Claims Rep III (Hlth & Dntl)- Job family

Company: Anthem, Inc
Location: La Mirada
Posted on: June 20, 2022

Job Description:

Description

SHIFT: Day Job

SCHEDULE: Full-time

Claims Representative lll ( Health & Dental)

Indiana, California

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.

Description:

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.

Qualifications

Requirements:

+ 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 equivalent background

Claims Representative II - 2 years of General knowledge of medical terminology, enrollment activities and claims processing procedures.

Claims Representative I - 1-2 Years of companies' internal claims experience; or any combination of education and experience which would provide an equivalent background

Preferred Requirements:

+ 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 ability@icareerhelp.com for assistance.

REQNUMBER: PS71733

Keywords: Anthem, Inc, La Mirada , Claims Rep III (Hlth & Dntl)- Job family, Other , La Mirada, California