Claims Processing Representative

Humana • Jeffersonville, IN

8d • $40,000 - $52,300 • Hybrid

About The Position

The Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. The Claims Processing Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. The Claims Processing Representative 2 determines whether to return, deny, or pay claims following organizational policies and procedures. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

Requirements

• Must reside within 50 miles of 101 E. Main St, Louisville, KY 40202.
• Analytical thinking skills and comfortable working independently and with minimal supervision.
• Prior experience working with multiple computer systems at a time and multitasking through those effectively.
• Ability to manage multiple or competing priorities, including use of multiple computer applications simultaneously.
• Excellent verbal and written communication skills.
• Proficiency in all Microsoft Office: Word, PowerPoint, Excel.
• Must be willing to remain in this position for a period of twelve (12) months before applying to other Humana opportunities.

Nice To Haves

• 1+ years of experience within the healthcare and/or insurance industries.
• Customer service experience.
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
• CAS Claims processing experience.
• Bachelor's Degree

Responsibilities

• Reviews and adjudicates complex or specialty claims, submitted either via paper or electronically.
• Performs varied activities and moderately complex administrative/operational/customer support assignments.
• Performs computations.
• Determines whether to return, deny, or pay claims following organizational policies and procedures.
• Works within defined parameters to identify work expectations and quality standards.
• Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

Benefits

• medical
• dental
• vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level