Claims Representative III

2 days ago


Tampa FL USA, United States Elevance Health Full time
Job Title: Claims Representative III

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.
Requirements:
  • 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.
About Elevance Health:

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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