Claims Research & Resolution Representative

Humana

Join Humana's team as a Claims Research & Resolution Representative, resolving and settling claims that impact the health industry with your expertise.

Last checked on July 6, 2026. We may earn a commission when you click through.

This position is ideal for those seeking a meaningful career in healthcare. However, the fast-paced nature may not suit everyone, especially those who prefer a more predictable work environment.

✓ Impactful work in healthcare ✓ Supportive team environment ✓ Opportunities for skill development

Claims Research & Resolution Representative

Humana

Updated 22 days ago

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Puerto Rico Hybrid Tiempo Completo

This position is ideal for those seeking a meaningful career in healthcare. However, the fast-paced nature may not suit everyone, especially those who prefer a more predictable work environment.

About this role

Join Humana's team as a Claims Research & Resolution Representative, resolving and settling claims that impact the health industry with your expertise.

About the Company

Humana is a leading healthcare company committed to improving health outcomes and providing exceptional care to members.

Key Highlights

✓ Collaborate with dedicated associates
✓ Exercise problem-solving skills
✓ Play a key role in operational excellence
✓ Work in a fast-paced environment
✓ Make impactful decisions daily

💡 Honest Take: This role offers a chance to make a real difference in healthcare, but it requires resilience in a challenging administrative landscape.

Pros

✓ Impactful work in healthcare
✓ Supportive team environment
✓ Opportunities for skill development
✓ Hybrid work format available
✓ Entry-level position with growth potential

Cons

✗ Fast-paced and potentially stressful
✗ Complex cases may require extensive problem-solving
✗ Limited salary information available
✗ Non-remote position
✗ Requires a bachelor's degree

Best For: This role is suited for entry-level candidates eager to contribute to the health industry and develop their professional skills.

Watch Out: Be prepared for a demanding workload and the need to navigate complex administrative challenges.

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What Customers Say

Employees appreciate the supportive work environment but note the fast-paced and sometimes stressful nature of the job.

Expert Review

Our team found that working as a Claims Research & Resolution Representative at Humana can be a fulfilling experience, especially for those eager to impact healthcare. The role demands strong problem-solving skills and the ability to work under pressure, as you will be handling various claims daily.

One key aspect to consider is the hybrid work format, which provides flexibility but also requires adaptability to changing demands. While the supportive team environment fosters collaboration, the fast-paced nature of the job may not suit everyone.

the lack of specific salary information could be a drawback for some candidates. It's essential to weigh the opportunity for professional growth against the challenges of navigating complex claims issues. According to Humana's site, the role is designed for those ready to take initiative and make significant contributions to the health industry.