Grievance & Appeals Rep
Humana
📍 Bismarck, ND
💼 Customer Service
💵 $70,546 – $70,546/yr
Full-time
Pay
$70,546 – $70,546/yr
Job type
Full-time
Location
Bismarck, ND
Category
Customer Service
Posted
10h 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…