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Description Humana Healthy Horizons in Louisiana is seeking a Manager, Claims Research & Resolution (Claims Administrator) who will be responsible for the administration of a comprehensive claims processing system capable of ..
Description The Claims Research & Resolution Professional 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both for ..
... other managers across departments and health plan. Conducts briefings and area ... providers, the Louisiana Department of Health (LDH), and other entities to ... with enrollee grievances for Physical..