Claims Representative III (Health and Dental)
Elevance Health

Job Info

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Claims Representative III (Health and Dental)

Location: Remote, within 50 miles of an Elevance Health pulse point.

Hours: An 8-hour shift, Monday - Friday, between the hours of 7 am - 6 pm EST.

The Claims Representative III is responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures.

How you will make an impact:

• Participate in claims workflow projects.
• Responds to telephone and written inquiries and initiates steps to assist callers regarding issues relating to the content or interpretation of benefits, policies and procedures, provider contracts, and adjudication of claims.
• Adjusts voids and reopens claims on-line within guidelines to ensure proper adjudication.
• May have customer/client contact.
• May assist with training of staff.
• Works without significant guidance.

Minimum Requirements:

• Requires a HS diploma and a minimum of 3 years of the companies internal claims experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

• Good oral and written communication skills, previous experience using PC, database system, and related software (word processing, Excel spreadsheets, etc.) strongly preferred.
• CAS experience is strongly preferred

** For candidates working in person or remotely in the below locations, the salary* range for this specific position is $20.08 to $34.42

Locations: New York

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

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