Claims Representative (Health & Dental)

Welcome to Elevance Health, where we are dedicated to providing exceptional health and dental coverage to our clients. We are currently seeking a highly motivated and detail-oriented Claims Representative to join our team. As a Claims Representative, you will play a critical role in ensuring the timely and accurate processing of claims, providing excellent customer service, and maintaining overall client satisfaction. This position requires strong analytical skills, excellent communication abilities, and a passion for helping others. If you are looking for a rewarding career in the healthcare industry, we invite you to apply for this exciting opportunity.

1. Process Claims: The primary responsibility of the Claims Representative will be to accurately and efficiently process health and dental claims for our clients. This includes reviewing and verifying claim information, determining coverage and benefits, and inputting data into our system.
2. Provide Customer Service: The Claims Representative will act as a point of contact for our clients, assisting them with any questions or concerns they may have regarding their claims. This requires excellent communication skills and a commitment to providing exceptional customer service.
3. Ensure Timely Processing: It is the responsibility of the Claims Representative to ensure that all claims are processed in a timely manner, meeting established deadlines and turnaround times. This will require strong organizational skills and the ability to prioritize tasks effectively.
4. Maintain Accuracy: Accuracy is crucial in the claims processing role, and the Claims Representative must diligently review and verify all information to ensure that claims are processed correctly. This includes identifying and resolving any discrepancies or errors that may arise.
5. Collaborate with Team Members: The Claims Representative will work closely with other team members to ensure a smooth and efficient claims process. This may involve collaborating on complex claims, sharing knowledge and best practices, and providing support to colleagues when needed.
6. Stay Up-to-Date on Policies and Procedures: It is the responsibility of the Claims Representative to stay informed about any updates or changes to policies, procedures, and regulations related to claims processing. This will involve attending training sessions and reviewing documentation as needed.
7. Uphold Client Satisfaction: As a representative of Elevance Health, the Claims Representative must maintain a high level of professionalism and deliver excellent service to clients. This includes addressing any concerns or issues promptly and ensuring overall client satisfaction.
8. Analyze Claims Data: The Claims Representative will be responsible for analyzing claims data to identify trends, patterns, and potential areas for improvement. This requires strong analytical skills and the ability to use data to make informed decisions.
9. Maintain Confidentiality: The Claims Representative will handle sensitive and confidential information, and

According to JobzMall, the average salary range for a Claims Representative (Health & Dental) in Indianapolis, IN, USA is between $39,000 and $65,000 per year. This range can vary based on factors such as experience, education, and the specific company or organization the individual is employed by.

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.