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Work at Home Grievance and Appeals Specialist Jobs with Humana

Work at Home Grievance and Appeals Specialist Jobs with Humana

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Work at Home Grievance and Appeals Specialist Jobs with Humana


Humana is hiring work at home grievance and appeals specialists in the U.S. These are full-time home-based positions.

Compensation for these work at home grievance and appeals jobs is competitive, and training is virtual.

Additionally, all specialists are provided excellent benefits, including health, dental, vision, tuition assistance, 401(k) and more effective the very first day of employment.

From the company:

“Do you enjoy helping those in need? Do you love researching, analyzing medical documents to determine if something was missed? Have you ever considered yourself a detective for medical claims / member benefits? Well if you answered yes to any of the above you may be a great fit for Humana’s Grievances & Appeals Representative 3 role.”

Requirements (from work-at-home job listing):

  • 2+ years working with customers in a fast-paced, deadline-oriented environment
  • Possesses a High School Diploma or GED
  • Prior experience interpreting Member Benefits and Medical Claims
  • Experience with the ability to prioritize and manage inventory and work flow
  • Customer focused, analytical and decision making skills
  • Strong technical skills with the ability to work across multiple software systems and comfortable work remote out of your home
  • Flexibility – ability to work overtime including weekends, based on business needs
  • Department Hours – Shift could fall between business hours of 6:00 am to 6:00 pm EST.  Mandatory Overtime may include weekend days and holidays.  Hours are subject to change based on business needs
  • High level of emotional intelligence with a proven ability to influence office culture and engagement in a positive manner
  • Work at home (WAH) requirements include a minimum internet connection speed of 10m x 1m, and a dedicated secure home workspace for interview or work purposes

Preferred, But Not Required (from listing):

  • Associate’s or Bachelor’s Degree
  • Humana’s operating systems: MHK (MedHok), CCP/GCP/CAS, CI, CGX
  • Medicare experience
  • Experience with CMS Guidelines and remaining compliant

If interested in learning more about these work at home grievance and appeals specialist positions, please see the original home-based job listing (SCROLL DOWN). Good luck!

This work at home job not right for you? Here are just some of the options available:

Medical Coder

Medical Transcriptionist

Virtual Assistant

General Transcriptionist

Proofreader

Freelance Writer

Real Estate VA

Pinterest VA

Voice Over Talent

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