3 Claims Representative I, II Jobs in Indianapolis, IN
Elevance Health is Hiring a Claims Representative I, II Near Indianapolis, IN
Work Schedule : Monday - Friday 8:00am - 4:30pm ESTThe 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.
The Claims Representative II is responsible for keying, processing health claims in accordance with claims policies and procedures. Works without significant guidance w/ basic understanding of multiple products (HMO, PPO, COB, etc.).
How You Will Make An ImpactClaims Representative I
- Learning the activities/tasks associated with his/her role.
- Works under direct supervision.
- 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.
- Able to handle more complex claim with a good understanding of the application of benefit contracts, pricing, processing, policies, procedures, government regulations, coordination of benefits, healthcare terminology and/or adjust claims.
- Good working knowledge of claims and products, including the grievance and/or re-consideration process.
- Excellent knowledge of the various operations of the organization, products, and services.
- Reviews, analyzes and processes claims/policies related to events to determine extent of company's liability and entitlement.
- Researches and analyzes claims issues.
- Responds to inquiries, may involve customer/client contact.
- Claims Representative I requires HS diploma or equivalent and related experience; or any combination of education and experience which would provide an equivalent background.
- Claims Representative II requires a HS diploma or equivalent and a minimum of 1 year of claims processing experience; previous experience using PC, database system, and related software (word processing, spreadsheets, etc.); or any combination of education and experience which would provide an equivalent background.
- Good oral and written communication skills, previous experience using PC, database system, and related software (word processing, spreadsheets, etc.) strongly preferred.
- Healthcare and/or health insurance experience preferred.
- Call center experience preferred.
- Experience working in a fast-pace, high volume environment preferred.
Location: 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, nondiscriminatory 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.
Job Summary
Full Time
$58k-68k (estimate)
06/04/2024
06/30/2024
The job skills required for Claims Representative I, II include Written Communication, Claim Processing, Knowledge of Claims, Call Center, etc. Having related job skills and expertise will give you an advantage when applying to be a Claims Representative I, II. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Claims Representative I, II. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Claims Representative I, II positions, which can be used as a reference in future career path planning. As a Claims Representative I, II, it can be promoted into senior positions as a Claims Clerk III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Claims Representative I, II. You can explore the career advancement for a Claims Representative I, II below and select your interested title to get hiring information.
If you are interested in becoming a Claims Representative, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Claims Representative for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Claims Representative job description and responsibilities
After careful review, the representative can approve, deny or escalate a claim.
02/12/2022: Buffalo, NY
As for eligible claims, they also calculate the benefit amount to pay out to policy holders.
01/22/2022: Duluth, MN
Determines claims coverage by examining company records. Responsible for calculating claims amounts and submitting claims for payment.
02/19/2022: Alexandria, LA
In this position, you will process insurance claims made by our customers, determining the amount of coverage they are eligible to receive through their current policy and authorizing payments.
01/06/2022: Salisbury, NC
Network with insurance agencies in the area to find leads on claims representative positions.
03/26/2022: Columbia, SC
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Claims Representative jobs
Interpret customer policies and coverages
03/17/2022: Indianapolis, IN
Organizational skills and Computer proficiency are highly needed.
12/30/2021: Monterey, CA
Negotiate settlements
02/02/2022: Omaha, NE
Maintain customer records
03/18/2022: Idaho Falls, ID
Wait for the claim to be processed.
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Step 3: View the best colleges and universities for Claims Representative.
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