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Remote Grievances & Appeals Specialist
Remote / Online - Candidates ideally in
Providence, Providence County, Rhode Island, 02912, USA
Listed on 2026-08-22
Providence, Providence County, Rhode Island, 02912, USA
Listing for:
Humana Inc
Remote/Work from Home
position Listed on 2026-08-22
Job specializations:
-
Healthcare
Healthcare Administration, Healthcare Management
Job Description & How to Apply Below
Humana Inc. is seeking a Grievances & Appeals Representative 2 to manage client denials and concerns by conducting analytic reviews of clinical documentation and delivering final determinations in collaboration with clinical teams.
The role supports members and providers, applying policies while prioritizing work to meet service expectations. Requires customer service experience, healthcare exposure, and ability to work 8-hour shifts 8am–8pm with overtime.
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