Grievance and Appeals Representative 4

Profile

Description

Humana is looking for an experienced associate that truly enjoys a fast paced, high volume environment of constant change and improvement. Are you looking for a daily challenge to uphold a commitment to excellence? This role will support the Grievance and Appeals organization in effort to maintain a high standard internally as well as an extremely positive impact on our members’ lives.

Responsibilities

Required Qualifications

High School Diploma

Minimum 2 years of customer service experience

Must have experience in the healthcare industry or medical field

Strong data entry skills required

Intermediate experience with Microsoft Word and Excel

Must have experience in a production driven environment

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

Associate's or Bachelor's Degree

Previous inbound call center or related customer service experience

Grievance and appeals experience

Previous experience processing medical claims

Bilingual (English and Spanish); with the ability to read, write, and speak English and Spanish

In order to support the CDC recommendations on social distancing and reduce health risks for associates, members and public health, Humana is deploying temporary work at home requirements for an indefinite period of time. In order to meet these requirements:

Must have a separate room with a locked door that can be used as a home office to ensure you have absolute and continuous privacy while you work.

Must have accessibility to high speed DSL or cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance from Humana systems is 10M x 1M

Scheduled Weekly Hours

40

About Us

Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.

Equal Opportunity Employer

It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster.

If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact mailboxtasrecruit@humana.com for assistance.

Humana Safety and Security

Humana will never ask, nor require a candidate provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact mailboxtasrecruit@humana.com to validate the request.

California Residents

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Company info

Humana Inc.
Website : http://www.humana.com