Remote Claims Research & Resolution Specialist

Humana · Workfromhome, United States

Humana is seeking a Claims Research & Resolution Representative 3 for a remote role. You will manage complex medical claim investigations, work with providers and members, and report to the Supervisor, Claims & Research Resolution.

The position requires 1+ year of healthcare CS and call center experience, Medicare/Medicaid claims knowledge, and intermediate Excel/Word skills. Training lasts 8 weeks with Monday–Friday schedules, then shifts Monday–Friday 6:00am–5:30pm EST.