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 May 15, 2026. We may earn a commission when you click through.

The Grievances & Appeals Representative role offers a solid entry point into healthcare, but be prepared for a mix of analytical tasks and member interactions.

✓ Remote work opportunity ✓ Entry-level position with growth potential ✓ Supportive company culture

Grievances & Appeals Representative

Humana

Updated 3 days ago

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Anywhere Remote 32 – 42 Full-Time

The Grievances & Appeals Representative role offers a solid entry point into healthcare, but be prepared for a mix of analytical tasks and member interactions.

About this role

The Grievances & Appeals Representative role at Humana is a remote, entry-level position offering competitive pay and a chance to support members in healthcare.

About the Company

Humana is a leading healthcare company focused on improving health outcomes through compassionate service and innovation.

Key Highlights

✓ Remote work flexibility
✓ Salary range of $32,300–$42,200 per year
✓ Supports quality-related goals for members
✓ Requires strong customer service and administrative skills
✓ Involves analytical review of clinical documentation

💡 Honest Take: This position is ideal for those looking to break into healthcare support while working remotely, but it demands strong analytical and customer service skills.

Pros

✓ Remote work opportunity
✓ Entry-level position with growth potential
✓ Supportive company culture
✓ Salary competitive for the field
✓ Flexible scheduling options

Cons

✗ Can be emotionally taxing dealing with grievances
✗ Requires strong attention to detail
✗ May involve stressful interactions with clients
✗ Limited career advancement without further training
✗ Salary may not meet expectations in high-cost areas

Best For: It's suited for recent graduates or those seeking a career change into healthcare support roles.

Watch Out: Be aware that handling grievances can be challenging and may require emotional resilience.

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What Customers Say

Workers appreciate the remote flexibility and supportive environment, but some find the emotional demands of the job challenging.

Expert Review

The role of Grievances & Appeals Representative at Humana involves managing client concerns and denials, making it crucial for candidates to possess strong analytical skills. The position offers a salary ranging from $32,300 to $42,200 per year, which is competitive for entry-level jobs in healthcare. This job allows for remote work, granting flexibility for employees.

Candidates will engage directly with members, either over the phone or in-person, focusing on resolving issues and improving service quality. The role requires a fair amount of independent initiative and judgment, making it ideal for self-starters. However, be prepared to navigate potentially stressful situations when dealing with grievances.

Humana's supportive culture and emphasis on health make it an attractive employer, but the job can be demanding, requiring resilience and effective communication skills. Training is provided, but further qualifications may be needed for career advancement. If you enjoy helping others and are detail-oriented, this could be a fulfilling role. More insights can be found on Humana's job listing page here.