Onsite Healthcare Claims Processor

Humana Inc; Town of Florida (NY); On-site; USD 31,000 - 52,000; Full time

Job summary

Humana Inc. is seeking a Claims Processing Representative at our Miramar, FL location. You will review and adjudicate complex or specialty claims submitted by paper or electronically, following policy and procedures.

The role involves semi-routine administrative and customer support tasks, with moderate decisions on pay/deny outcomes within defined parameters, and opportunities to apply discretion while maintaining quality standards.

Qualifications

• Less than 3 years of technical experience.
• Proficiency in all Microsoft Office: Word, PowerPoint, Excel, and Access.
• Health plan claims processing experience.
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences.

Skills

Microsoft Office

Health plan

Customer experience

Education

Bachelor's Degree

Tools

CPU CMS Processing Unit

Job description

Humana Inc. is seeking a Claims Processing Representative at our Miramar, FL location. You will review and adjudicate complex or specialty claims submitted by paper or electronically, following policy and procedures.

The role involves semi-routine administrative and customer support tasks, with moderate decisions on pay/deny outcomes within defined parameters, and opportunities to apply discretion while maintaining quality standards.