Remote Claims Research & Resolution Specialist

Humana; United States; Remote; USD 59,000 - 81,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) plan

Paid time off

Job summary

Humana is seeking a Claims Research & Resolution Professional 2 for a remote role in the United States. The position involves managing claims operations, investigating and settling claims, and approving settlements for and against Humana.

Travel to Humana offices for training may be required occasionally, with 40 scheduled hours per week. The role emphasizes customer experience and collaboration with insurers, providers, members, and collection services, following established guidelines to

Qualifications

• Less than 5 years of technical experience
• Must be passionate about contributing to an organization focused on improving consumer experiences

Responsibilities

• Manage claims operations involving customer contact, investigation, and settlement actions
• Approve settlements for and against Humana
• Collaborate with insurance companies, providers, members, and collection services
• Follow established guidelines and procedures

Skills

<5 years experience

Customer experience focus

Job description

Humana is seeking a Claims Research & Resolution Professional 2 for a remote role in the United States. The position involves managing claims operations, investigating and settling claims, and approving settlements for and against Humana.

Travel to Humana offices for training may be required occasionally, with 40 scheduled hours per week. The role emphasizes customer experience and collaboration with insurers, providers, members, and collection services, following established guidelines to