Claims Representative III
2 days ago
We are seeking a highly skilled Claims Representative III to join our team at Elevance Health. As a Claims Representative III, you will be responsible for keying, processing, and adjusting health claims in accordance with claims policies and procedures.
Key Responsibilities:- Participate in claims workflow projects to improve efficiency and accuracy.
- Respond to telephone and written inquiries from customers and providers regarding claims and benefits.
- Adjust, void, and reopen claims online within guidelines to ensure proper adjudication.
- May have customer/client contact and assist with training of staff.
- Requires a high school diploma and a minimum of 3 years of internal claims experience or any combination of education and experience that would provide an equivalent background.
- Experience with data analytics is preferred.
- Ability to research and analyze information is required.
Elevance Health is a health company dedicated to improving lives and communities. 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.
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