Appeals Specialist

Humana

Humana Inc. is seeking a Grievances & Appeals Representative 3 to manage member and provider denials and concerns through a comprehensive analytic review of clinical documentation. You will determine if a grievance or appeal is warranted and deliver final determinations with collaboration across clinical and Humana teams. The role requires strong customer service, healthcare knowledge, and experience in grievance and appeals, with a remote work setup and a schedule that may include weekends. #J-18808-Ljbffr

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Vacancy posted 17 hours ago

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