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Appeals Specialist

Humana

Humana Inc. seeks a Grievances & Appeals Representative 3 to manage member and provider denials by reviewing clinical documentation to determine if a grievance or appeal is warranted. You will deliver final determinations using trained skills and collaborate with clinical teams, handling administrative tasks in a remote work setting with independent judgment and commitment to quality service. You will contribute to a service-driven culture, handle complex cases, and support Humana’s mission to #J-18808-Ljbffr

Vacancy posted 10 hours ago
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