Location: Wisconsin
Cap-Exempt H-1B Position — No lottery required
# **Become a part of our caring community** The Medicare Initial Claims team is looking for Claims Processing Representatives. You will review and adjudicate complex or specialty claims, submitted either by paper or electronically. Reporting to the aligned Supervisor as a Claims Processing Representative 2 you will perform varies activities and moderately complex administrative, operational, and customer support assignments. Perform computations and work on semi-routine assignments. ***As a Claims Processing Representative 2 you will:*** - Determine whether to return, deny, or pay claims following organizational policies and procedures. - Make decisions that typically focus on interpretation of department policy and methods for completing assignments. - Work within defined parameters to identify work expectations and quality standards. - Be a part of a metric based environment. - Follow standard policies that allow for some opportunity for interpretation and independent discretion. # **Use your skills to make an impact** **Required Qualifications:** - **MUST** reside in the state of Kentucky, Indiana, Florida, or Wiscision - 1+ years of technical experience and/or customer service-related field - Prior experience working with multiple computer systems at a time and multitasking through those. - Ability to manage multiple or competing priorities, including use of multiple computer applications simultaneously. - Proficiency in all Microsoft Office: Word, PowerPoint, Excel **Preferred Qualifications:** - Bachelor's Degree - Quality background - CAS Claims processing experience **Required Work Schedule:** ***Training:*** - The start date for this position is Monday July 27th, 2026. - Virtual training starts day one and will run for **up to 8 weeks with a schedule of 8:00 AM to 4:30 PM Eastern Time, Monday – Friday.** - Attendance is vital for success; other than Humana-observed holidays, **no time off is allowed during training.** ***Post Training:*** - Following traini