eCommerce Strategy – Humana Internship In Metairie

Job Description:

The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further request is warranted and then delivers final determination based on trained skillsets and/or partnerships with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills.

Job Responsibilities:

• Satellite and Wireless Internet service is NOT allowed for this role.
• WAH requirements: Must have the ability to provide a high-speed DSL or cable modem for a home office.
• Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
• A minimum standard speed for optimal performance of 25×10 (25mpbs download x 10mpbs upload) is required.

Job Requirements/Qualifications:

• Great with laptop computers, cell phones and the ability to navigate mobile apps. This also includes knowledge of Microsoft Word, Excel, Outlook and Power Point
• Active Health Insurance license or ability to obtain
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Strong organizational, interpersonal, communication and presentation skills
• Ability to build community relationships, driving self-generated sales and meeting sales goals and metrics while working independently
• This role is part of Humana’s Driver safety program and requires an individual to have a valid state driver’s license and proof of personal vehicle liability insurance with at least 100/300/100 limits
• Must reside in the local territory