Claims Representative II
3 weeks ago
Title: Claims Representative II (Health & Dental)
Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.
The Claims Representative II will be responsible for keying, processing health claims in accordance with claims policies and procedures. Works without significant guidance w/ basic understanding of multiple products (HMO, PPO, COB, etc.).
How you will make an impact:
- Able to handle more complex claim with a good understanding of the application of benefit contracts, pricing, processing, policies, procedures, government regs, coordination of benefits, healthcare terminology and/or adjust claims.
- Good working knowledge of claims and products, including the grievance and/or re-consideration process.
- Excellent knowledge of the various operations of the organization, products, and services.
- Reviews, analyzes and processes claims/policies related to events to determine extent of company's liability and entitlement.
- Researches and analyzes claims issues.
- Responds to inquiries, may involve customer/client contact.
- HS diploma or equivalent and a minimum of 1 year of claims processing experience; previous experience using PC, database system, and related software (word processing, spreadsheets, etc.); or any combination of education and experience which would provide an equivalent background.
- FHPS experience.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
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.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health 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 assistance.
-
Excess Claims Attorney
16 hours ago
Indianapolis, Indiana, United States W3Global Inc Full timeJob OverviewWe are seeking a seasoned attorney to join our claims team at W3Global Inc. The ideal candidate will possess a strong background in insurance claim operations and have experience in supervising outside legal counsel on high-dollar litigated claims.Key ResponsibilitiesSupervise outside legal counsel on high-dollar litigated claims, ensuring timely...
-
Senior Accounting Manager
2 hours ago
Indianapolis, Indiana, United States Balance Claims Full timeJob Title: Senior Accounting ManagerJob Summary:We are seeking a highly skilled Senior Accounting Manager to join our team at Balance Claims. As a key member of our accounting department, you will be responsible for managing various accounting functions, including ledger maintenance, accounts payable, accounts receivable, revenue and asset accounting, as...
-
Claims Processing Specialist
2 weeks ago
Indianapolis, Indiana, United States Sedgwick Full timeJoin Our Team as a Claims Processing Specialist At Sedgwick, we prioritize the well-being of our colleagues, fostering a culture that emphasizes care and support. We believe in providing flexibility and the opportunity to focus on what truly matters in your life. Here, you can engage in meaningful work every day while receiving the necessary support for your...
-
Field Property Claims Specialist
2 weeks ago
Indianapolis, Indiana, United States American Family Insurance Full timePosition Overview:At American Family Insurance Claims Services (AFICS, Inc.), we are undergoing a significant transformation in our claims operations, focusing on placing our customers at the forefront of our mission - safeguarding and restoring their aspirations during critical times. We are harnessing our expertise, advanced technology, and innovative...
-
Eligibility Representative
4 weeks ago
Indianapolis, Indiana, United States The Cigna Group Full timeThe job profile for this position is Eligibility Representative, which is a Band 1 Professional Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for...
-
Indianapolis, Indiana, United States Strongbridge Full timeJob SummaryWe are seeking a highly skilled Customer Service Representative II/Mortgage Professional to join our team at Strongbridge. As a key member of our mortgage industry team, you will engage with lenders, banking/mortgage institutions, and consumers to provide critical information about HUD FHA and reverse mortgages.Key ResponsibilitiesProvide...
-
Patient Account Representative
7 days ago
Indianapolis, Indiana, United States Neuropsychiatric Hospitals Full timeAbout UsNeuropsychiatric Hospitals is a leading healthcare provider with a unique approach to treating patients with neurological and medical needs. Our hospital system has been serving patients for over 15 years, and we are committed to delivering high-quality care to our patients.Job OverviewWe are seeking a highly skilled Patient Account Representative to...
-
SIU Field Investigator Cons II or Sr.
2 months ago
Indianapolis, Indiana, United States Allstate Insurance Company Full timeNational General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to...
-
Patient Account Representative
6 days ago
Indianapolis, Indiana, United States Neuropsychiatric Hospitals Full timeAbout UsNeuropsychiatric Hospitals is a leading healthcare provider with a unique approach to treating patients with neurological and medical needs. Our hospital system has been serving patients for over 15 years, and we are committed to delivering exceptional care and service.Job OverviewWe are seeking a highly skilled Patient Account Representative to join...
-
Director Operations II
2 months ago
Indianapolis, Indiana, United States HMSHost at Indianapolis International Airport Full timeWith a career at HMSHost, you really benefit We Offer Health, dental and vision insurance Generous paid time off (vacation, flex or sick) Holiday pay Meal and Transportation Benefits *401(k) retirement plan with company match or Pension *Company paid life insurance *Tuition reimbursement Employee assistance program Training and exciting career growth...
-
financial claims technician
3 weeks ago
Indianapolis, Indiana, United States Defense Finance And Accounting Service Full timeThe duties, described below, represent the major duties performed at the GS-08 level. The duties performed for developmental positions will be of limited scope and complexity to develop skills, proficiency, and work experience. Reviews waiver applications and supporting documents from all Services, active and reserve, military retirees/annuitants, and...
-
Risk Management Advisor
2 weeks ago
Indianapolis, Indiana, United States Gregory & Appel Insurance Full timeJob OverviewThe Risk Management Advisor collaborates with clients, insurance representatives, and internal teams to address claims and risk mitigation needs, ultimately aiming to minimize the financial impact of risks for our clients.This role involves both office work and travel to client sites, providing essential support and guidance while mentoring...
-
Indianapolis, Indiana, United States Simo Najib - State Farm Agent Full timeJob DescriptionPosition OverviewSimo Najib - State Farm Agent is seeking a qualified professional to join their winning team for the role of Insurance and Financial Services Position. We seek an energetic professional interested in helping our business grow through value-based conversations and remarkable customer experience.ResponsibilitiesEstablish...
-
Business Development Representative
2 months ago
Indianapolis, Indiana, United States SpartanNash Company Full timeAt SpartanNash, we deliver the ingredients for a better life through customer-focused innovation. We do this for our supply chain customers and U.S. military commissaries, retail store guests and, most importantly, our Associates. In fact, we see a day when each will say, "I can't live without them."Our SpartanNash family of Associates is 17,000 strong,...
-
Outside Sales Representative
3 weeks ago
Indianapolis, Indiana, United States Graybar Electric Company, Inc. Full timeAre you ready?As an Outside Sales Representative, you will develop new prospects and maintain contacts with established customers for the purpose of selling Company products, and customarily and regularly interact with prospects and customers in person at the customer's site of business or other off-site locations. Prior experience working with Contractors...
-
Logistics Sales Representative
7 days ago
Indianapolis, Indiana, United States SpartanNash Full timeJob Summary:This role is responsible for identifying and securing business opportunities with carriers and customers, and partnering with them to determine the most efficient and cost-effective routes and shipping methods that meet customer expectations and business objectives.Key Responsibilities:Identify and analyze opportunities to increase freight...
-
Carrier Sales Representative
4 weeks ago
Indianapolis, Indiana, United States SpartanNash Company Full timeAt SpartanNash, we deliver the ingredients for a better life through customer-focused innovation. We do this for our supply chain customers and U.S. military commissaries, retail store guests and, most importantly, our Associates. In fact, we see a day when each will say, "I can't live without them."Our SpartanNash family of Associates is 17,000 strong,...
-
Healthcare Customer Service Representative
3 days ago
Indianapolis, Indiana, United States REVCO SOLUTIONS INC Full timeJob SummaryWe are seeking a highly motivated and compassionate Patient Account Specialist to join our team at Revco Solutions Inc. As a key member of our healthcare call center, you will play a vital role in providing exceptional customer service to our patients.Key ResponsibilitiesAnswer inbound calls from patients and address their inquiries, concerns, or...
-
Dental Office Coordinator
3 days ago
Indianapolis, Indiana, United States Dental Associates Group Full timeAbout the RoleWe are seeking a highly skilled and motivated Treatment Coordinator to join our team at Dental Associates Group. As a key member of our front office team, you will play a vital role in delivering exceptional patient experiences and ensuring the smooth operation of our dental practice.Key ResponsibilitiesPatient Communication and Scheduling:...
-
Account Associate
14 minutes ago
Indianapolis, Indiana, United States Megan Barrow - State Farm Agent Full timeJob OverviewMegan Barrow State Farm Agent is seeking a highly organized and efficient professional to join our team as an Account Associate. This role is ideal for individuals who thrive in a fast-paced environment and are dedicated to providing exceptional customer service.Key ResponsibilitiesCustomer Relationship Building: Establish and maintain strong...