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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.

Use your skills to make an impact

**PLEASE MAKE SURE YOU ATTACH YOUR RESUME TO YOUR APPLICATION (pdf or Word format) **

Required Qualifications

• MUST reside in Kentucky or Indiana within a 50-mile radius of Humana’s Louisville offices, located at 101 E. Main Street, 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: Outlook, Teams, Word, PowerPoint, and Excel
  

Required Work Schedule:

This is an on-site/in-office position.

We are ONLY CONSIDERING candidates who live within 50 miles of the following Humana location:

101 E. Main St, Louisville, KY 40202

• ON-SITE Training: This position offers 8 weeks of traditional in-office training. Monday – Friday 8:00am – 4:30pm EST.
• Attendance is vital for success, so no time off is allowed during training. Exception: All Humana associates have Humana-observed holidays off (paid).
• After training, the schedule will be determined between associate and leader. Employees will remain in the office 90 days after training, then could have the option to work from home.

Preferred Qualifications

• 1+ years of experience within the healthcare and/or insurance industries
• Clerical experience
• Prior Billing and Enrollment experience for CI/CAS/MTV
• Bachelor's Degree
• CPU (CMS Processing Unit) case knowledge

Additional Information

**PLEASE MAKE SURE YOU ATTACH YOUR RESUME TO YOUR APPLICATION (PDF OR WORD FORMAT) **

As 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.

• Text Prescreen : Shortly after submitting your application, you may receive both a text message and email requesting you to complete 10 to 15 prescreen questions with either yes or no answers. The text message may arrive prior to the email. If you prefer to answer via computer or tablet, wait for the email.

• Video Prescreen : If you are successful with the Text Prescreen, you will receive another communication to record a Video Prescreen. This is an online video interview using your phone, tablet, or computer; however, most candidates prefer using a computer or tablet.

• Interviews : Some candidates will be invited to interview . If so, the recruiter will reach out to schedule.

• Offers : Finalists from the interview will be contacted by a recruiter to discuss an offer for the job .

• Note : Depending on the number of openings, the number of candidates who apply, and the schedules of interviewers and recruiters, this process may take several weeks or less; however, know that we are working hard to proceed as quickly as possible and to keep you informed.

Office Based – This is an onsite office position where employees will enjoy an assigned office or a workstation in a specific company office.

Scheduled Weekly Hours

40

Pay Range

The 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.

$37,200 - $51,200 per year

Description of Benefits

Humana, 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 Us

Humana 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 Employer

It 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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.