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Remote Appeals & Grievances Specialist

Humana

San Juan, TX
  • Remote job

Humana is seeking a Grievances and Appeals Representative 4 within the Internal Review Team to manage denials by reviewing clinical documentation and coordinating with clinical and internal Humana partners to validate final determinations. You will handle Level 1 appeal cases, review documentation, and collaborate with teams to finalize outcomes, while maintaining high productivity and strict confidentiality in a remote work setup. #J-18808-Ljbffr Humana

Vacancy posted 1 day ago
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