Claims Representative (Health & Dental)

At Elevance Health, we are seeking a Claims Representative (Health & Dental) to join our dynamic team. The successful candidate will be responsible for processing and managing all aspects of health and dental claims from submission to payment. We are looking for a highly organized and detail-oriented individual with excellent interpersonal skills and a commitment to providing exceptional customer service.The ideal candidate should have experience in customer service and healthcare claims processing, as well as a strong understanding of medical terminology and insurance regulations. They should also be able to work independently and as part of a team to meet deadlines and remain up-to-date on industry changes. We value a positive attitude and the ability to think critically and solve problems.If you are a detail-oriented professional who is passionate about helping others, we invite you to apply!

Responsibilities:

1. Process and manage health and dental claims from submission to payment.
2. Provide exceptional customer service to both internal and external customers.
3. Ensure that claims are processed in a timely and accurate manner.
4. Remain up-to-date on industry changes and regulations.
5. Monitor claims status and troubleshoot any issues that arise.
6. Resolve any discrepancies or disputes with insurance companies.
7. Maintain customer records and provide periodic reports on claims status.
8. Collaborate with other team members to ensure quality customer service.
9. Assist with any other duties as assigned.

According to JobzMall, the average salary range for a Claims Representative (Health & Dental) in Boston, MA, USA is between $57,000 and $68,000 per year. This range is based on salaries reported by individuals with experience in the field.

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.