Claims Representative I

5 days ago


Columbus, Georgia, United States Elevance Health Full time
Job Title: Claims Representative I

We are seeking a highly motivated and detail-oriented Claims Representative I to join our team at Elevance Health. As a Claims Representative I, you will play a critical role in ensuring the smooth processing of healthcare claims.

Key Responsibilities:
  • Process and analyze healthcare claims to ensure accuracy and compliance with company policies and procedures.
  • Communicate with healthcare providers and patients to resolve claim issues and provide excellent customer service.
  • Work collaboratively with cross-functional teams to resolve complex claim issues and improve claim processing efficiency.
  • Stay up-to-date with changing regulations and industry developments to ensure compliance and optimal claim processing.
Requirements:
  • High school diploma or equivalent required; related experience preferred.
  • Excellent communication and problem-solving skills.
  • Ability to work in a fast-paced environment and meet productivity standards.
  • Basic knowledge of medical terminology and coding systems.
What We Offer:
  • A competitive salary and benefits package.
  • Opportunities for professional growth and development.
  • A dynamic and supportive work environment.
  • Recognition and rewards for outstanding performance.

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.



  • Columbus, Georgia, United States Elevance Health Full time

    About the RoleWe are seeking a highly skilled and compassionate Customer Service Representative to join our team at Elevance Health. As a key member of our customer service team, you will play a vital role in delivering exceptional service to our members and providers.Key ResponsibilitiesProvide proactive and timely resolution to customer inquiries and...


  • Columbus, Georgia, United States Elevance Health Full time

    Job SummaryWe are seeking a highly skilled and customer-focused Customer Service Representative to join our team at Elevance Health. As a key member of our customer service team, you will be responsible for providing exceptional service to our internal and external customers, responding to their inquiries, and resolving their issues in a timely and...


  • Columbus, Georgia, United States CarMax Full time

    Job SummaryWe are seeking a highly skilled and customer-focused Customer Service Representative to join our team at CarMax. As a key member of our service team, you will be responsible for delivering exceptional customer service by acting as a liaison between the customer and our retail technicians or mechanical associates.Key ResponsibilitiesMeet and greet...


  • Columbus, Georgia, United States Surge Staffing LLC Full time

    Job DescriptionAt Surge Staffing LLC, we are committed to connecting top talent with exceptional clients. Our comprehensive range of services has solidified our position as a leader in the staffing industry. We guarantee a strong and qualified pool of candidates to meet hiring needs, and we are equipped to manage workforces by providing customized business...

  • Project Manager

    7 days ago


    Columbus, Georgia, United States Surge Staffing LLC Full time

    Job OverviewSurge Staffing LLC is dedicated to connecting top talent with exceptional clients. Our comprehensive services have solidified our position as a leader in the staffing industry. We guarantee a robust pool of qualified candidates to meet hiring needs and provide customized business solutions to manage workforces effectively.This full-time position...

  • On-Site Supervisor

    1 week ago


    Columbus, Georgia, United States Surge Staffing Full time

    Job OverviewSurge Staffing is dedicated to connecting talented professionals with top clients. Our comprehensive services have established us as a leader in the staffing industry. We guarantee a strong pool of qualified candidates to meet hiring needs and provide customized business solutions.This position requires flexibility in scheduling, with a standard...


  • Columbus, Georgia, United States Housing Authority Of Co Full time

    Job OverviewPosition SummaryThis role involves significant responsibilities in the upkeep and management of properties under the Housing Authority of Co. Reporting directly to the Assistant Maintenance Manager, the individual will be tasked with organizing and executing various maintenance activities aimed at enhancing the quality of assigned properties. The...


  • Columbus, Georgia, United States Housing Authority Of Co Full time

    Job OverviewPosition SummaryThis role involves significant responsibilities in the upkeep and enhancement of properties managed by the Authority. Reporting directly to the Assistant Maintenance Manager, the individual will oversee and execute various physical tasks associated with the maintenance and improvement of designated properties. The incumbent is...


  • Columbus, Ohio, United States Elevance Health Full time

    Job Title: Claims Representative IWe are seeking a highly motivated and detail-oriented Claims Representative I to join our team at Elevance Health. As a Claims Representative I, you will be responsible for processing and resolving healthcare claims in a timely and accurate manner.Key Responsibilities:Process and review healthcare claims for accuracy and...


  • Columbus, Ohio, United States Elevance Health Full time

    {"Job Title": "Claims Representative I", "Job Summary": "We are seeking a skilled Claims Representative I to join our team at Elevance Health. As a Claims Representative I, you will be responsible for processing claims, researching and analyzing claims issues, and manually calculating benefit determinations. You will work under direct supervision and rely on...

  • Claims Representative

    2 weeks ago


    Columbus, Ohio, United States Elevance Health Full time

    Job Title: Claims Representative IWe are seeking a highly motivated and detail-oriented Claims Representative I to join our team at Elevance Health. As a Claims Representative, you will play a critical role in ensuring that our members receive the benefits they deserve.Key Responsibilities:Process and analyze claims forms for payment, ensuring all necessary...


  • Columbus, Ohio, United States Elevance Health Full time

    Job Title: Claims Representative IWe are seeking a highly motivated and detail-oriented Claims Representative I to join our team at Elevance Health. As a Claims Representative, you will play a critical role in ensuring that our members receive the benefits they deserve.Key Responsibilities:Process and analyze claims forms for payment, ensuring all necessary...

  • Claims Representative

    3 weeks ago


    Columbus, Ohio, United States Cincinnati Insurance Company, Inc. Full time

    Job SummaryCincinnati Insurance Company, Inc. is seeking a skilled Claims Representative to join our team. As a Claims Representative, you will be responsible for investigating and evaluating insurance claims, ensuring accurate settlements, and providing exceptional customer service.Key ResponsibilitiesConduct thorough claim investigations, including...


  • Columbus, Ohio, United States Ohio Department of Developmental Disabilities Full time

    Job SummaryWe are seeking a skilled Claims Account Representative to join our team at the Ohio Department of Developmental Disabilities. As a Claims Account Representative, you will be responsible for providing exceptional customer service and resolving claims in a timely and efficient manner.Key ResponsibilitiesRespond to customer inquiries and resolve...


  • Columbus, Ohio, United States Ohio Department of Developmental Disabilities Full time

    Job SummaryWe are seeking a highly skilled Claims Account Representative to join our team at the Ohio Department of Developmental Disabilities. As a Claims Account Representative, you will be responsible for providing exceptional customer service to our clients, resolving claims in a timely and efficient manner, and maintaining accurate records.Key...


  • Columbus, Ohio, United States Ohio Department of Developmental Disabilities Full time

    Job SummaryWe are seeking a skilled Claims Account Representative to join our team at the Ohio Department of Developmental Disabilities. As a Claims Account Representative, you will be responsible for handling customer inquiries and resolving claims in a timely and professional manner.Key ResponsibilitiesRespond to customer inquiries and resolve claims in a...


  • Columbus, Ohio, United States RemX Full time

    Job OpportunityWe are seeking a skilled Medical Claims Representative to join our dynamic team. As a Medical Claims Representative, you will be responsible for reviewing and processing medical claims submitted by healthcare providers.Key Responsibilities:Review and process medical claims to ensure accuracy and compliance with insurance policies.Verify claim...


  • Columbus, Ohio, United States RemX Full time

    Job OpportunityWe are seeking a skilled Medical Claims Representative to join our dynamic team. As a Medical Claims Representative, you will be responsible for reviewing and processing medical claims submitted by healthcare providers.Key Responsibilities:Verify claim information and ensure it aligns with patient records and insurance policies.Communicate...


  • Columbus, Ohio, United States Cincinnati Insurance Company, Inc. Full time

    Claims Field RepresentativeWe are seeking a skilled Claims Field Representative to join our team at Cincinnati Insurance Company, Inc. This role is responsible for investigating and evaluating multi-line insurance claims in the field, ensuring accurate settlements and providing exceptional customer service.Key Responsibilities:Conduct thorough claim...


  • Columbus, Ohio, United States Cincinnati Insurance Company, Inc. Full time

    Claims Field RepresentativeWe are seeking a skilled Claims Field Representative to join our team at Cincinnati Insurance Company, Inc. This role involves investigating and evaluating multi-line insurance claims, ensuring accurate settlements, and providing exceptional customer service.Key Responsibilities:Conduct thorough claim investigations and interviews...


  • Columbus, Ohio, United States Cincinnati Insurance Company, Inc. Full time

    Make a Difference with a Career in InsuranceCincinnati Insurance Company, Inc. is a relationship-based organization that values diversity and promotes a lifelong learning approach. We're seeking extraordinary individuals to join our talented team as Field Claims Representatives.About the RoleAs a Field Claims Representative, you will investigate and evaluate...


  • Columbus, Ohio, United States Ohio Department of Commerce Full time

    About the RoleWe are seeking a highly skilled and motivated Claims Account Representative to join our team at the Ohio Department of Commerce. As a Claims Account Representative, you will play a critical role in providing exceptional customer service to Ohio constituents, collecting delinquent taxes and debts owed to state agencies, and performing various...


  • Columbus, Ohio, United States Ohio Department of Aging Full time

    Job SummaryWe are seeking a highly skilled Claims Account Representative to join our team in the Collections Enforcement Section. As a Claims Account Representative, you will be responsible for providing exceptional customer service to Ohio constituents to collect certified delinquent taxes and debts owed to state agencies.Key ResponsibilitiesCollect...


  • Columbus, Ohio, United States Auto-Owners Insurance Full time

    Auto-Owners Insurance is seeking a motivated individual to fill the role of Claims Representative Intern. This internship provides an opportunity to gain hands-on experience in the insurance industry and develop skills in claims investigation, policy analysis, and customer service.**Key Responsibilities:*** Investigate and analyze claims to determine policy...

  • Claims Adjuster

    3 weeks ago


    Columbus, Ohio, United States Sedgwick Full time

    About the RoleSedgwick is seeking a skilled Claims Representative to join our team. As a Claims Representative, you will play a critical role in analyzing and processing low to mid-level auto and transportation claims.Key ResponsibilitiesAnalyze and process auto property damage and lower-level injury claims, assessing damage, making payments, and ensuring...

  • Claims Analyst

    1 week ago


    Columbus, Ohio, United States Gainwell Technologies LLC Full time

    Job SummaryWe are seeking a skilled Claims Analyst to join our team at Gainwell Technologies LLC. As a Claims Analyst, you will play a critical role in analyzing pre-payment pharmacy claims data, systems, and documents to identify potential claim overpayments and ensure claims are paid accurately.Key ResponsibilitiesAnalyze pharmacy claims pre-payment data...

  • Claims Specialist

    3 weeks ago


    Columbus, Ohio, United States Sedgwick Full time

    About the RoleSedgwick is seeking a skilled Claims Representative to join our team. As a Claims Representative, you will play a critical role in analyzing and processing low to mid-level auto and transportation claims.Key ResponsibilitiesProcess auto property damage and lower-level injury claims, assessing damage, making payments, and ensuring claim files...

  • Claims Analyst

    4 days ago


    Columbus, Ohio, United States Gainwell Technologies LLC Full time

    Job SummaryWe are seeking a skilled Claims Analyst to join our team at Gainwell Technologies LLC. As a Claims Analyst, you will play a critical role in analyzing pre-payment pharmacy claims data, systems, and documents to identify potential claim overpayments and ensure claims are paid accurately.Key ResponsibilitiesAnalyze pharmacy claims pre-payment data...