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Claims Representative I (Health & Dental) (US)

  • Job
    Full-time
    Entry Level
  • Customer Relations
    Healthcare
  • Richmond

AI generated summary

  • You need a HS diploma or equivalent, related experience, and strong communication skills. Proficiency with PCs, databases, and software like word processors and spreadsheets is preferred.
  • You will learn tasks under supervision, process claims, ensure accurate information for payments, and research claims issues while relying on guidance from others.

Requirements

  • Requires HS diploma or equivalent and related experience; or any combination of education and experience which would provide an equivalent background.
  • Good oral and written communication skills, previous experience using PC, database system, and related software (word processing, spreadsheets, etc.) strongly preferred.

Responsibilities

  • Learning the activities/tasks associated with his/her role.
  • Works under direct supervision.
  • Relies on others for instruction, guidance, and direction.
  • Work is reviewed for technical accuracy and soundness.
  • Codes and processes claims forms for payment ensuring all information is supplied before eligible payments are made.
  • Researches and analyzes claims issues.

FAQs

What is the location requirement for this position?

Candidates must live within 50 miles of designated Elevance Health locations including Mason, OH, Norfolk, VA, Richmond, VA, Grand Prairie, TX, Houston, TX, Indianapolis, IN, Atlanta, GA, Miami, FL, or Tampa, FL.

What are the educational requirements for the Claims Representative I position?

A high school diploma or equivalent is required, along with related experience or an equivalent combination of education and experience.

Is prior experience necessary for this position?

Previous experience using a PC, database systems, and related software (word processing, spreadsheets, etc.) is strongly preferred, but not mandatory.

What training will I receive if hired?

The Claims Representative I is responsible for successfully completing the required basic training to perform their job functions.

How is the work of a Claims Representative I evaluated?

The work is reviewed for technical accuracy and soundness, and the representative will work under direct supervision, relying on others for instruction and guidance.

Are there any vaccination requirements for this role?

Yes, new candidates in certain patient/member-facing roles are required to become vaccinated against COVID-19 unless they provide an acceptable explanation.

What benefits does Elevance Health offer to its employees?

Elevance Health offers market-competitive total rewards including merit increases, paid holidays, Paid Time Off, medical, dental, vision benefits, 401(k) match, stock purchase plan, life insurance, wellness programs, and financial education resources, among others.

What is the work schedule for this position?

Associates are required to work at an Elevance Health location at least once per week, and potentially several times per week, as part of a hybrid workforce strategy.

Is this position suitable for entry-level candidates?

Yes, this position is suitable for entry-level candidates as it is designed for those who are learning the activities/tasks associated with the role and performing under direct supervision.

What should I do if I need accommodations during the job application process?

Applicants who require accommodations to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

Improving the health of humanity

Science & Healthcare
Industry
10,001+
Employees

Mission & Purpose

Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner.   Our nearly 100,000 associates serve more than 118 million people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health.  We believe that improving health for everyone is possible. It begins by redefining health, reimagining the health system, and strengthening our communities.