Claims Representative I

Elevance Health; Norfolk (VA); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player in healthcare is seeking a Claims Representative I to join their remote team. In this role, you'll embark on a journey of learning and development, gaining insights into claims processing while ensuring accuracy and compliance. You'll have the opportunity to work collaboratively with experienced colleagues, honing your skills in communication and problem-solving. With a commitment to improving lives and communities, this role offers a chance to make a meaningful impact while enjoying a supportive work environment. If you're ready to contribute to a mission-driven organization, this position could be the perfect fit for you.

Benefits

Paid Time Off

Merit increases

Incentive bonus programs

Medical benefits

Dental benefits

Vision benefits

401(k) + match

Stock purchase plan

Life insurance

Wellness programs

Qualifications

• Must pass pre-employment test battery and complete basic training.
• Requires HS diploma or equivalent and related experience.

Responsibilities

• Codes and processes claims forms for payment ensuring all information is supplied.
• Researches and analyzes claims issues.

Skills

Good oral and written communication skills

Basic computer skills

Database system knowledge

Education

High School Diploma or equivalent

Tools

Word processing software

Spreadsheet software

Job description

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.

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.