Claims Representative 2 at Humana

Become a part of our caring community and help us put health firstAre you ready to make a meaningful impact in the world of healthcare claims As a Claims Representative 2 you will play a vital role in collaborating with insurance companies healthcare providers members and collection services to resolve and settle claims. This position offers the opportunity to join a dedicated team focused on researching pending claims and ensuring timely accurate resolutions. If you are looking for a challenging and rewarding role that values analytical thinking and effective communication we invite you to explore this exciting opportunity.Key Responsibilities:Works with insurance companies providers members and collection services in the settlement of claimsReviewing pended claims and making determinations on how the claim should be handledProvide general office support to the Operations Department- printing sorting mailing scanning etc.Creating claims reports and submitting for adjustmentsCross trained in multiple areas within the Claims DepartmentReview and update internal policies and procedures as neededProvide audit support as neededUse your skills to make an impact Required Qualifications1 year of claims experiencePrevious call center or related customer service experienceCapacity to maintain confidentialityProficiency in Microsoft Office applicationsEffective communication skillsMust be able to work within the Milwaukee River Center office location at least 3 days per weekPreferred QualificationsAssociates degree in related fieldQNXT experienceAdditional information:Hybrid Office: The Humana office is an associates primary work location where the majority of their work week will be spent but they will work occasionally from home to support focus work and work/life balance needs.Typical work days/hours: Full time - 8am-4:30pm CST Monday - FridayWAH Internet StatementTo ensure Home or Hybrid Home/Office employees ability to work effectively the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:At minimum a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless wired cable or DSL connection is suggested.Satellite cellular and microwave connection can be used only if approved by leadership.Employees who live and work from Home in the state of California Illinois Montana or South Dakota will be provided a bi-weekly payment for their internet expense.Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.HireVueAs part of our hiring process for this opportunity we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.SSN AlertHumana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number if it is not already on file. When required an email will be sent from with instructions on how to add the information into your official application on Humanas secure website.Scheduled Weekly Hours40Pay RangeThe compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills knowledge experience education certifications etc.$40000 - $52300 per yearDescription of BenefitsHumana Inc. and its affiliated subsidiaries (collectively Humana) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits Humana provides medical dental and vision benefits 401(k) retirement savings plan time off (including paid time off company and personal holidays volunteer time off paid parental and caregiver leave) short-term and long-term disability life insurance and many other opportunities.About UsHumana Inc. (NYSE: HUM) is committed to putting health first for our teammates our customers and our company. Through our Humana insurance services and CenterWell healthcare services we make it easier for the millions of people we serve to achieve their best health delivering the care and service they need when they need it. These efforts are leading to a better quality of life for people with Medicare Medicaid families individuals military service personnel and communities at large.Equal Opportunity EmployerIt is the policy of Humana not to discriminate against any employee or applicant for employment because of race color religion sex sexual orientation gender identity national origin age marital status genetic information disability or protected veteran status. It is also the policy of Humana to take affirmative action in compliance with Section 503 of the Rehabilitation Act and VEVRAA to employ and to advance in employment individuals with disability or protected veteran status and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions including but not limited to recruitment hiring upgrading promotion transfer demotion layoff recall termination rates of pay or other forms of compensation and selection for training including apprenticeship at all levels of employment.Required Experience:Unclear Seniority Key Skills Data Entry,Deputy,Drafting,Hibernate,Administration Support,Activex Employment Type : Full-Time Experience: years Vacancy: 1 Yearly Salary Salary: 40000 - 52300