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Description The Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied and ..
Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
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Description The Outbound Contacts Representative 3 represents the company by ... of issues. The Outbound Contacts Representative 3 performs advanced administrative/operational/customer support duties that require independent ... skills. Responsibilities The..
Description Responsibilities The Grievances & Appeals Representative 2 for IRT will be responsible for assigning cases to associates on team to send to independent entity for 2nd level review. Tracking volume ..
Description The Grievances & Appeals Representative 3 manages client denials and ... parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent ... Responsibilities The..
... Medicare Members and provide excellent service and support. These roles will ... and grow!! The Inbound Contacts Representative 2 represents the Humana by ... Medicare Members. These Inbound Contact..
Job Information Humana Medicare Enrollment Representative 2 - Work at Home/Remote ... Puerto Rico Description The Enrollment Representative 2 performs varied activities and ... varied activities and moderately complex administrative/operational/customer..
... Sunday The Grievances & Appeals Representative 4 assists members, further/support quality ... skills required 1-3 years of customer service experience Strong proficiency with Microsoft ... inbound call center or..
... our members and providing excellent service and support. These remote roles ... grow. Responsibilities The Inbound Contacts Representative 2 represents Humana by addressing ... Medicare members. These Inbound Contact..
Description The Claims Research & Resolution Specialist 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both for ..
Description The Supervisor, Inbound Contacts represents the company by addressing incoming telephone, digital, or written inquiries. The Supervisor, Inbound Contacts works within thorough, prescribed guidelines and procedures; uses independent judgment requiring ..
... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... GED Minimum 1 year of customer/client support experience Administrative or technical ... required. Satellite and Wireless Internet..
Job Information Humana Senior Learning Design Professional: REMOTE/WORK AT HOME (Anywhere in the US) in San Juan Puerto Rico Description The Senior Learning Design Professional analyzes content, organizes content, designs solutions, ..
Description The Claims Processing Representative 1 reviews and adjudicates complex ... or electronically. The Claims Processing Representative 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on ... assignments. Responsibilities The..
Job Information Humana Consumer Service Operations Representative 2 (Data Entry/Call Center) Work ... Puerto Rico Description The Consumer Service Operations Representative 2 is responsible for the ... the daily activities..
