Description
Become a part of our caring community and help us put health first
The Consumer Service Operations Representative represents the Dual Eligible Outreach Department by taking inbound calls to members or providers regarding a variety of issues. The Consumer Service Operations Representative performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. The Consumer Service Operations Representative performs varied activities and moderately complex administrative/operational/customer support assignments. Typically works on semi-routine assignments.
Become a part of our caring community and help us put health first
We are seeking bilingual (English/Spanish) virtual associates who bring empathy, strong service orientation, and a passion for helping others. As a Consumer Service Operations Representative 2, you will guide members through important benefit decisions with care, accuracy, and professionalism.
This role requires associates who can think critically, build trusting relationships, high accuracy in quality and attention to detail and thrive in a fast-paced service environment.
What You'll Do
- Engage with members on inbound calls to assess eligibility for programs like the Medicare Savings Program.
- Help members understand state and federal benefits that can improve their quality of life.
- Listen with empathy and demonstrate care in all interactions.
- Utilize critical thinking to evaluate member needs, identify appropriate resources, and resolve issues.
- Build strong relationships with members by showing respect, patience, and clarity in every conversation.
- Accurately enter information into multiple systems while multitasking.
- Collaborate with a supportive team and contribute to a culture of compassion, service, and excellence.
- Thrive in a fast-paced, member‑focused environment with shifting priorities.
What Success Looks Like
- You communicate clearly and calmly, even in challenging or emotional conversations.
- You use critical thinking to solve member issues without relying on scripted responses.
- You build rapport quickly and maintain positive member relationships.
- You adapt easily to change and manage high call volumes effectively.
- You find purpose in service and pride in helping others.
Why Join Us?
At Humana, we aim to inspire health and connect people with the care and resources they need. We value diverse voices, compassionate service, and a commitment to excellence. Join a team that truly makes a difference.
Use your skills to make an impact
Required Qualifications
- 2+ years of customer service experience, including data entry.
- Strong verbal, written, and listening skills.
- Comfortable navigating multiple systems and learning new technology.
- Proficient in Microsoft Outlook and Word.
- Adaptable and open to change in a dynamic environment.
Preferred Qualifications
- Bilingual English/Spanish.
- Experience in healthcare or social services.
- Previous inbound/outbound call center experience.
Schedule & Virtual Work Expectations
- Hours: Monday–Friday, 10:40 AM – 7:10 PM
- Location: Virtual
- Attendance Requirements:
- Attendance is vital to success in this role.
- No time off is allowed during training or within the first 90 days.
- Time off during the 180‑day appraisal period is extremely limited and must be pre-approved.
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Satellite, cellular and microwave connection can be used only if approved by leadership.
Employees 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 employees 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 information.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay 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 will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$40,000 - $52,300 per year
Description of Benefits
Humana, 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.Application Deadline: 01-29-2026
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 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.
