Claims Representative I, II, III (Health & Dental)

Company: Anthem, Inc
Location: West Covina
Posted on: June 17, 2022

Job Description:

Description

SHIFT: Day Job

SCHEDULE: Full-time

Claims Representaitve I, II, III (Health & Dental)

California

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.

Qualifications

Required Qualifications

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 procedures.

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 ability@icareerhelp.com for assistance.

REQNUMBER: PS67223

Keywords: Anthem, Inc, West Covina , Claims Representative I, II, III (Health & Dental), Other , West Covina, California