[Hiring] Consumer Service Operations Representative @Humana

Role Description

The Consumer Service Operations Representative represents the Dual Eligible Outreach Department by taking inbound calls to members or providers regarding a variety of issues. This role involves performing advanced administrative, operational, and customer support duties that require independent initiative and judgment.

As a Consumer Service Operations Representative 2, you will guide members through important benefit decisions with care, accuracy, and professionalism.

• 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.

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.

Requirements

• Bilingual English/Spanish (preferred).
• Experience in healthcare or social services (preferred).
• Previous inbound/outbound call center experience (preferred).

Benefits

• 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.

Schedule & Virtual Work Expectations

• Hours: Monday–Friday, 10:40 AM – 7:10 PM.
• Location: Virtual.
• 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.

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

Application Deadline

01-29-2026

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.