Anthem, Inc. Claims Rep III (Health & Dental)- Remote in Houston, Texas
SHIFT: Day Job
Claims Representative III (Health & Dental)-Remote Locations: Multiple US States
The Claims Representative III is responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures. Must be able to successfully perform all the duties of the Claims Rep II. Primary duties may include but are not limited to: • Participate in claims workflow projects. • Must have experience in Medicare Claims Processing. • 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.
Requires a HS diploma and a minimum of 3 years of the company’s internal claims experience; or any combination of education and experience which would provide an equivalent background.
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. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.