Claims Rep III (Hlth & Dntl)- Job family
Company: Anthem, Inc
Location: La Mirada
Posted on: June 20, 2022
SHIFT: Day Job
Claims Representative lll ( Health & Dental)
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.
Responsible for keying, processing and/or adjusting health claims
in accordance with claims policies and procedures.
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 have customer/client contact. May assist with training of
staff. Works without significant guidance.
+ High School Diploma or equivalent
+ 3 years of the company's internal claims experience; or any
combination of education and experience which would provide an
Claims Representative II - 2 years of General knowledge of medical
terminology, enrollment activities and claims processing
Claims Representative I - 1-2 Years of companies' internal claims
experience; or any combination of education and experience which
would provide an equivalent background
+ WGS knowledge preferred
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 If you are not vaccinated, your offer will be rescinded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 Great Place To Work in 2021, is ranked as
one of the 2021 World's Most Admired Companies among health
insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on
Diversity and Inclusion. 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 age,
citizenship status, color, creed, disability, ethnicity, genetic
information, gender (including gender identity and gender
expression), marital status, national origin, race, religion, sex,
sexual orientation, veteran status or any other status or condition
protected by applicable federal, state, or local laws. Applicants
who require accommodation to participate in the job application
process may contact email@example.com for assistance.
Keywords: Anthem, Inc, La Mirada , Claims Rep III (Hlth & Dntl)- Job family, Other , La Mirada, California
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