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Claims Representative I-III (Health & Dental) - Gilbert, MN - PS12395 in Gilbert, MN at Anthem, Inc.

Date Posted: 11/1/2018

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.
The Claims Representative III:
  • Keys, processes and/or adjusts 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:
  • Fully proficient in all key areas; performs many complex functions.
  • May participate in claims workflow projects.
  • 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;
  • 3 to 5 years of WellPoint claims experience; or any combination of education and experience, which would provide an equivalent background.
  • Excellent attendance
  • High math aptitude
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at An Equal Opportunity Employer/Disability/Veteran.