At Humana, we're looking for a Claims Review Representative to join our team. We need an individual who is able to provide reliable and accurate review of claims and claims-related activities.The ideal candidate must have a high school diploma or equivalent and at least two years of experience in health insurance claims processing. Knowledge of benefits, coding, and reimbursement processes is essential. We are looking for a detail-oriented professional with great communication skills, the ability to work independently, and excellent problem-solving abilities.If you have a passion for understanding the complexities of health insurance and a commitment to delivering quality customer service, we would love to hear from you!
Attention To Detail
Excellent Customer Service Skills
Strong Communication Skills
Analytical And Problem-Solving Skills
Knowledge Of Medical Terminology And Coding
Ability To Handle Multiple Tasks Simultaneously
Computer Proficiency
Bachelor's Degree Or Equivalent Experience
Documentation
Data Entry
Communication
Medical Terminology
Computer
Regulatory compliance
Organization
Problem-Solving
Multi-tasking
Interpersonal
Analyzing
Attention-To-Detail
Time-Management
Accuracy
Claims Review
Communication
Conflict Resolution
Leadership
Time management
Interpersonal Skills
creativity
Organizational skills
Teamwork
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Claims Review Representative is between $36,000 and $53,000 per year. This range is dependent on the experience level of the Claims Review Representative, as well as the region of the country in which they are employed.
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Humana Inc. is a for-profit American health insurance company based in Louisville, Kentucky. Its strategy integrates care delivery, the member experience, and clinical and consumer insights to encourage engagement, behavior change, proactive clinical outreach and wellness for the millions of people they serve across the country. The company operates its business through the following segments: Retail, Group, and Healthcare Services.

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