Humana

Claims Review Representative

Humana

Remote
Full-TimeDepends on ExperienceMid-LevelBachelors
Job Description

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!

Where is this job?
This job opening is listed as 100% remote
Job Qualifications
  • 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

Required Skills
  • Documentation

  • Data Entry

  • Communication

  • Medical Terminology

  • Computer

  • Regulatory compliance

  • Organization

  • Problem-Solving

  • Multi-tasking

  • Interpersonal

  • Analyzing

  • Attention-To-Detail

  • Time-Management

  • Accuracy

  • Claims Review

Soft Skills
  • Communication

  • Conflict Resolution

  • Leadership

  • Time management

  • Interpersonal Skills

  • creativity

  • Organizational skills

  • Teamwork

  • Adaptability

  • Problem-Solving

Compensation

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.

Additional Information
Humana is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedMarch 10th, 2023
Apply BeforeMay 22nd, 2025
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About Humana

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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