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Customer Care Representative III - Mason, OH - PS15426 in Mason, OH at Anthem, Inc.

Date Posted: 12/5/2018

Job Snapshot

Job Description

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.
 
Customer Care Representative III
Responsible for reviewing requests by mail, telephone, or in person regarding insurance claims/policies. Fully proficient in all key areas; performs many complex functions. Must be able to successfully perform all the duties of the Customer Care Rep II. Primary duties may include, but are not limited to:

    • Responds to inquiries from policyholders, providers and/or others for information and assistance.


    • Performs research to respond to inquiries and interprets policy provisions to determine most effective response.


    • Required to meet department goals and expectations.


  • Requires a High School diploma or GED;

  • 6+ months Anthem experience;


  • or any combination of education and experience, which would provide an equivalent background.


  • Ability to work anytime Monday-Friday between 8:00AM-11:00PM and Saturday and Sunday 9:30AM - 6:00PM Eastern including is required, as well as holidays as needed.


  • Able to work mandatory overtime as needed.


  • Healthcare industry or pharmacy experience required.


  • Call center experience required.


  • Knowledge in Microsoft Excel required.


  • Knowledge Outlook and Word preferred.


  • Leadership experience strongly preferred.


  • Work experience in PA HUB and ESD preferred.