Carelon Coordination of Benefits (COB) - Investigator II

Welcome to Elevance Health, where we strive to provide exceptional healthcare solutions to our clients. We are currently seeking a highly motivated and detail-oriented individual to join our team as a Carelon Coordination of Benefits (COB) Investigator II. In this role, you will be responsible for investigating and resolving complex coordination of benefits issues to ensure accurate payment of claims. As an Investigator II, you will play a crucial role in maximizing the efficiency and accuracy of our COB processes. We are looking for a candidate with strong analytical skills, excellent communication abilities, and a passion for providing top-notch customer service. If you have a background in healthcare and a keen eye for detail, we encourage you to apply for this exciting opportunity.

• Conduct thorough investigations of coordination of benefits issues to ensure accuracy of claims payment
• Collaborate with various departments and external resources to gather necessary information and resolve complex COB issues
• Utilize analytical skills to identify root causes of COB discrepancies and develop solutions to prevent future occurrences
• Communicate effectively with clients, providers, and other stakeholders to provide updates on COB investigations and resolve any issues or concerns
• Maintain accurate and detailed records of COB investigations, findings, and resolutions
• Stay current on industry regulations and guidelines related to coordination of benefits and apply them to investigations and processes
• Identify opportunities for process improvement and make recommendations to enhance the efficiency and accuracy of COB processes
• Maintain a high level of customer service and professionalism when interacting with clients and stakeholders
• Train and mentor junior investigators on COB processes and procedures
• Adhere to company policies and procedures, as well as confidentiality and compliance standards, at all times.

According to JobzMall, the average salary range for a Carelon Coordination of Benefits (COB) - Investigator II in Indianapolis, IN, USA is $59,000-$75,000 per year. This may vary based on factors such as experience, education, and location.

Elevance Health, Inc. is an American health insurance provider. The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Empire BlueCross BlueShield in New York State, Anthem Blue Cross in California,Wellpoint, and Carelon.It is the largest for-profit managed health care company in the Blue Cross Blue Shield Association. As of 2022, the company had 46.8 million members within their affiliated companies' health plans. Prior to June 2022, Elevance Health was named Anthem, Inc.