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Claims Representative I (Health & Dental) (US)

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Elevance Health

12d ago

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

AI generated summary

  • You need a HS diploma or equivalent, good communication skills, and experience with PCs and software like word processing and spreadsheets.
  • You will learn tasks, process claims forms, ensure accuracy, and analyze claims issues under supervision 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 primary responsibility of a Claims Representative I?

The primary responsibility of a Claims Representative I is to complete required basic training, perform basic job functions with assistance, and ensure accurate coding and processing of claims forms for payment.

What locations are eligible for this position?

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

What educational qualifications are required for this role?

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

What skills are preferred for the Claims Representative I position?

Preferred skills include good oral and written communication abilities, and previous experience using a PC, database systems, and related software such as word processing and spreadsheets.

Is training provided for this position?

Yes, training is provided, and the Claims Representative I is responsible for successfully completing the required basic training.

What are the working conditions for this position?

The position operates under a hybrid workforce strategy, meaning associates are required to work at an Elevance Health location at least once per week.

Are vaccinations against COVID-19 required for this role?

Yes, candidates in certain patient/member-facing roles are required to be vaccinated against COVID-19, with acceptable explanations necessary if not vaccinated.

Does Elevance Health offer benefits to its employees?

Yes, Elevance Health offers a range of market-competitive total rewards including medical, dental, vision, and life insurance, as well as paid time off and a 401(k) match.

How does Elevance Health ensure equal employment opportunities?

Elevance Health is committed to equal employment opportunities and considers all qualified applicants without regard to various protected statuses under applicable laws.

What should I do if I need accommodation during the application process?

Applicants requiring accommodation can contact elevancehealthjobssupport@elevancehealth.com for assistance.

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Elevance Health

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.