Grievance & Appeals Rep
Humana
📍 Douglas, AK
💼 Customer Service
💵 $84,760 – $84,760/yr
Full-time
Pay
$84,760 – $84,760/yr
Job type
Full-time
Location
Douglas, AK
Category
Customer Service
Posted
7h ago
Expires
2026-09-20
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Full job description
Become a part of our caring community The Grievances & Appeals Representative 3 manages client denials and concerns. We do this by conducting a comprehensive analytic review of clinical documentation to determine if an appeal, grievance, or further request is warranted. Then, the representative delivers a final determination based on trained skillsets or partnerships with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/cu…