Grievance and Appeals Representative 2 for IRT- Work at Home/Remote USA

Profile

Description

Responsibilities

The Grievances & Appeals Representative 2 for IRT will be responsible for assigning cases to associates on team to send to independent entity for 2nd level review. Tracking volume of cases that are sent to team for review and how many each associate is assigned. Must be adaptable and comfortable with changes and fast paced environment.

Position can be work at home, in-office, or combination

Required Qualifications

Must have experience in a production driven environment

Intermediate experience with Microsoft Word and Excel

Strong data entry skills required

1 - 3 years of customer service experience

Strong data entry skills required

Ability to manage large volume of cases including tracking

Weekend work required on rotating basis

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

Preferred Qualifications

Associate's or Bachelor's Degree

1 - 3 years of grievance and appeals experience

Medical terminology experience

Experience in the healthcare industry or medical field

Knowledge of medical terminology

Work at Home/Remote Requirements

Must ensure designated work area is free from distractions during work hours and virtual meetings

Must provide a high-speed DSL or cable modem for a workspace (Satellite and Hotspots are prohibited). A minimum standard speed of 10x1 (10mbs download x 1mbs upload) for optimal performance of is required

Scheduled Weekly Hours

40

Company info

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