Consumer Service Operations Representative - Tampa Community Center

3 days left

Tampa, Florida
Not Specified
Feb 22, 2024
Apr 21, 2024
Become a part of our caring community and help us put health first

The Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service functions area. This will be in the Community center opening in Tampa in January 2024. The Consumer Service Operations Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. This role requires face to face interaction.

The Consumer Service Operations Representative 3 may perform installation, implementation, member support, member services, member administration, customer service, enrollment and eligibility and call center operations. Investigates member inquiries and concerns and customer service issues. Decisions are typically focus on methods, tactics and processes for member resolutions aligning to Medicare (CMS requirements). Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge.

This position will be located at the Tampa Community Center.

Use your skills to make an impact

Required Qualifications

  • 1 – 3 years of customer service experience, including typing/data entry
  • Previous inbound call center or related customer service experience
  • Excellent verbal, listening and written communication skills
  • Aptitude for quickly learning and navigating new technology, systems and applications
  • Proficient in Microsoft Office Outlook and Word
  • Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems
  • 1 years of leadership, escalated calls, team lead or similar experience
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

  • CSIM platform knowledge
  • Previous healthcare experience
  • Clerical support background in a healthcare environment
  • Healthcare experience
  • Quality background
  • Medicare experience
  • bilingual Eng/Span

Additional Information

Hours will be 8am-4:30pm with a 30 minute lunch break

Training will be virtual for 2-3 weeks and the in person shadowing for approx 2 weeks (shadowing will be in the Winter Haven office and Tampa office locations).

Scheduled Weekly Hours


About us

About CarePlus Health Plans: CarePlus Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to help people with Medicare, or both Medicare and Medicaid, achieve their best possible health and wellness through plans with benefits and services they care about. As a wholly owned subsidiary of Humana, CarePlus currently serves Medicare beneficiaries throughout 21 Florida counties.

About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our 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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