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Remote Humana Customer Service Jobs (NOW HIRING)

Humana, Inc.

Grievances & Appeals Representative

Rico, CO · On-site +1

$34K - $45K/yr

Two (2) years of customer service experience. * Experience working in the healthcare industry or a ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Travel by Tilly

Remote Customer Service

$16.50 - $22.25/hr

Remote Customer Service Austin, Texas, United States $ 32,000.00 - 78,000.00 (US Dollar) We're looking for a creative and detail-oriented Remote Customer Service Rep to join our growing travel team.

Only Data Entry

Remote Customer Service

$16.50 - $22.25/hr

Remote Customer Service Murrieta, CA, United States Job Openings Remote Customer Service A Data Entry Clerk, is responsible for inputting data and making changes to existing data figures in digital ...

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Remote Customer Service

$16.50 - $22.25/hr

Remote Customer Service Santa Clara, CA, United States Job Openings Remote Customer Service Important: You Will Receive An Email Within Next 2 Minutes After Applying, Check Your Inbox or Spam Folder ...

Harper Adventures Travel Agency

Remote Customer Service

$15.75 - $21.25/hr

Remote Customer Service We're looking for enthusiastic, service-minded individuals to join our growing travel team as Remote Travel Advisors. In this role, you'll help clients design and book ...

Only Data Entry

Remote Customer Service

$16.50 - $22.25/hr

Remote Customer Service Allen, TX, United States Job Openings Remote Customer Service Important: You Will Receive An Email Within Next 2 Minutes After Applying, Check Your Inbox or Spam Folder For ...

Only Data Entry

Remote Customer Service

$16.50 - $22.25/hr

Remote Customer Service Los Angeles, California, United States Job Openings Remote Customer Service Important: You Will Receive An Email Within Next 2 Minutes After Applying, Check Your Inbox or Spam ...

Only Data Entry

Remote Customer Service

$16.50 - $22.25/hr

Remote Customer Service Charlotte, North Carolina, United States Job Openings Remote Customer Service Important: You Will Receive An Email Within Next 2 Minutes After Applying, Check Your Inbox or ...

Only Data Entry

Remote Customer Service

$16.50 - $22.25/hr

Remote Customer Service San Antonio, Texas, United States Job Openings Remote Customer Service Important: You Will Receive An Email Within Next 2 Minutes After Applying, Check Your Inbox or Spam ...

Only Data Entry

Remote Customer Service

$16.50 - $22.25/hr

Remote Customer Service Fullerton, CA, United States Job Openings Remote Customer Service Important: You Will Receive An Email Within Next 2 Minutes After Applying, Check Your Inbox or Spam Folder ...

Only Data Entry

Remote Customer Service

$16.50 - $22.25/hr

Remote Customer Service Chicago, Illinois, United States Job Openings Remote Customer Service Important: You Will Receive An Email Within Next 2 Minutes After Applying, Check Your Inbox or Spam ...

Humana, Inc.

Senior Medical Coding Professional, Inpatient

$19.25 - $24.25/hr

... service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana ...

Only Data Entry

Remote Customer Service

$16.50 - $22.25/hr

Remote Customer Service San Diego, California, United States Job Openings Remote Customer Service Important: You Will Receive An Email Within Next 2 Minutes After Applying, Check Your Inbox or Spam ...

Only Data Entry

$14.75 - $20.25/hr

Remote Customer Service Santa Clara, CA, United States Job Openings Remote Customer Service Important: You Will Receive An Email Within Next 2 Minutes After Applying, Check Your Inbox or Spam Folder ...

Only Data Entry

Remote Customer Service

$16.50 - $22.25/hr

Remote Customer Service Coral Springs, FL, United States Job Openings Remote Customer Service Important: You Will Receive An Email Within Next 2 Minutes After Applying, Check Your Inbox or Spam ...

Only Data Entry

Remote Customer Service

$16.50 - $22.25/hr

Remote Customer Service McAllen, TX, United States Job Openings Remote Customer Service Important: You Will Receive An Email Within Next 2 Minutes After Applying, Check Your Inbox or Spam Folder For ...

Only Data Entry

Remote Customer Service

$16.50 - $22.25/hr

Remote Customer Service Meridian, MS, United States Job Openings Remote Customer Service Important: You Will Receive An Email Within Next 2 Minutes After Applying, Check Your Inbox or Spam Folder For ...

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Remote Customer Service

$16.50 - $22.25/hr

Remote Customer Service Wilmington, NC, United States Job Openings Remote Customer Service Important: You Will Receive An Email Within Next 2 Minutes After Applying, Check Your Inbox or Spam Folder ...

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How much do remote humana customer service jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for remote humana customer service in the United States is $18.80, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $20.91 per hour, depending on experience, location, and employer.

What are some common challenges faced by remote Humana customer service representatives, and how can they be managed?

Remote Humana customer service representatives often face challenges such as maintaining clear communication with team members, managing time effectively without in-person supervision, and navigating technical issues from a home setup. To manage these, representatives are encouraged to utilize Humana’s digital communication tools, participate in regular virtual team meetings, and follow structured daily routines. Additionally, Humana provides comprehensive training and IT support to help resolve technical problems and ensure smooth service delivery.

What are the key skills and qualifications needed to thrive as a remote Humana customer service representative?

To excel as a Remote Humana Customer Service Representative, you generally need strong communication skills, problem-solving abilities, and a high school diploma or equivalent. Familiarity with CRM systems, call center software, and basic computer applications is typically required, and some roles may prefer experience in healthcare or insurance. Outstanding empathy, patience, and active listening help you build rapport with customers and handle complex or sensitive inquiries effectively. These skills ensure efficient resolution of member issues, high customer satisfaction, and compliance with company and industry standards.

What is the difference between Remote Humana Customer Service vs Remote UnitedHealth Group Customer Service?

AspectRemote Humana Customer ServiceRemote UnitedHealth Group Customer Service
Required CredentialsHigh school diploma or equivalent; some roles may require healthcare-related certificationsHigh school diploma or equivalent; healthcare or insurance knowledge preferred
Work EnvironmentRemote, home-based with flexible hoursRemote, home-based with similar flexible scheduling
Employer & Industry UsageHealthcare insurance provider, focusing on member supportHealthcare insurance and benefits management, focusing on member assistance

Both roles involve remote customer service within the healthcare insurance industry, requiring similar credentials and offering flexible, home-based work environments. The main difference lies in the specific employer and brand focus, with Humana and UnitedHealth Group being distinct healthcare providers. Candidates interested in healthcare customer support can expect comparable job requirements and work conditions in both roles.

What is a remote Humana customer service representative?

A Remote Humana Customer Service Representative is an employee who works from home to assist Humana’s members with inquiries about their health insurance plans, benefits, claims, and coverage. They provide information, resolve issues, and ensure a positive customer experience using phone, chat, or email communications. This role requires strong communication skills, technical proficiency, and a commitment to helping customers understand their healthcare options.

Does remote Humana customer service offer remote work options?

Remote Humana customer service positions typically offer remote work options, allowing employees to perform their duties from home. These roles often require strong communication skills, computer proficiency, and the ability to work independently within a virtual environment.
More about Remote Humana Customer Service jobs
What cities are hiring for Remote Humana Customer Service jobs? Cities with the most Remote Humana Customer Service job openings:
What are the most commonly searched types of Humana Customer Service jobs? The most popular types of Humana Customer Service jobs are:
What states have the most Remote Humana Customer Service jobs? States with the most job openings for Remote Humana Customer Service jobs include:
What job categories do people searching Remote Humana Customer Service jobs look for? The top searched job categories for Remote Humana Customer Service jobs are:
Remote Humana Customer Service jobs near you
Infographic showing various Remote Humana Customer Service job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, and 3% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $39,098 per year, or $18.8 per hour.

Grievances & Appeals Representative

Humana, Inc.

Rico, CO • On-site, Remote

$34K - $45K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 21 days ago

Humana rating

8.0

Company rating: 8.0 out of 10

Based on 264 frontline employees who took The Breakroom Quiz

164th of 303 rated insurance

Job description

Become a part of our caring community
The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if 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. You will perform advanced administrative/operational/customer support responsibilities that require independent initiative and judgment.
  • Assist members by phone to further/support quality related goals.
  • Investigate and resolve member and practitioner issues.
  • Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects.
  • Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques.
  • Work independently with limited supervision, drawing on substantial experience of administrative responsibilities and organizational practices.

Use your skills to make an impact
Required Qualifications
  • Must reside in Puerto Rico.
  • Bilingual (English and Spanish); with the ability to read, write, and speak in both languages with no limitations or assistance.
  • Two (2) years of customer service experience.
  • Experience working in the healthcare industry or a medical field.
  • Experience working in a production driven environment.
  • Proficient in data entry and record management, maintaining accuracy while meeting productivity goals.
  • Intermediate experience with Microsoft Word and Excel.

Preferred Qualifications
  • Associate or bachelor's degree.
  • Previous inbound call center or related customer service experience.
  • Grievance and appeals experience.
  • Previous experience processing medical claims.
  • Prior experience with Medicare.
  • Experience with the Claims Administration System (CAS).
  • Knowledge of medical terminology.
  • Ability to manage large volume of documents including tracking, copying, faxing and scanning.
  • Excellent interpersonal skills with ability to sensitively and compassionately interact with geriatric population.

Additional Information
  • Workstyle: This is a remote position.
  • Work Schedule: Monday through Friday, 8:00 a.m. to 5:00 p.m.; however, candidates must be flexible to adjust their schedule and work overtime as business needs require.
  • Start Date & Training Schedule: September 21 - Training will be conducted remotely and will last approximately 8-10 weeks. Attendance throughout the entire training period is mandatory, and we will not approve any time off requests during training. You must be available to fully participate in and successfully complete the training program as scheduled.

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
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.
$34,400 - $45,000 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.

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About Humana

Sourced by ZipRecruiter

Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Louisville, KY, US

Year founded

1961

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