What are the responsibilities and job description for the Customer Care Representative III position at Elevance Health?
Title : Customer Care Representative III
Location : This position will work a virtual model. Ideal candidates will live within 50 miles of 602 S Jefferson St Roanoke, VA 24011 .
The Customer Care Representative III is responsible for having extensive knowledge of company services, products, insurance and dental benefits, provider contracts and claims. Functions in a multi-functional capacity and is proficient in the use of all applicable claims systems, demonstrating the ability to adjudicate a variety of claims. Resolves and documents contacts with constituents, demonstrating contact expertise. Uses all applicable contact and inquiry systems proficiently.
How you will make an impact :
Resolves and responds to questions from customers, group administrators, providers, and brokers via claims adjudication, telephone and written communications.
Applies knowledge to administer benefits and respond to inquiries.
Interacts with other areas as necessary to resolves issues.
Performs in-depth research to resolve inquiries for customers through direct coordination with providers, group administrators and internal departments.
Initiates, monitors and provides follow-up to ensure timely resolution and closure to issues.
Proactively takes necessary actions to prevent future problems from occurring.
Recognizes system, process and workflow opportunities and offers alternatives for improvement.
Minimum Requirements
- HS diploma or equivalent and a minimum of 2 years experience with the company in combination of claims and customer contact automated environment (preferably in healthcare or insurance sector); or any combination of education and experience which would provide an equivalent background.
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.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
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 elevancehealthjobssupport@elevancehealth.com for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
