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Inbound Contacts Representative

Humana -
West Virginia

Apply Now

Job Details

Full-time
$39,000 - $49,400 a year
5 days ago

Benefits

Paid parental leave
Caregiver leave
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Parental leave
Vision insurance
Life insurance

Qualifications

Spanish
Direct client contact
Incident Escalation
Customer engagement
Escalation handling
Technical Proficiency

Full Job Description

Become a part of our caring community

Humana is looking for Inbound Contacts Representatives to be a part of our Dental and Go365 teams. You are often the first human connection our members have with us. Working remotely, you will report to the Inbound Contacts Supervisor and be a part of the Consumer Contacts area of the business. Every interaction is an opportunity to solve a problem, reduce frustration, and create trust. You will support members and providers by answering benefit questions, resolving concerns, and guiding them through next steps, helping ensure they feel informed and supported.

This role is ideal for someone who enjoys helping others and takes pride in delivering a high-quality customer experience.

As an Inbound Contacts Representative 2, you will:

Handle 40+ inbound calls daily from members and providers in a back-to-back call center environment
Address multiple members and provider needs, including benefit questions, service issues, and general inquiries
Escalate unresolved and pending customer grievances
Document all interactions, actions taken, and outcomes in internal systems
Resolve routine to moderately complex issues by following established guidelines and workflows
Identify issues requiring escalation and ensure handoff to the appropriate teams
Meet quality, productivity, and customer experience expectations

What Success Is:

Members feel heard, supported, and satisfied with their experience
We are proactive and resolve issues on the first contact whenever possible
Documentation is complete, clear, and compliant
Experience empathizing with frustrated customers, and accountability in every interaction

Use your skills to make an impact

Required:

2+ years of customer service experience
Must reside in the Central or Eastern Time Zone
Experience documenting customer issues in detail
Experience assessing support requests in multiple systems simultaneously and escalating based on severity
Experience interpreting and responding to customer requests
Experience excelling within performance-focused settings

Preferred:

Associate or bachelor's Degree
Previous inbound call center experience
Healthcare or insurance industry experience
Fluency in Spanish

Required Work Schedule:

Training:

This position is scheduled to start October 2026. Training will begin on day one and last up to six weeks with a schedule of 8:30 AM to 5:00 PM Eastern, Monday through Friday.
Attendance is vital for success, no time off is allowed during training.
You must be on time, in a quiet environment, with your camera ON during training and for other meetings required by leadership.

Post Training:

Following training, you will be assigned an 8-hour shift between 8:00 AM and 9:00 PM Eastern, Monday through Friday. Shift bids periodically occur, based on business needs and are based on performance and tenure
The initial 180 days of employment as an Inbound Contacts Representative 2 constitute an appraisal period. This Appraisal Period is essential to your learning and development, which is why we ask for perfect attendance during both the classroom training and nesting periods.
The department has a strict attendance policy. Time off is not permitted during the first 90 days and is discouraged during the 180-day appraisal period.
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 the team

Additional Information

PLEASE ATTACH YOUR RESUME TO YOUR APPLICATION (PDF OR WORD FORMAT)

Work at Home Requirements: 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. 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

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.

$39,000 - $49,400 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

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.

Apply Now

Refine Your Search

community representative jobs in west virginia

Inbound Contacts Representative

Regional Treasury Representative-WV State Treasurer's Office-See Posting

Regional Treasury Representative – West Virginia State Treasurer’s Office

Sales Call Center Representative

Customer Service Representative (Remote)

Community Disaster Program Manager

Customer Service / Healthcare Claims Rep (Remote)

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Director, ICU/Pathology - SMG

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LPN (Licensed Practical Nurse)

Registered Nurse

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