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Claims Representative I (Health & Dental) (US)

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

AI generated summary

  • You need a HS diploma or equivalent, related experience, and strong communication skills. Proficiency in PC, databases, and software like word processing and spreadsheets is preferred.
  • You will learn and perform tasks under supervision, process claims, ensure accuracy, and analyze issues to facilitate eligible payments.

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 job title for this position?

The job title for this position is Claims Representative I (Health & Dental).

Where is the job location?

Candidates must live within 50 miles of the PulsePoints in Mason, OH, Norfolk, VA, Richmond, VA, Grand Prairie, TX, Houston, TX, Indianapolis, IN, Atlanta, GA, Miami, FL, or Tampa, FL.

What are the minimum educational requirements for this position?

The minimum requirement is a high school diploma or equivalent, along with related experience, or any combination of education and experience providing an equivalent background.

What type of training will the Claims Representative I receive?

The Claims Representative I is responsible for successfully completing the required basic training for the role.

What skills are preferred for this job?

Good oral and written communication skills, previous experience using a PC, database systems, and related software (including word processing and spreadsheets) are strongly preferred.

Will the work be supervised?

Yes, the Claims Representative I will work under direct supervision and rely on others for instruction, guidance, and direction.

What does the role involve in terms of claims processing?

The role involves coding and processing claims forms for payment, ensuring all information is supplied before any eligible payments are made, and researching and analyzing claims issues.

Is there a vaccination requirement for this position?

Yes, all new candidates in certain patient/member-facing roles are required to become vaccinated against COVID-19, unless an acceptable explanation is provided for not being vaccinated.

What type of benefits are offered to employees?

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

Is this position only available to individuals within a specific geographic area?

Yes, candidates must reside within 50 miles or a one-hour commute each way of a relevant Elevance Health location.

How does Elevance Health support professional growth?

Elevance Health aims to create a culture that advances its strategy while leading to personal and professional growth for associates through its values and behaviors.

Can I apply for this position if I am seeking accommodation during the application process?

Yes, applicants who require accommodation 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.