Grievance & Appeals Rep opportunity at Humana in Kent County, DE in the Customer Service sector. This position offers $92,870 – $92,870/yr. This is a full-time position. Apply directly on the employer's site via Posito — no account required.

Grievance & Appeals Rep

Humana
📍 Kent County, DE 💼 Customer Service 💵 $92,870 – $92,870/yr Full-time
Pay
$92,870 – $92,870/yr
Job type
Full-time
Location
Kent County, DE
Category
Customer Service
Posted
17h 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…

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