below)
** Work at Home Guidance
** 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…
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