Supervisor, Grievance & Appeals @ Humana | Jobright.ai
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Supervisor, Grievance & Appeals jobs in Remote Indiana
33 applicants
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Humana · 8 hours ago

Supervisor, Grievance & Appeals

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Health CareHealth Insurance

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Responsibilities

Supporting a team of associates assisting members and providers with appeal resolutions
Support quality related goals
Perform escalated or more complex work of a similar nature
Supervise a group of typically support and technical associates
Coordinate and provide day-to-day oversight to associates
Ensure consistency in execution across team
Hold team members accountable for following established policies

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Customer Service ExperienceSupervisory ExperienceMicrosoft OfficeClinical BackgroundHigh Volume ProductionHealthcare Industry ExperienceBilingual English/SpanishElectronic CommunicationMicrosoft PowerPointMicrosoft AccessHealthcare Economics

Required

Bachelor's Degree
4 - 6 years of customer service experience
Clinical background experience (for example CNA/ LPN)
Minimum of 2 years prior supervisory experience
Experience working in a high volume production environment
Previous experience working in the healthcare industry or medical field
Excellent written, verbal and electronic communication skills
Advanced proficiency in Microsoft Office programs including Word, Excel, and Outlook
Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred

Previous experience working in Grievance and Appeals
Beginner knowledge in Microsoft PowerPoint and Access
General understanding of healthcare economic, financial and operational concepts
Results oriented; problem solver
Bilingual English/Spanish - must be able to speak, read and write in both languages without limitations or assistance

Benefits

Medical, dental and vision benefits
401(k) retirement savings plan
Paid time off
Company and personal holidays
Volunteer time off
Paid parental and caregiver leave
Short-term and long-term disability
Life insurance

Company

Humana is a health insurance provider for individuals, families, and businesses.

Funding

Current Stage
Public Company
Total Funding
$6.82B
2024-03-11Post Ipo Debt· $2.25B
2023-11-02Post Ipo Debt· $1.32B
2023-02-27Post Ipo Debt· $1.25B

Leadership Team

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Bruce D. Broussard
President and Chief Executive Officer
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Susan M. Diamond
CFO
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Company data provided by crunchbase
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