Remote Claims Research & Resolution Specialist
Humana, Inc.
Humana is seeking a Claims Research & Resolution Representative 2 to join our remote team. You will manage claims operations involving customer contact, investigation, and resolution of claims or related financial issues, performing moderately complex call center and administrative tasks. This role offers training, standard hours, and opportunities to develop skills across multiple systems while supporting members and providers. #J-18808-Ljbffr
Vacancy posted 13 hours ago
Similar jobs that could be interesting for youBased on the Remote Claims Research & Resolution Specialist in Nashville, TN vacancy
- ...Humana Inc. is seeking a Claims Research & Resolution Representative 2 to handle inbound calls, investigate and resolve claims and related financial issues from a remote location. You will interact with members, providers, and insurers, recording detailed notes and escalating...Remote workClaimsWork from home
- ...Humana Inc. is seeking a Claims Research & Resolution Representative 2 for remote work. You will handle inbound calls, investigate and resolve claims, and document interactions while collaborating with providers, members, and vendors. Training starts day one and may run...Remote workClaims
- ...Humana Inc. is seeking a Claims Research & Resolution Representative 2 to manage inquiries from members, providers, and insurers, performing inbound... ..., and resolution of claims or financial issues in a remote-capable role. You will record notes, escalate unresolved items...Remote workClaims
- ...Humana Inc. is seeking a Claims Research & Resolution Representative 2 to handle inquiries from members, providers, and insurers, researching resolution... ...issues, while maintaining PHI confidentiality in a remote setting. This role supports professional growth within a Fortune...Remote workClaims
- ...Humana Inc. is seeking a Claims Research & Resolution Representative 2 to handle inbound calls, investigate and resolve complex claims issues for members, providers and payers. You will work remotely with access to Mentor and multiple software systems, balancing priorities...Remote workClaims
- ...Humana Inc. is seeking a Claims Research & Resolution Representative 2 for a remote role. You will work with members, providers, and supports to research and resolve claims, with inbound calls, outbound follow-ups, and detailed documentation. Training runs 8 weeks on...Remote workClaims
- ...Humana Inc. is hiring for a Claims Research & Resolution Representative 2 in a remote-capable role. You will handle inbound calls, resolve claims-related issues, and coordinate with providers, members, and collection services, utilizing Mentor and CRM systems. The position...Remote workClaims
- ...Humana is seeking a Claims Research & Resolution Representative 2 to join a remote team focused on researching and resolving claims and related financial issues. The role involves inbound calls, some outbound follow-ups, and strict attention to documentation, compliance...Remote workClaims
- ...Humana is seeking a Claims Research & Resolution Representative 2 to work remotely in the United States. You will manage inbound calls, investigate claims and coordinate resolutions, using multiple systems to ensure accurate outcomes. Training is extensive, with an 8-...Remote workClaims
- ...Humana is seeking a Claims Research & Resolution Representative 2 to remotely manage claims operations, contact customers, investigate issues and resolve claims or related financial matters. The role involves semi-routine call center tasks, administrative duties, and skilled...Remote workClaims
- ...Humana Inc. is hiring a Claims Research & Resolution Representative 2 to handle inbound calls, research and resolve claims and related financial... ...environment. The role emphasizes confidential handling of PHI in a remote setting, flexible training, and opportunities to cross-...Remote workClaimsFlexible hours
- ...Humana is seeking a Claims Research & Resolution Representative 2 to handle customer contacts, investigate and resolve claims or related financial... ...-routine call center and administrative tasks within a remote setting at a Fortune 100 company with strong benefits. The...Remote workClaims
- ...Humana is seeking a Claims Research & Resolution Representative 2 to manage claims operations involving customer contact, investigation, and resolution of claims or related financial issues. This remote role supports a Fortune 100 company with a strong culture and benefits...Remote workClaims
- ...Humana is seeking a Claims Research & Resolution Representative 2 to manage claims operations from home. You will handle inbound calls, investigate... ...software systems. Training is provided and a stable remote position with growth opportunities is offered. #J-18808-Ljbffr...Remote workClaims
- ...Humana Inc. seeks a Claims Research & Resolution Representative 2 for remote work supporting the inbound call center, claims research, and resolution of financial issues. You will interact with members, providers, and insurance entities to resolve cases and document interactions...Remote workClaimsWork at office
- ...Humana Inc. seeks a Claims Research & Resolution Representative 2 to manage inbound calls, resolve complex financial issues, and coordinate with providers, members, and external services. This remote role offers training and progression within a Fortune 100 company with...Remote workClaimsHome office
- ...Humana is seeking a Claims Research & Resolution Representative 2 to manage claims operations, involve customer contact, investigation, and resolution... ...and intermediate math tasks, with an option to work remotely for a Fortune 100 company known for strong culture and benefits...Remote workClaimsMonday to FridayShift work
- Humana is seeking a Claims Research & Resolution Representative 2 to manage calls, investigations, and resolutions of claims and related financial issues. This remote-friendly role involves semi-routine workload, intermediate math, and working within Humana's values of...Remote jobClaims
- Humana is seeking a Claims Research & Resolution Representative 2 to join our remote team. You will handle inbound calls, investigate claims, and resolve financial issues while maintaining compliance and high service standards. The role emphasizes semi-routine tasks with...Remote jobClaims
- ...Humana is seeking a Claims Research & Resolution Representative 2 to manage claims operations involving customer contact, investigation, and resolution... ...calls, administrative tasks, and intermediate math, with remote work opportunities. Training is provided with structured...Remote workClaimsShift work
- Humana is seeking a Claims Research & Resolution Representative 2 to support claim investigations and customer interactions. The role emphasizes remote work, confidentiality, and multi-system use to resolve financial issues with accuracy. Responsibilities include inbound...Remote jobClaims
- Humana is hiring a Claims Research & Resolution Representative 2 to manage claims, investigate, and resolve financial issues. This remote role supports a Fortune 100 company with a strong culture and benefits, requiring handling semi-routine tasks and intermediate math...Remote jobClaimsWork at officeShift work
- ...Sarnova HC, LLC is seeking an Insurance Account Resolution Specialist to manage and resolve insurance claims after submission to commercial carriers. This remote role requires meticulous review of pending, denied, or incorrectly paid claims, with follow‑through until payment...Remote workClaims
- ...Digitech is hiring a detail‑oriented Insurance Account Resolution Specialist to manage claims after submission to Medicare HMOs, Medicaid MCOs, and facilities... ...with thorough documentation in billing systems. This remote position operates Monday through Friday during standard...Remote workClaimsMonday to Friday
$17 per hour
...Wizard Flexible hours & work from home remote option Starting salary: $17 and up (... ...over insurance denials, ensuring prompt resolution and securing payments for all stakeholders... ...secrets of insurance eligibility, correcting claim denials with superhero finesse, and...Remote workClaimsWork at officeWork from homeFlexible hours- ...Reviewing medical insurance claims for resolution and payment, the full-time Claims Resolution Specialist will handle inquiries and payment denials from insurance providers while working remotely. Key responsibilities Review all medical insurance claims to ensure proper...Remote workClaimsFull time
- Tampa General Hospital is seeking a Claims Resolution Specialist I to ensure timely submission, follow-up, and resolution of third-party insurance... ...and regulations. The position is part-time with hybrid remote eligibility in the Tampa area. Qualified candidates will have...Remote jobClaimsPart time
- ...Description Job Description The Claims Resolution Specialist is responsible for the day-to-day investigation... ...performs detailed claim reviews, researches payer requirements, corrects claim... ...and efficiently. *This is a remote role. We are only hiring in the following...Remote workClaims
- ...Reserv is an insurtech focused on AI-driven claims processes and remote-first operations. We seek a Resolution Specialist to educate customers, triage claims, and drive efficient resolution across transportation-related claims. The role collaborates with product, engineering...Remote workClaims
$28 - $35 per hour
...Claims Resolution SpecialistThe Claims Resolution Specialist is responsible for the day-to-day investigation and resolution... ...performs detailed claim reviews, researches payer requirements, corrects... ...accurately and efficiently.*This is a remote role. We are only hiring in the...Remote workClaims
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Claims Research & Resolution Specialist. Be the first to apply!
Related searches
- claims assistant Nashville, TN
- claims processor Nashville, TN
- claim specialist Nashville, TN
- claims analyst Nashville, TN
- insurance claims processor Nashville, TN
- remote medical claims processor Nashville, TN
- medical insurance claims specialist Nashville, TN
- claims consultant Nashville, TN
- claim examiner Nashville, TN
- research fellow Nashville, TN


