Claims Representative

Are you a compassionate and detail-oriented individual with a passion for helping others? Are you looking for a rewarding career that allows you to make a positive impact on people's lives? Look no further than Elevance Health! As a Claims Representative, you will play a crucial role in our team by providing exceptional customer service and efficiently managing claims for our members. We are seeking candidates who possess excellent communication skills, a strong attention to detail, and a proven ability to multi-task in a fast-paced environment. If this sounds like you, we would love to have you join our team!

1. Process and manage a high volume of claims accurately and efficiently.
2. Provide exceptional customer service to members and healthcare providers.
3. Communicate clearly and effectively with members, providers, and internal team members.
4. Conduct thorough research and investigation to resolve complex claims issues.
5. Maintain accurate and organized records of claims and related documentation.
6. Adhere to all company policies and procedures, as well as industry regulations and guidelines.
7. Collaborate with team members to identify and implement process improvements.
8. Stay up-to-date on industry developments and changes in healthcare regulations.
9. Handle confidential and sensitive information with discretion and professionalism.
10. Prioritize and manage workload effectively to meet deadlines and ensure timely claims processing.
11. Identify and escalate potential fraud or abuse cases.
12. Provide support and training to new team members as needed.
13. Continuously strive to improve customer satisfaction and retention rates.
14. Adhere to company values and promote a positive work culture.
15. Demonstrate a strong understanding of medical terminology and coding.
16. Maintain a high level of accuracy and attention to detail in all tasks.
17. Handle difficult or escalated customer inquiries with empathy and professionalism.
18. Meet or exceed individual and team performance goals.
19. Assist with special projects and tasks as assigned by management.
20. Uphold Elevance Health's mission of improving the lives of our members through compassionate and efficient claims processing.

According to JobzMall, the average salary range for a Claims Representative in Indianapolis, IN, USA is between $35,000 to $55,000 per year. This salary range may vary depending on factors such as experience, company size, and industry. Additionally, some companies may offer bonuses or commission structures for claims representatives.

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.