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Claims Representative I (Health & Dental) (US)

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

AI generated summary

  • You need a HS diploma or equivalent, good communication skills, PC experience, and to reside within 50 miles of an Elevance Health location. COVID-19 vaccination is required for certain roles.
  • You will learn tasks under supervision, code and process claims for payment, and research claims issues, ensuring all information is accurate before eligible payments are made.

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.
  • Must pass the appropriate pre-employment test battery.
  • Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
  • We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19.

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 PulsePoints locations, including Mason, OH, Norfolk, VA, Richmond, VA, Grand Prairie, TX, Houston, TX, Indianapolis, IN, Atlanta, GA, Miami, FL, or Tampa, FL.

What qualifications are required for the Claims Representative I role?

The position requires a high school diploma or equivalent, along with related experience or a combination of education and experience that provides an equivalent background.

What kind of training will I receive?

As a Claims Representative I, you will be responsible for completing the required basic training to perform your job functions effectively.

Will I work independently in this role?

No, you will work under direct supervision and rely on others for instruction, guidance, and direction, especially with non-basic issues.

What specific tasks will I be performing?

You will code and process claims forms for payment, ensuring all necessary information is provided, and will research and analyze claims issues.

Are there preferred skills that can enhance my application?

Yes, good oral and written communication skills, along with previous experience using PCs, database systems, and related software, such as word processing and spreadsheets, are strongly preferred.

What are the benefits offered by Elevance Health?

Elevance Health offers a range of market-competitive total rewards, including merit increases, paid holidays, Paid Time Off, incentive bonus programs, and various insurance and wellness benefits.

Is vaccination against COVID-19 required for this role?

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

How does Elevance Health approach diversity in hiring?

Elevance Health is an Equal Employment Opportunity employer and considers all qualified applicants without regard to various protected statuses, ensuring a diverse and inclusive workplace.

What is the work environment like for this position?

Elevance Health operates in a hybrid workforce strategy, requiring associates to work onsite at least once per week, though specific expectations will be discussed during the hiring process.

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.