Humana · 15 hours ago
Claims Research & Resolution Representative 3
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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
Decisions are 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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Required
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
Time off (including 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
Humana is a health insurance provider for individuals, families, and businesses.
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
Represents job field similar to this job
Trends of Total Sponsorships
2023 (217)
2022 (257)
2021 (258)
2020 (107)
Funding
Current Stage
Public CompanyTotal Funding
$6.82B2024-03-11Post Ipo Debt· $2.25B
2023-11-02Post Ipo Debt· $1.32B
2023-02-27Post Ipo Debt· $1.25B
Recent News
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2024-12-23
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2024-12-20
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