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Jobs / Insurance Claims Adjuster in United States of America
6 days ago
Humana·6 days ago
6 days ago

Claims Processing Representative

Miramar, United States of AmericaFull-timeMid · 2-5 yearsInsurance Claims Adjuster

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Top 10%Top 10%: 33 out of 100

Top 10% of NextRaise users matched against Insurance Claims Adjuster roles in United States.

Must-have skills for this role

  • health plan claims processing
  • claims adjudication
  • claims denial
  • claims payment

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What you'll do

  • Review and adjudicate complex claims
  • Ensure compliance with organisational policies
  • Handle varied administrative tasks
  • Support customer needs

What they're looking for

  • Experience in health plan claims processing
  • Proficiency in Microsoft Office

Summarised by NextRaise from the employer’s description, which follows in full below.

Full description from employer

Become part of our team as a Claims Processing Representative, where you will review and adjudicate complex claims, ensuring compliance with organisational policies. You will handle varied administrative tasks and support customer needs. Ideal candidates have experience in health plan claims processing and proficiency in Microsoft Office.

Skills

  • health plan claims processing
  • microsoft excel
  • microsoft word
  • microsoft powerpoint
  • microsoft access
  • claims adjudication
  • claims denial
  • claims payment
  • billing and enrollment
  • cms processing unit
  • quality assurance
  • administrative support
  • customer support
  • process improvement
  • prioritization
  • independent decision making

Company

Humana
Miramar, United States of America

Company facts come from this company's own listings. We only show what the postings themselves carry.

Sourced from Humana·first seen 15 Sept 2026·last verified 15 Sept 2026·How we source jobs

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