Grievances & Appeals Representative

Humana

Become a part of our caring community and help us put health first The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a...

Last checked on April 25, 2026. We may earn a commission when you click through.

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Grievances & Appeals Representative

Humana

Updated 12 days ago
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Anywhere Remote 32 – 42 Full-Time

About this role

Humana is a health insurance provider focused on improving member health and well-being through various services and support.

About the Company

Humana is a health insurance provider focused on improving member health and well-being through various services and support.

Key Highlights

  • ✓ Manage client denials and concerns effectively.
  • ✓ Conduct comprehensive reviews of clinical documentation.
  • ✓ Provide advanced administrative support with independent judgment.
  • ✓ Assist members with quality-related goals via phone or in-person.
  • ✓ Flexible work schedule with remote opportunities.

💡 Honest Take: While the role offers a chance to make a meaningful impact in healthcare, it may involve handling difficult member situations that require strong problem-solving skills. For more details, visit Humana's job listing at https://www.monster.com/job-openings/grievances-appeals-representative-san-juan-tx--403d6c03-652a-46c6-8fbc-433e3059a038?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic.

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