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Bilingual Spanish Care – Humana Internship Application In Tulsa

    Website Humana

    Job Description:

    The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further request is warranted and then delivers final determination based on trained skillsets and/or partnerships with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills.

    Job Responsibilities:

    • Satellite and Wireless Internet service is NOT allowed for this role.
    • WAH requirements: Must have the ability to provide a high-speed DSL or cable modem for a home office.
    • Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
    • A minimum standard speed for optimal performance of 25×10 (25mpbs download x 10mpbs upload) is required.

    Job Requirements/Qualifications:

    • Great with laptop computers, cell phones and the ability to navigate mobile apps. This also includes knowledge of Microsoft Word, Excel, Outlook and Power Point
    • Active Health Insurance license or ability to obtain
    • Must be passionate about contributing to an organization focused on continuously improving consumer experiences
    • Strong organizational, interpersonal, communication and presentation skills
    • Ability to build community relationships, driving self-generated sales and meeting sales goals and metrics while working independently
    • This role is part of Humana’s Driver safety program and requires an individual to have a valid state driver’s license and proof of personal vehicle liability insurance with at least 100/300/100 limits
    • Must reside in the local territory

    To apply for this job please visit careers.humana.com.


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