Job Details

Insurance Benefit and Contract Loading Specialist

Company name
Humana Inc.

Experience
1 yrs required

Location
San Juan, PR

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Profile

As a Benefit/Contract Load Specialist, you will collect and process data while directly responding to questions, resolving concerns, and providing guidance on transactions and inquiries from internal teams.

Humana is seeking multiple Benefit Specialists in San Juan, PR

This is an office-based position in San Juan, Puerto Rico.  The ideal candidate will have excellent communication and computer skills, and the ability to work in a fast-paced environment.  Responsibilities include:

  • Develop and implement best practices to ensure accurate loading of hospital contracts
  • Research, identify and correct contract loading errors to decrease claims payment issues
  • Assign and reassign customers in the event of physician contract changes
  • Partner with Humana’s other operational units to identify and resolve issues caused by contract load and benefit setup errors

 

Role Essentials

  • Associates Degree (or HS diploma with 1 year of relevant experience)
  • Proficient knowledge of  Microsoft Excel and Outlook
  • Superior attention to details
  • Excellent written and verbal communication skills
  • Self- directed, self-motivated
  • Flexible with process changes
  • Ability to work in a fast paced environment

 

Role Desirables

  • Claims processing experience
  • Benefit setup experience 
  • Contract interpretation experience
  • Medical Claims exposure
  • The ability to read, understand, and communicate in both English and Spanish

 

Reporting Relationships

You will report to a frontline leader. This area is under the leadership of the SVP & Chief Operating Officer.

Company info

Humana Inc.
Website : http://www.humana.com/

Company Profile
Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

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