Job type full-time
Full job description
Shift: day job
Your talentOur visionAt anthem, inc., it`s a powerful combination, and the foundation upon which we`re creating greater access to care for our members, greater value for our customers, and greater health for our communitiesJoin us and together we will drive the future of health care.
This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of america`s leading health benefits companies and a fortune top 50 company.
Due to the current covid-19 (coronavirus) pandemic, this position will require you to work remotely from your home with the expectation that you will return to a regular, in-office work environmentAs we continue to monitor guidance from cdc and state officials there may be times you would need to report to the office on a monthly or quarterly basis for team meetings or engagement activitiesAs a claims examiner you will act as a trusted advisor and educator on health care related inquiresYou will guide our customers to a better healthcare experience, working every day to make healthcare easy by the service you provideIf you want to be a part of this exciting team, make a difference in someone`s life and help make healthcare easy, apply today.
Claims examiner ii u-18
This position will start the u-15 rate for the first year
This is an entry level positionDuring the time spent in this position the claims examiner will develop claims knowledge in all of the functions of the claims examiner il positionAdditionally, the associate will develop knowledge on multiple accounts to become proficient in processing and may be assigned to claims, adjustments, and correspondence as required.
Reviews and evaluates claims for information on which to base payment
Manually calculates benefit determinations (non-payable, categories, savings and payments) re-enteringClaims using the pac (pre-adjudication correction) process for original and re-opened claims to be adjusted.
Contacts customers (i.eSubscribers, providers, brokers, and/or policyholders) during the course of review to clarify and/or gather additional information required to process claims and/or resolve inquiries
Assists in development of improved workflow and methods
Prepares department reports
Two (2) years` experience as an anthem claims examiner i meeting expectations on quality, quantity and attendance or three (3) years medical claims processing/health insurance customer service experience or equivalent educationHave a thorough knowledge of medical terminology and claims processing procedures/systemsDemonstrates effective communication and personal computer skills.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, paid time off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Anthem, incHas been named as a fortune 100 best companies to work for®, is ranked as one of the 2020 world’s most admired companies among health insurers by fortune magazine, and a 2020 america’s best employers for diversity by forbesTo learn more about our company and apply, please visit us at careers.antheminc.comAn equal opportunity employer/disability/veteranAnthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all anthem positions.