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 ..

Description The Claims Review Representative 3 makes appropriate claim decision based ... based on strong knowledge of claims procedures, contract provisions, and state ... state and federal legislation. The Claims..

... Information Humana Grievances & Appeals Representative 3 (Fully Bilingual English/Spanish) San Juan, PR in San Juan Puerto Rico Description The Grievances ... Description The Grievances & Appeals Representative 3..

Description The Learning Facilitation Professional 2 conducts or facilitates training courses for organization employees or external audiences. The Learning Facilitation Professional 2 work assignments are varied and frequently require interpretation and ..

Description The Subrogation Representative 3 identifies, investigates, and collects recoveries ... provides health insurance. The Subrogation Representative 3 performs advanced administrative/operational/customer support duties ... mathematical skills. Responsibilities The Subrogation Representative..

Description The Subrogation Professional 2 iIdentifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..

Description The Financial Underwriting Representative 3 computes rates for both renewing ... group accounts. The Financial Underwriting Representative 3 performs advanced administrative/operational/customer support duties ... skills. Responsibilities The Financial Underwriting..

... in system, ID cards issued, claims opened for processing and certifications issued. The Senior ... systems, ID cards issued, and claims opened for processing. The Group Medicare Senior Installation..

Description The Claims Processing Representative 1 reviews and adjudicates complex ... and adjudicates complex or specialty claims, submitted either via paper or ... via paper or electronically. The Claims Processing..

Description The STARS Improvement Analyst develops, implements, and manages oversight of the company's Texas Medicare/Medicaid Stars Program. Directs all Stars quality improvement programs and initiatives. The STARS Improvement Analyst work assignments ..

Job Information Humana Claims Research & Resolution Representative 2 (Bilingual - English/Spanish) (Remote) ... (Bilingual - English/Spanish) (Remote) in San Juan Puerto Rico Description The Bilingual ... Puerto Rico Description..

Description The Grievances & Appeals Representative 3 manages client medical denials by ... warranted. The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties ... Responsibilities The Grievances &..

Description The Claims Review Representative 3 makes appropriate claim decision based ... based on strong knowledge of claims procedures, contract provisions, and state ... state and federal legislation. The Claims..

Description The Claims Processing Representative 3 reviews and adjudicates complex or ... and adjudicates complex or specialty claims, submitted either via paper or ... via paper or electronically. The Claims..

Description The Provider Insights & Claims Analytics (PICA) team is a blend of technology, data, and consulting professionals leveraging the latest tools and methods to solve complex business problems. In this ..

Description The Financial Underwriting Representative 3 computes rates for prospective moderate ... group accounts. The Financial Underwriting Representative 3 performs advanced administrative/operational/customer support duties ... skills. Responsibilities The Financial Underwriting..

... yourself a detective for medical claims / member benefits? Well if ... for Humana's Grievances & Appeals Representative 3 role working out of the ... 383 Avenue F.D. Roosevelt..

Description The Bilingual Claims Research and Resolution Representative 2 address customer needs which ... you Come In The Bilingual Claims Research & Resolution Representative 2 works with insurance companies, .....

Description The Claims Review Representative 3 makes appropriate claim decision based ... based on strong knowledge of claims procedures, contract provisions, and state ... state and federal legislation. The Claims..

Description The Claims Research & Resolution Representative 2 manages claims operations that involve customer contact, ... contact, investigation, and settlement of claims for and against the organization. ... and against..

Description The Grievances & Appeals Representative 3 manages client denials and concerns ... parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties ... Responsibilities The Grievances &..

Description The Data and Reporting Professional 1 generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The ..

... Information Humana Grievances & Appeals Representative 3 (Bilingual English/Spanish) San Juan, PR in San Juan Puerto Rico Description The Grievances ... Description The Grievances & Appeals Representative 3 manages..