Jobs / United States / Humana INC
Claims Research & Resolution Representative
Humana INC · 🇺🇸 Remote Puerto Rico · Remote
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 ($34,400 - $45,000 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 Join Humana's dynamic Puerto Rico team as a Claims Research & Resolution Representative and make a meaningful impact every day! You'll be at the heart of our claims operations—connecting with providers and members to resolve and settle claims that shape the health industry. You'll use your expertise to investigate cases, approve settlements, and navigate complex administrative challenges. If you thrive in a fast-paced environment and enjoy making decisions that matter, Humana invites you to bring your initiative and experience to our mission-driven team. As a 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 to resolve claims inquiries. Use your skills to make an impact Required Qualifications • MUST currently reside in Puerto Rico • 1+ years of claims OR customer service experience. • Must be able to communicate effectively in English, including speaking, reading, and writing, to perform the essential functions of the role. Final selected candidates will be required to complete a language proficiency assessment. Preferred Qualifications • Knowledge of healthcare terminology • Prior claims processing experience Required Training Schedule: • Virtual training begins in December 2026 and will last for approximately 8 weeks. Training will be held Monday through Friday, 8:00 am – 5:00 pm, Eastern Time. • Attendance is vital for success; no time off is allowed during training or the first 120 days. Required Work Schedule: • Following training and a post-training support period, you must be able to work Monday through Friday between 6:00 am and 5:30 pm Eastern. Hours are subject to change based on business needs. • This position incudes a 9-month probationary period. During which you and the manager assess how well you meet the requirements of the new position and work with our organization. • This position requires learning many systems, policies, and tools, and it takes time 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. 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