Claims Representative I, II, III (Health & Dental)
Company: Anthem, Inc
Location: West Covina
Posted on: June 17, 2022
SHIFT: Day Job
Claims Representaitve I, II, III (Health & Dental)
Be part of an extraordinary team.
We are looking for leaders at all levels of the organization who
are passionate about making an impact on our members and the
communities we serve. You will thrive in a complex and
collaborative environment where you take action and ownership to
solve problems and lead change. Do you want to be part of a larger
purpose and an evolving, high-performance culture that empowers you
to make an impact?
Build the Possibilities. Make an extraordinary impact.
This is an exceptional opportunity to do innovative work that means
more to you and those we serve at one of America's leading health
benefits companies and a Fortune Top 50 Company.
+ Responsible for keying, processing and/or adjusting health claims
in accordance with claims policies and procedures. Must be able to
successfully perform all the duties of the Claims Rep II.
Primary duties may include, but are not limited to:
+ Participate in claims workflow projects.
+ Responds to telephone and written inquiries and initiates steps
to assist callers regarding issues relating to the content or
interpretation of benefits, policies and procedures, provider
contracts, and adjudication of claims.
+ Adjusts voids and reopens claims on-line within guidelines to
ensure proper adjudication.
+ May assist with training of staff.
+ Works without significant guidance.
Claims Representaitve III
+ HS diploma
+ Minimum of 3 years of the companies internal claims experience;
or any combination of education and experience which would provide
an equivalent background.
Claims Representative II - 2 years of General knowledge of medical
terminology, enrollment activities and claims processing
Claims Representative I - 1-2 Years of companies' internal claims
experience; or any combination of education and experience which
would provide an equivalent background
Hourly Pay Range*: $21/hr - $22/hr Actual compensation may vary
from posting based on geographic location, work experience,
education and/or skill level.
We offer a range of market-competitive total rewards that include
merit increases, paid holidays, Paid Time Off, and incentive bonus
programs (unless covered by a collective bargaining agreement),
medical, dental, vision, short and long term disability benefits,
401(k) +match, stock purchase plan, life insurance, wellness
programs and financial education resources, to name a few. The
health of our associates and communities is a top priority for
Anthem. We require all new candidates to become vaccinated against
COVID-19. If you are not vaccinated, your offer will be rescinded
unless you provide - and Anthem approves - a valid religious or
medical explanation as to why you are not able to get vaccinated
that Anthem is able to reasonably accommodate. Anthem will also
follow all relevant federal, state and local laws. Anthem, Inc. has
been named as a Fortune 100 Best Companies to Work For, is ranked
as one of the 2020 World's Most Admired Companies among health
insurers by Fortune magazine, and a 2020 America's Best Employers
for Diversity by Forbes. To learn more about our company and apply,
please visit us at careers.antheminc.com. Anthem is an Equal
Employment Opportunity employer and all qualified applicants will
receive consideration for employment without regard to race, color,
religion, sex, age, national origin, protected veteran status,
disability status, sexual orientation, gender identity or
expression, marital status, genetic information, or any other
characteristic protected by law. Applicants who require
accommodation to participate in the job application process may
contact email@example.com for assistance.
Keywords: Anthem, Inc, West Covina , Claims Representative I, II, III (Health & Dental), Other , West Covina, California
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