Claims Representative I

Elevance Health; Indianapolis (IN); Remote; USD 10,000 - 60,000; Full time

Job summary

An established industry player is seeking a Claims Representative I to join their dynamic team. This fully remote position requires candidates to be within 50 miles of a PulsePoint office. You will be responsible for learning the necessary tasks and coding claims forms for payment, ensuring all information is accurate before processing. The ideal candidate will possess strong communication skills and a high school diploma or equivalent. Join a company dedicated to improving lives and communities, offering a supportive culture that promotes personal and professional growth. If you are passionate about making an impact, this is the perfect opportunity for you.

Benefits

Paid Time Off

Incentive bonus programs

401(k) + match

Stock purchase plan

Medical benefits

Dental benefits

Vision benefits

Short and long term disability benefits

Life insurance

Wellness programs

Qualifications

• High School diploma or equivalent required; related experience preferred.
• Good oral and written communication skills are essential.

Responsibilities

• Complete basic training and perform job functions with guidance.
• Code and process claims forms for payment ensuring accuracy.
• Research and analyze claims issues.

Skills

Good oral communication skills

Good written communication skills

Experience using PC

Experience with database systems

Familiarity with word processing

Familiarity with spreadsheets

Education

High School Diploma or equivalent

Tools

PC

Database system

Word processing software

Spreadsheet software

Job description

What email address should a hiring manager use to contact you?

Location: This is a fully remote position. Ideal candidates will reside within 50 miles of an Elevance Health PulsePoint office location.

Work Schedule: Monday - Friday, 8 hour shift that starts between 6am - 9am EST (for example 6am - 2:30pm; 7am - 3:30pm; 8am - 4:30pm or 9am - 5:30pm EST).

The Claims Representative I is responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues. Must pass the appropriate pre-employment test battery.

How you will make an impact

• Learning the activities/tasks associated with his/her role.
• Relies on others for instruction, guidance, and direction.
• Work is reviewed for technical accuracy and soundness.
• Codes and processes claims forms for payment ensuring all information is supplied before eligible payments are made.
• Researches and analyzes claims issues.
• Requires HS diploma or equivalent and related experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities & Experiences:

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

For candidates working in person or remotely in the below location(s), the salary range for this specific position is $15.91/hr to $23.87/hr.

Job Level

Non-Management Non-Exempt

Workshift

1st Shift (United States of America)

Job Family

CLM > Claims Reps

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

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.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ~~~ for assistance.