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Remote Humana Customer Service Representative Jobs in Kentucky

Humana

Principal Architect

Louisville, KY · Remote

... Humana's customers and partners. The ideal candidate for this position will have a broad ... Micro services using Java, .Net, Node.js and Python * Varity of data base technologies like ...

Humana

Principal Architect

Louisville, KY · Remote

... Humana's customers and partners. The ideal candidate for this position will have a broad ... Micro services using Java, .Net, Node.js and Python * Varity of data base technologies like ...

Humana

Principal Architect

Louisville, KY · Remote

... Humana's customers and partners. The ideal candidate for this position will have a broad ... Micro services using Java, .Net, Node.js and Python * Varity of data base technologies like ...

Zuzick & Associates

Our company is looking to add multiple customer service positions to our growing team of remote representatives. This is a full time position with upwards mobility and the ability to work from home!

Zuzick & Associates

Our company is looking to add multiple customer service positions to our growing team of remote representatives. This is a full time position with upwards mobility and the ability to work from home!

Zuzick & Associates

Our company is looking to add multiple customer service positions to our growing team of remote representatives. This is a full time position with upwards mobility and the ability to work from home!

Zuzick & Associates

Our company is looking to add multiple customer service positions to our growing team of remote representatives. This is a full time position with upwards mobility and the ability to work from home!

ForgeFit

Remote Customer Service Specialist

Lexington, KY · On-site +1

$17 - $22.25/hr

Remote Customer Service Specialist Company: ForgeFit Location: Remote (U.S. Based) Employment Type: Full-Time About ForgeFit At ForgeFit, we supply premium fitness equipment to gyms, studios, and ...

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All JobsHumana Customer Service Representative JobsRemote Humana Customer Service Representative JobsRemote Humana Customer Service Representative Jobs in Kentucky

Remote Humana Customer Service Representative information

What is the difference between Remote Humana Customer Service Representative vs Remote UnitedHealth Group Customer Service Representative?

AspectRemote Humana Customer Service RepresentativeRemote UnitedHealth Group Customer Service Representative
CredentialsHigh school diploma or equivalent; healthcare knowledge beneficialHigh school diploma or equivalent; healthcare or insurance knowledge beneficial
Work EnvironmentHome-based, flexible hours, call center settingHome-based, flexible hours, call center setting
Industry UsageHealthcare insurance, Medicare, MedicaidHealth insurance, Medicare, Medicaid
Common Search IntentComparing remote healthcare insurance rolesComparing remote healthcare insurance roles

The Remote Humana Customer Service Representative and Remote UnitedHealth Group Customer Service Representative roles share similar credentials, work environments, and industry focus. Both positions involve providing customer support for healthcare insurance plans from home, often requiring a high school diploma and healthcare knowledge. They are frequently compared by job seekers exploring remote opportunities in health insurance customer service within leading industry companies.

What are the most commonly searched types of Humana Customer Service Representative jobs in Kentucky? The most popular types of Humana Customer Service Representative jobs in Kentucky are:
What cities in Kentucky are hiring for Remote Humana Customer Service Representative jobs? Cities in Kentucky with the most Remote Humana Customer Service Representative job openings:
Remote Humana Customer Service Representative jobs near you

Customer Service Representative Tier 2

Helpware

Lexington, KY • On-site, Remote

$21/hr

Full-time

Posted 3 days ago

New

Job description

Customer Service Representative Tier 2

Location: Lexington, Danville, or Somerset, KY | Work Setup: Conditional remote

About Us

Helpware is a technology-driven company with offices in the USA, Ukraine, Mexico, and the Philippines which provides Customer Experience & Operational Support for modern companies. Our team of professionals is driven by the purpose of providing best-in-class value-adding services to our partners by leveraging our empowered teams, innovative solutions, and technologies.

Our US Team is growing and we're looking for experienced Sales Agents to join our Helpware team.

Position Overview:

The Tier 2 Customer Support Representative serves as the primary escalation point for complex customer service and order management concerns that require advanced troubleshooting and decision-making. This role is responsible for resolving escalated order, payment, refund, and return-related issues while ensuring compliance with client policies and service standards. The specialist collaborates closely with Tier 1 agents and Team Leads to drive resolution, improve processes, and enhance the overall customer experience through knowledge sharing and continuous improvement initiatives.

Specific Responsibilities:

  • Act as the primary escalation point for Tier 1 CX/Sales Support agents, handling advanced or complex customer and order issues.
  • Demonstrate expert-level understanding of the client's product catalog, pricing policy, and order/pre-authorization workflows to resolve escalated cases accurately.
  • Review and approve or deny out-of-policy RMA, refund, and credit requests escalated by Tier 1 agents, including swap-out program exceptions.
  • Resolve exception-heavy order scenarios, including pricing disputes, buyback/shipping adjustments, multi-location order discrepancies, and unresolved credit card pre-authorization issues.
  • Maintain full documentation of escalated interactions, root cause, and resolution in Salesforce and other supporting systems.
  • Partner with the Team Lead to identify recurring escalation themes and recommend process, training, or knowledge base improvements.
  • Escalate to the Team Lead only when an issue requires a judgment call beyond defined Tier 2 authority or needs coordination across the US/Philippines teams.
  • Contribute to FAQ, knowledge base, and escalation playbook content based on patterns observed in escalated cases.
  • Participate in calibration sessions to ensure consistent quality and resolution standards across tiers.
  • Other related tasks as assigned by the client or Helpware management.

Qualifications:

  • At least 2-4 years of experience in customer service, sales support, order management, or a related customer operations role, with experience handling escalations.
  • Proven experience resolving complex customer issues involving orders, payments, refunds, returns, or account management.
  • Experience using CRM platforms such as Salesforce; familiarity with ERP or order management systems is an advantage.
  • Strong understanding of order lifecycle management, credit card pre-authorizations, RMAs, refunds, credits, and pricing policies.
  • Excellent analytical, problem-solving, and decision-making skills with the ability to resolve exceptions independently within established guidelines.
  • Strong verbal and written communication skills, with the ability to manage difficult customer interactions professionally and empathetically.
  • Highly organized with exceptional attention to detail and the ability to document cases accurately.
  • Demonstrated ability to identify process gaps and recommend improvements to workflows, documentation, and knowledge resources.
  • Experience mentoring, coaching, or providing guidance to frontline agents is preferred.
  • Ability to collaborate effectively with cross-functional and global teams while managing multiple priorities in a fast-paced environment.
Employment Type: FULL_TIME

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