95 applicants

Company

Humana · 13 hours ago

Claims Research & Resolution Representative 3

Louisville, KY

Full-time

Remote

Entry, Mid Level

$43K/yr - $56K/yr

2+ years exp

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Health CareHealth Insurance

H1B Sponsor Likely

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Responsibilities

Manages claims operations, assisting in processing of corrected claims

Performs advanced administrative / operational / customer support duties that require independent initiative and judgment

Researches resolutions to pending claims

Makes decisions typically focused on methods, tactics, and processes for completing administrative tasks / projects

Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes, and techniques

Works under limited guidance due to previous experience / breadth and depth of knowledge of administrative processes and organizational knowledge

Will be fully trained on all corrected claims processing and reprocessing.

Qualification

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CAS claims processingCRM technology

Required

Although this is a remote position, we require the selected candidates to CURRENTLY reside within a fifty (50) mile radius of one of the following Humana offices: 101 E. Main Street, Louisville, KY 40202 or 4030 Boy Scout Blvd., Tampa, FL 33607

2 years CAS claims processing experience

Ability to manage multiple or competing priorities, including use of multiple computer applications simultaneously

Effective verbal and listening communication skills

Capacity to maintain confidentiality

Strong attention to detail

Preferred

Prior claims adjustment / reprocessing experience

Experience using CRM technology

Intermediate mathematical skills

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

Glassdoor

3.8

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

Founded in 1964

Louisville, Kentucky, USA

10001+ employees

http://www.humana.com

H1B Sponsorship

Humana has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

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Trends of Total Sponsorships

2023 (217)

2022 (257)

2021 (258)

2020 (107)