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      Humana

      Engaged Employer

      Humana reviews

      Hard - Appeals and Grievances Representative Humana Employee Review

      2.0
      Jun 19, 2022
      Appeals and grievances representative
      Recommend
      CEO approval
      Business Outlook

      Pros

      Co workers were nice. You can arrange your schedule. They know the job is very stressing so they try to make it up with employee benefits.

      Cons

      The job is really hard to understand, they are constantly changes and it seems that management is almost impossible, your job depends on the subjective opinions of people from other departments so you find yourself constantly arguing with other departments because they never approve your requests in order to continue. Metrics are extremely hard because in most of the cases documentation received is unclear and finding the providers or billing representatives is difficult.

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      5.0
      Jun 17, 2026
      Associate vp
      Recommend
      CEO approval
      Business Outlook

      Pros

      Making all the right moves to be a leader in 21st century health care.

      Cons

      Legacy technology and corporate structures still create friction, but improving.

      1.0
      Jun 22, 2026
      Utilization review nurse
      Recommend
      CEO approval
      Business Outlook

      Pros

      Working from home, that’s about it.

      Cons

      Micromanaging, forced to help team members while you’re behind on your own caseload. Denied PTO requests, no PTO all summer and no PTO until the end of January 2027 (that’s supposed supposedly when they will be done ramping up with all their new employees.) a bunch of meetings weekly that are pointless. A weekly case conference where they are forcing nurses to present a complex case in front of over 300 people on zoom. Process changes change constantly, there are no job aid or guideline that help you make a Clinical decision but you will get out of it if you do it incorrectly. Save yourself the trouble and apply somewhere else. It is not worth it.

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