Jobs / United States / Humana INC
Claims Research Resolution Rep
Humana INC · 🇺🇸 49 Locations
Sponsorship verdict
Sponsorship possible
One solid signal, not two — worth applying, and worth asking about sponsorship early.
- Employer is on a government sponsor recordThe US Department of Labor certified 260 H-1B/E-3 labor condition applications for this employer between Oct 2025 and Jun 2026 (latest Jun 2026) — the step every H-1B hire needs first. USCIS also records 130 H-1B approvals in FY2023. Source: LCA disclosure data (US Department of Labor (OFLC)).
- The posting doesn’t mention sponsorshipSilence isn’t a refusal — ask the recruiter before investing much time.
- No salary bar for this routeH-1B has no fixed salary bar: the employer must pay at least the prevailing wage for the role and area. Cap-subject employers enter a lottery weighted by wage level. Source: https://www.federalregister.gov/documents/2025/12/29/2025-23853/weighted-selection-process-for-registrants-and-petitioners-seeking-to-file-cap-subject-h-1b, rules effective 2026-02-27.
- What Humana INC paid sponsored hires in similar roles2 certified filings for “Research Scientist 2” (Data Scientists) in IN: $86k–$112k, median $99k. Most were filed at wage level I (50%) — 1 lottery entry, ≈15% projected selection odds for cap-subject employers. The pay stated here ($43,000 - $56,200 per year) is below what this employer usually pays sponsored hires for this role. Source: US Department of Labor LCA disclosure data (Oct 2025 – Jun 2026).
- Confirmed live todayWhen a source last listed this job as open.
US H-1B: cap-subject employers enter a lottery weighted by wage level — Level I gets 1 entry, Level IV gets 4 (DHS projected selection odds ≈15% at Level I to ≈61% at Level IV). Universities and non-profit research employers are cap-exempt. The $100,000 fee for new petitions from abroad is currently blocked by a court order (appeal pending).
A verdict summarises public evidence; it is not legal advice and never a guarantee — the employer and the immigration authority decide. Sign in to factor in where you can already work.
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Sponsor Radar — Humana INC
The US Department of Labor certified 260 H-1B/E-3 labor condition applications for this employer between Oct 2025 and Jun 2026 (latest Jun 2026) — the step every H-1B hire needs first. USCIS also records 130 H-1B approvals in FY2023. Source: LCA disclosure data (US Department of Labor (OFLC)).
Past sponsorship or register membership never guarantees sponsorship for this vacancy or for you. Full Sponsor Radar for Humana INC →
About the role
Become a part of our caring community The Claims Research & Resolution Representative 3 manages claims operations that involve customer contact, investigation, and settlement of claims for and against our organization. You will report the Supervisor, Claims & Research Resolution. As the Claims Research & Resolution Representative 3 you will • Work with providers, members, and third-party collection services to facilitate timely and accurate resolution of complex medical claims. • Use in-depth knowledge of claims processes to investigate discrepancies, verify documentation, and ensure compliance with internal policies and regulatory standards. • Collaborate with specialized team of claims, call center, and provider associates to research pending claims issues. • Apply advanced judgment and discretion in determining appropriate methods, strategies, and workflows for managing administrative tasks and projects. • Demonstrate a high level of autonomy, applying experience and organizational knowledge to resolve claims inquiries. • Pivot quickly from one project to the next, based on business needs, with the ability to experience handling support requests from a variety of different channels, based on inventory load Use your skills to make an impact Required Qualifications • 1 or more years of Healthcare customer service experience • 1 or more years of call center experience • Intermediate Excel skills • Intermediate proficiency Word • Working knowledge of healthcare terminology • Working knowledge of Medicare or Medicaid claims Preferred Qualifications • Healthcare call center experience • Working knowledge with Microsoft Access • Medical claims processing experience • Member reimbursement experience • Medicare industry • Healthcare Benefit knowledge Required Work Schedule: Training you will: • Virtual training and runs for 8 weeks with a schedule of Monday – Friday, 8:00am – 4:30pm EST. • Attendance is vital for success; other than Humana-observed holidays, no time off is allowed during training or during your first 120 days of employment. • You must be on time, dressed appropriately, with your camera ON for the entire duration of training, nesting, and for other meetings required by leadership. After Training you will: • Following training, you must be able to work any shift Monday – Friday, between the hours of 6:00am – 5:30pm EST . • You will learn many systems, policies, and tools, and it takes times to become proficient in the role. You must be willing to remain in this position for a period of eighteen (18) months before applying to other Humana opportunities outside of this team. • Requires an 18 month time in job commitment 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 demons