Humana-posted about 1 year ago
$43,400 - $59,600/Yr
Full-time • Entry Level
Remote • Indianapolis, IN
Insurance Carriers and Related Activities
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The Grievances & Appeals Representative 4 is responsible for managing client denials and concerns through comprehensive reviews of clinical documentation. This role involves determining the necessity of grievances or appeals and delivering final determinations based on specialized skills and collaboration with clinical teams. The representative also assists members via phone, reviews appeal cases, and resolves issues while overseeing administrative priorities and coordinating work activities.
